All requirements listed below must be met or the application will be removed from consideration.

Application to be filled out by the Property Owner or by Property Manager/Representative with verifiable concurrence from Property Owner.

1

Name of person completing application:

Name of person completing application:

2

Company Name at proposed mural location:

Company Name at proposed mural location:

3

Company/business address, phone, website:

Company/business address, phone, website:

Address

Phone numberext.

Website

4

Name and address of Property owner(s) who guarantees financial responsibility for the mural and mural upkeep:

Name and address of Property owner(s) who guarantees financial responsibility for the mural and mural upkeep:

Name

Address

5

Property owner or liaison email address:

Property owner or liaison email address:

6

Property owner or liaison phone and extension:

Property owner or liaison phone and extension: ext.

7

Exact location for the mural:

Exact location for the mural:

8

Name of the Artist(s):

Name of the Artist(s):

9

Artist(s) email, phone, and website:

Artist(s) email, phone, and website:

Name

Phone numberext.

Website

10

Title of mural being proposed, if available:

Title of mural being proposed, if available:

11

A concept drawing that shows a sketch of the proposed mural. Include the dimensions of the mural and approximate location on the structure for the proposed mural. A digital rendering of the proposed mural and a depiction of placement on the structure is recommended.

A concept drawing that shows a sketch of the proposed mural. Include the dimensions of the mural and approximate location on the structure for the proposed mural. A digital rendering of the proposed mural and a depiction of placement on the structure is recommended. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

12

If property is sub-leased, provide confirmation of sub-lessee(s) awareness of proposed mural

If property is sub-leased, provide confirmation of sub-lessee(s) awareness of proposed mural Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

13

Provide business names and contacts for subject property sub-lessees, as applicable

Provide business names and contacts for subject property sub-lessees, as applicable

Name

Phone Numberext.

Name

Phone numberext.

14

Artist's other murals or artworks

Artist's other murals or artworks Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

15

How did you learn about the mural program?

How did you learn about the mural program?

16

Written acknowledgement from the artist of the following (include/upload with application):

a. Artist confirms that the mural design is their original artwork, and

b. Artist agrees that mural will automatically become the property of the business owner with no compensation from the City of Torrance, and

c. Artist acknowledges that the City has no obligation to keep confidential any submissions made to the City.

Written acknowledgement from the artist of the following (include/upload with application): a. Artist confirms that the mural design is their original artwork, and b. Artist agrees that mural will automatically become the property of the business owner with no compensation from the City of Torrance, and c. Artist acknowledges that the City has no obligation to keep confidential any submissions made to the City.

Included

Not Included

17

Please attach the written acknowledgement from the artist as referenced in Question 16, if available.

Please attach the written acknowledgement from the artist as referenced in Question 16, if available. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

18

Property owner agrees the City of Torrance may use or redistribute submissions made to the City and their contents for any purpose and in any way and that there is no obligation for the City of Torrance to review a submission.

Property owner agrees the City of Torrance may use or redistribute submissions made to the City and their contents for any purpose and in any way and that there is no obligation for the City of Torrance to review a submission.

Yes

No

19

Business Owner DISCLAIMER

 

a. I have read the attached information and agree to the rules & regulations stated. The undersigned agrees to indemnify and hold harmless, the City of Torrance, Its Council, Officers, Boards, Commissions, Agents, associated Foundations and Employees for any loss or liability which results or is alleged to have resulted from my participation in this event, including any claim arising out of the applicants entry, acts, or omissions in said contest or any accident, injury or damage involved therein, including but not limited to attorney fees and court costs. I have read and fully understand these policies. I am an adult and my signature is below.

Business Owner DISCLAIMER a. I have read the attached information and agree to the rules & regulations stated. The undersigned agrees to indemnify and hold harmless, the City of Torrance, Its Council, Officers, Boards, Commissions, Agents, associated Foundations and Employees for any loss or liability which results or is alleged to have resulted from my participation in this event, including any claim arising out of the applicants entry, acts, or omissions in said contest or any accident, injury or damage involved therein, including but not limited to attorney fees and court costs. I have read and fully understand these policies. I am an adult and my signature is below.

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