Item 07 - AIPP_CentralHealth_ArtworkLoanApplication_RZ_8.2024.pdf — original pdf

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19 ARTWORK LOAN APPLICATION Use this form to submit proposals for artwork loans. Loans are limited to five years, then may be renewed. Thank you for your interest in loaning artwork to the City of Austin. Please direct any questions, and complete and submit this application to Cultural Arts Division, City of Austin Ben White Building Suite 400 PO Box 1088 Austin, TX 78767 (512) 974-7700 culturalarts@austintexas.gov Please attach additional sheets. The City reserves the right to request additional information in order to process a loan proposal. LENDER Name(s) Organization (if applicable): City Phone (Please check one): (Please check one: ___ Individual(s) ___ Corporation ___ Not-for-Profit ___Other (specify: _______________________________) Address State Fax Zip Code Country Email Loan of artwork to be commissioned Loan of existing artwork Anticipated Life Expectancy of the Artwork: 5-10 years Conflict of Interest: Disclose whether the Lender has any active contracts with the City or is involved in any stage of negotiations for a City contract. ARTIST Name Nationality USA Address 1722 Woodward St Apt 210 Alias (If applicable) Birth Date Dec 19, 1981 Death Date (If applicable) City Austin State TX Zip Code 78741 Country USA Phone 512-751-5329 Fax Email tavis@billtavis.com Website Artist Representation/Gallery Name (If applicable) XTravis Country Healthcare District d.b.a Central HealthX1111 East Cesar Chavez SteetTX78702USAAustinMelissa CepedaBill Tavisbilltavis.comCity Phone Website ARTWORK Title Description Artist Representation/Gallery Address State Fax Zip Code Country Email For loans of commissioned artwork, please explain the method used in the selection of the artist. 20 2 murals for the Rosewood Zaragosa clinic Artwork type (e.g., painting, sculpture) Medium mural spraypaint and exterior latex larger front wall has a large tree with many branchs smaller back wall has a bluebonnet Creation Date July 2024 Dimensions and Weight 1,017 sq ft Anticipated Life Expectancy of the Artwork 5-10 years Finishes applied to surface Construction technique(s) If this artwork is part of a series or group, what is the total number in the series or group? If this artwork is part of an edition, what is the edition number of this piece, and the total edition size? Describe frame, if any. Describe base or pedestal, if any. 21 Describe any accompanying accessories. Current location of artwork Proposed City-owned site for placement (if applicable) Mural #1 is Mural #2 is For memorials, describe the person or event to be commemorated, and explain why this person or event deserves special recognition. ARTWORK HISTORY Provenance/Past Owners: List all past owners and period of ownership for each. Exhibition History: List the exhibition history including exhibition titles, venues and dates for each. Publications and References: List all publications about and references to the artwork. COPYRIGHT OWNERSHIP Name of current copyright owner Address 1722 Woodward St Apt 210 City Austin Phone 512-751-5329 ARTWORK VALUATION (if known) Bill Tavis Title artist State TX Zip Code 78741 Country USA Fax Email tavis@billtavis.com If the Lender is the current copyright owner, does the Lender intend to transfer the copyright to the City of Austin should the loan be accepted by the City? Rosewood Zaragosa Clinic2802 Webberville Rd. Austin, Texas 7870222 Fair Market Value $ $20,340 How was this fair market value determined and by whom? priced at $20 per sq foot CONDITION Describe the current condition of the artwork noting any existing breaks, tears, scratches, abrasions, paint losses, or other insecurities or defects in the artwork. If the artwork has been conserved, describe the conservation treatment. Provide recommendations for routine maintenance of artwork. Indicate whether these recommendations were provided by a conservator. (Optional) Provide recommendations for security, installation, transportation and/or storage. For loans of commissioned artwork, please outline the installation plan. OTHER REQUIRED MATERIALS Please submit the following materials along with this completed form. • Artist’s résumé and bio • Digital, color images of past artwork by artist • For commissioned artwork, color renderings or maquettes of proposed artwork • Maps or images of proposed site for artwork • Itemized list of any costs to be borne by the City for transportation, installation, exhibition, operation, maintenance, conservation, and/or security • For commissioned artwork, an itemized budget for design, fabrication, and installation • For commissioned artwork, a timeline for design, fabrication, and installation 23 • Exhibition catalogs, publications and/or references, if available • Formal, written appraisal for any artwork with a fair market value of $10,000 or more • Condition report, if available • Conservator’s report, if applicable • Proof of authenticity, if available • Any other information relevant to the artwork LENDER’S AUTHORIZATION TO INITIATE A LOAN REVIEW AND ACCEPTANCE OF THE LOAN POLICY Authorized signature Title Manager of Property and Assets Melissa Cepeda Print name Melissa Cepeda CITY OF AUSTIN STAFF ONLY Received by Date 7/24/2024 Date