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2. Thank you for your interest in donating artwork or a monument to the City of Holland.  Please complete and submit this application. It will be electronically submitted to the City Manager's Office.

   I have read, understand and accept the terms of this Application and represent that I am the owner, artist, or owner and artist of the artwork which is the subject of this application.

4. 1. Type Of Donation
6. Artwork:

   1. Indoor
   2. Outdoor
7. Monument:

   1. Outdoor
9. 2. Donor
11. First Name*
12. Last Name*
14. Organization: (if applicable)
16. Organization Type:

    1. Individual

    1. Corporation

    1. Not-for-profit

    1. Other
18. Name*
19. Email Address
21. Address*
23. City*
24. State*
25. Zip Code*
27. Phone Number*
29. 3. Artist
31. Name*
32. Email Address*
34. Address*
36. City*
37. State*
38. Zip Code*
40. Phone Number*
41. Resume or Additional supporting material relevant to the artist’s experience.

    ^{Section 5.3.E. Public Art Policy}

43. 4. Artwork
45. Title:*
47. Artwork Type:*
49. Description:*

    Statement of Intent from the artist, including any message or theme that the proposed work is intended to convey.

    ^{Section 5.3.A. Public Art Policy}

51. Photo:

    Adequate visual representation of the proposed park in drawing(s) and / or photographs, and / or model(s), including scale.

    ^{Section 5.3.B. Public Art Policy}

52. Site Scale Drawing:

    A scale drawing showing the proposed work as it will be sited.

54. Structural Integrity and Materials

    Describe materials and construction used to create and install the proposed work.

    ^{Section 5.3.C. Public Art Policy}

56. 5. Finance

    ^{Section 5.3.D. Public Art Policy}

58. Budget*

    Provide a comprehensive budget, with projected cost for the project, funds committed to date, proposed source(s) of funds, approach and funding for ongoing maintenance.

60. Describe existing artwork construction proven longevity, if any. e.g. Other installations / how many years installed using like materials and construction.*
62. 6. Eligibility Costs

    The City will consider proposed gifts of art with the understanding that no City funds will be required for the fabrication, siting or installation of the work.  Additionally, when accepting a gift into the City’s collection, the PAAC may require that the donor sign a maintenance agreement or establish a maintenance endowment to ensure an adequate quality of care for the artwork.   The Committee is unlikely to consider any donation that requires immediate or extensive maintenance.

    ^{Sections 5.4.A. and 5.4.C. Public Art Policy}

64. 7. Formal Agreement

    If the proposal is approved by City Council, a formal agreement will be executed between the City and the donor and/or artist.   This agreement will include terms and conditions as outlined in the Public Art Policy, in addition to other conditions as adopted by City Council.

    ^{Section 5.4. Public Art Policy}

66. 8. Ownership

    Ownership of the work, including certain rights under federal law, is relinquished to the City of Holland.

    ^{Section 5.4.B. Public Art Policy}

68. 9. Insurance

    The donor provides any insurance required by the City of Holland.

    ^{Section 5.4.D. Public Art Policy}

70. 10. Provide, if any, a proposed location in the City you want considered to locate your artwork or monument.
72. 11. Donor’s authorization to initiate a donation review.

    By signing this Application below and in consideration for participating in the City’s Public Art program on City-Owned property, the artist / owner hereby acknowledges and understands that upon completion and installation of the artwork, and upon its acceptance by the Holland City Council, the work shall become the property of the City of Holland.   The City retains the right to remove or relocate the artwork in its sole discretion as the interest of the public welfare and safety may require.

    If the artwork is damaged, defaced, altered or destroyed by human acts or by acts of nature, the City retains the right to remove, restore, repair or replace the artwork at any time in keeping with the artist’s original design intent, without consulting the artist, or his or her heirs or assigns.  The City will make reasonable efforts to contact the artist, or if unavailable, another design professional, to advise or assist in any restoration work.

74. Name:*
75. Title*
77. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
79. Electronic Signature*
80. Date:*
    Date:
82. 12. Review Process

    This application will be evaluated by the Holland Area Arts Council and by the Public Art Advisory Committee

84. Comments:
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field