Storage Information Form

STORAGE INFORMATION FORM

Parties and Recitals

This Storage Information Form (the "Form") is entered into between the parties set forth below for the provision and management of storage services pursuant to the Storage Service Agreement incorporated herein by reference.

Client Name:   Facility Name:

WHEREAS, Client desires to store personal property, inventory, or other goods with Facility under the terms and conditions set forth in this Form and the governing Storage Service Agreement; and

WHEREAS, Facility operates storage premises and agrees to receive, store, and provide access to the items described below in accordance with the Scope of Work, Payment Terms, and other provisions herein.

Storage Location & Unit

Standard non-climate-controlled    Climate-controlled    Outdoor/Container

Inventory & Item Details

Complete an itemized list for all items of significant value. For additional items, attach a separate inventory listing signed by Client and initialed by Facility.

Quantity:   Estimated Value (each): $

Quantity:   Estimated Value (each): $

Insurance & Liability

Client acknowledges that Facility's liability for loss or damage is limited as set forth in the Storage Service Agreement. Client is strongly encouraged to maintain insurance covering the full declared value of stored goods. Indicate whether Client will provide insurance covering stored goods:

Insurance Provided by Client: Yes     Insurance Policy Carrier:

Policy Number:   Expiration Date:

Prohibited Items & Special Handling

Client represents that no prohibited, hazardous, perishable, flammable, explosive, illegal, or biohazardous materials will be stored. Client expressly indemnifies Facility for any loss, cleanup, or liability arising from the presence of such items. Prohibited items include, but are not limited to: explosives, gasoline, toxic chemicals, illegal substances, and live animals.

Access, Keys, and Authorized Persons

Keys, locks, access codes, and fobs issued for the storage unit must be returned upon termination. Facility may charge for replacement locks or re-keying if not returned. List persons authorized by Client to access the unit:

Scope of Work

Description of storage services to be provided by Facility, including receipt, inventorying, placement within unit, climate control (if applicable), and secure access. Detail any agreed special services (packing, palletizing, loading/unloading, climate monitoring) and frequency of inspection or reporting.

Payment Terms

Storage fee, schedule, accepted payment methods, and consequences for late payment.

Term and Termination

This Form governs storage services for the Term set forth below. Either party may terminate the storage arrangement in accordance with the notice requirements provided; termination does not relieve Client of payment or other obligations accrued prior to termination.

Commencement Date:   Termination Date (if applicable):   Notice Period for Termination:

Confidentiality

Each party shall maintain in confidence any non-public business, financial, or technical information disclosed by the other party in connection with this Form ("Confidential Information"). Confidential Information shall not include information that is or becomes generally available to the public through no breach of this obligation. Confidential Information shall be used solely for performance under this Form and not disclosed except to employees, agents, or contractors with a need to know who are bound by similar confidentiality obligations.

Governing Law

This Form and any dispute arising out of or relating to it shall be governed by the laws of the State specified below, without regard to its conflicts of law principles.

Entire Agreement & Certifications

This Form, together with the Storage Service Agreement and any attached inventory schedules, constitutes the entire agreement between Client and Facility with respect to the subject matter hereof and supersedes all prior or contemporaneous understandings and agreements, whether written or oral. No amendment shall be binding unless executed in writing by both parties.

Client certifies that the information provided in this Form is true and complete to the best of Client's knowledge and that Client has disclosed all valuables and hazardous items as required. Client acknowledges receipt of and agreement to the Facility's applicable terms and conditions for storage services.

Emergency Contact & Notices

Acknowledgment

By signing below, Client and Facility acknowledge and accept the information contained in this Form and agree that it will govern the storage services described. Both parties represent that they have authority to enter into this Form and bind the respective entities.

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