Center of Southwest Studies Temporary Custody Receipt

This form is used by Center of Southwest Studies staff when accepting items on the behalf of a depositor at the Center. Generally, the deposit might be for the staff to evaluate an item for the donor, suggest preservation treatments, show it to a third party, etc.--usually, something of benefit to the depositor, as opposed to a loan for the benefit of the Center.

Depositor Name: _____________________________________________________

Address: _____________________________________________________________

Phone: ___________________ Email: __________________________________

Description of Item(s): (include physical condition and depositor’s valuation)

Purpose of deposit: ____________________________________________________

Removal date: (Unless noted, custody not to exceed 90 days): ___________________

Return method: [ ] picked up by depositor [ ] Center will send via _____________

Address: _____________________________________________________________

Conditions:

Item(s) are accepted by the Center for the benefit of the depositor. The Center will treat the item(s) with reasonable care but cannot guarantee safety and condition. Insurance coverage will not be provided. The depositor hereby agrees to release and hold harmless the Center, its employees, officers, and agents from any liability in connection with the item(s) while on deposit or in transit.
Attributions, dates, and other information included in this document are as given by the depositor and cannot be construed as an endorsement by the Center.
Item(s) may be photographed and examined by modern scientific methods by the Center for its own purposes. The item(s) will not be restored, treated, or otherwise altered without written permission of the depositor.
It is the responsibility of the depositor to promptly notify the Center of any changes in ownership, identity, and/or address of the depositor.
Pursuant to Colorado Revised Statute (CRS) section 38-14-106, the Lender is herein informed of the provisions of CRS section “38-14-103: Limitations on recovery of loaned property. (1) Subject to the contrary terms of any written agreement, no action may be brought for damages or the recovery of any loaned property when: (a) Seven years have passed without written contact between the museum and the lender and the lender’s identity or current address is unknown to the museum; or (b) More than one hundred twenty days have passed since a museum has given written notice of termination of a loan pursuant to section 38-14-104 and the lender has not reclaimed the loaned property; except that no lender shall be prejudiced in this regard for want of reasonable cooperation from the museum holding his loaned property.”

I have read and agree to the above conditions, and I certify that I have full authority to agree to thereto.

Signed: ______________________________________ Date: ________________

Received by: _________________________________ Date: ________________