The Hoffberger Insurance Group

If building is more than 25 years old, have electrical, plumbing and heating systems and surfaces (roof,
siding, parking lot, etc.) been inspected by a qualified contractor or inspection service?
Choose Yes or No Yes No

          In what year were the following systems last updated?

                                               Electrical        Plumbing    Heating        Roof

 $          RENTED AND BORROWED CAMERA EQUIPMENT: At your option, insure equipment which you rent
                                      or borrow from others. Coverage is available on a blanket basis at limits of $2,000, $5,000, $10,000,
                                      $20,000, $25,000 or $30,000.

 $           STUDIO/OFFICE CONTENTS & COMPUTER EQUIPMENT:  All-risk coverage for such items as darkroom
                                       equipment, studio  furnishings, general office contents and computer equipment. The policy automatically
                                       provides a limit of $10,000. Please indicate if you desire higher limits.


       LOSS OF BUSINESS INCOME: Pays you net income and normal operating expenses while you restore
       your business after a covered loss. Business income protection applies more to studio photographers than
                                       to location photographers. Coverage is automatic up to the actual loss sustained for a 12-month period.        
  

       EXTRA EXPENSE: Covers the additional costs, such as rental of studio space, in the event that
       your space is damaged.

          
           ACCOUNTS RECEIVABLE: Pays you amounts due from your customers that you are unable to
                                        collect as a result of covered loss to your records of accounts receivable. The policy automatically provides
                                        a limit of $25,000.

   $   none 5,000 10,000 20,000 25,000                 TEMPORARY CUSTODY COVERAGE: Insure property of others while in your custody, for up to fourteen
                                       days. This benefit is  extremely valuable to advertising and fashion photographers who may be using
                                       expensive clothing or consumer products as the subject matter of  their photographs. Temporary Custody
                                       Coverage is available on a blanket basis at limits of  $5,000, $10,000, $20,000 or $25,000.

   $              PORTFOLIOS AND VALUABLE PAPERS: Insure the cost to reproduce your portfolios (assuming you have
                                        the original images) in the event of theft or destruction by a covered loss. Also covers the portfolio case. 
                                        Please indicate if you wish higher limits.

   $  None 1,000 2,500                    EQUIPMENT RENTAL REIMBURSEMENT: Covers the cost to rent equipment while yours is being repaired
                                       or replaced as a result of theft or other covered loss. Limits available are $1,000 or $2,500.

   $         GENERAL LIABILITY INSURANCE: Protection for your acts, and those of your assistants, against bodily
                                        injury and property damage claims. The policy automatically provides a limit of $1 million. Please indicate if
                                        you wish higher limits.

          HIRED AND NON-OWNED AUTO: Provides liability-only coverage for your business for claims
                                        involving assistants personal  vehicles or vehicles you rent or hire. This coverage is excess over any primary
                                        coverage which the owner of the vehicle might have