W19 Form – Fill Out and Use This PDF

W19 Form PDF Details

In the landscape of warehouse operation within Iowa, the W19 form emerges as a crucial document that facilitates a vital communication bridge between warehouse operators and insurance entities, specifically addressing the coverage of potential damages caused by fire or windstorm. This form, officially designated for Iowa warehouse operators, requires submission to the Grain Warehouse Bureau under the auspices of the Iowa Department of Agriculture in Des Moines, IA. It serves primarily as a certificate of insurance, wherein an insurance company certifies that it has issued a policy to the named insured warehouse operator, detailed by policy number and effective dates. Importantly, the form queries whether the current policy replaces any existing policy or binder, prompting for specifics on the replaced policies or binders. An noteworthy feature of this form is its reference to an endorsement, Form W-20, which is pivotal in ensuring that the policy adheres to the stringent requirements of Iowa Code Section 203C.15, governing insurance coverage of warehouse goods. The document stipulates the insurance company's commitment to provide, upon request from the Department of Agriculture and Land Stewardship, a duplicate original of the policy along with all endorsements. The fine details, such as the type of insurance coverage—whether for fire, windstorm, or other perils—alongside the total limits of liability and the specific contributions of the policy in question, are clearly outlined, ensuring that all parties involved have a transparent understanding of the insurance protections in place for the warehoused goods.