The URL can be used to link to this page

MISCELLANEOUS PURCHASE ORDER Fiscal Year 2015 Page 1 PLANNING DEPARTMENT (978)745-9595 EXT 5692 Purchase Orf007'?28_00 120 WASHINGTON STREET 3RD FL Or G J SALEM, MA 01970 11111IF 91 MAZZEO ERICA PLANNING DEPARTMENT 111 B HERITAGE HILLS (978)745-9595 EXT 5692 120 WASHINGTON STREET 3RD FL SOMERS, NY 10589 SALEM, MA • 01970 Vendor Phone Number lVenclor Fax Number I Requisition Number Delivery Reference 00008137 Date Ordered Vendor Number Date Required Freight Method/Terms Department/Locaticn 06/04/15 030783 06/03/15 PLANNING Item# Description/Part No. Urrit/Qty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500. 00 EACH • artbox 2015 The wisdom Keeper PO Total 500.00 ***** General Ledger Summary Section Account Amount 11992-5389 500.00 CITY RECORDS• CITY OF SALEM ARE PRESENT INN HICATE E BUDGETFICIENT ACCOUNT UNENCUMBERED FUNDS o PURCHASING DEPARTMENT 120 Washington Street gPPROVEDaY SALEM, MASSACHUSETTS 01970 TEL (978) 745-9595 FAX (978) 744-5918 Whitney n Haskell Purchasing Agent SALES TAX EXEMPTION ttE-046-001-413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S SIGNATURE) PURCHASE ORDER Fiscal Year 2015 Page 1 PLANNING DEPARTMENT (978)745-9595 EXT 5692 Purchase 02007329-00 120 WASHINGTON STREET 3RD FL Or SALEM, MA 01970 FOLEY KALIEGH PLANNING DEPARTMENT 27 TOWER STREET#3 (978)745-9595 EXT 5692 120 WASHINGTON STREET 3RD FL JAMAICA PLAIN, MA 02130 SALEM, MA • 01970 Vendor Phone Number lVendor Fax Number I Requisition Number Delivery Reference 00008136 Date Ordered I Vendor Number Date Required Freight Method/Terms Department/Location 06/04/15 030784 06/03/15 PLANNING Item# Description/Part No. Uni-.IQty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500.00 EACH • artbox 2015 Piscean Dream PO Total 500.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 500.00 CITY RECORDS INDICATE CITY OF SALEM ARE PRESENT IN THE BUDGETFICIENT ACCOUNT ENCUMBEPED FUNDS e PURCHASING DEPARTMENT 120 Washington Street APPROVED By !/ �,.,iv�•/�/L SALEM, MASSACHUSETTS 01970 Whitney C. Haskell TEL(978) 745-9595 FAX (978) 744-5918 Purchasing A ent SALES TAX EXEMPTION#E-046-001-413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S S13NATURE) PURCHASE ORDER =iscal Year 2015 Page 1 PLANNING DEPARTMENT (978)745-9595 EXT 5692 Purchase02007327-00 120 WASHINGTON STREET,-!RD FL Or SALEM, MA 01970 1w 91 LOWTHERJEREMY PLANNING DEPARTMENT 98 LEACH STREET APT.#3 (978)745-9595 EXT 5692 120 WASHINGTON STREET�2RD FL SALEM, MA 01970 SALEM, MA 01970 Vendor Phone Number Vendor Fax Number Re uisitior Number Delivery Reference 00008138 Date Ordered Vendor Number Date Required Freight Mathod/Terms Department/Location 06/04/15 030782 06/03/15 PLANNING Item# Description/Part No. Unit/Oty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500.00 EACH • artbox 2015 Marooned Pirate PO Total 500.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 500.00 CITY RECORDS• CITY OF SALEM ARE PRESENT IN THIE CATE BUDGETFICIENT ACCOUNT ENCUMBEFED FUNDS PURCHASING DEPARTMENT - C q- Yr' f 120 Washington Street APPROVED BY � y.r.-wr- (/ SALEM, MASSACHUSETTS 01970 TEL(978) 745-9595 FAX (978) 744-5918 Putney i Haskell Purchasing Agent SALES TAX EXEMPTION#E-046-001-473 (NOT VALID WITHOUT CITY PURCHASING AGENT'S ShNATUREI PURCHASE ORDER Fiscal Year 2015 Page 1 PLANNING DEPARTMENT (978)745-9595 EXT 5692 Purchase02007326-00 120 WASHINGTON STREET 3RD FL oftSALEM, MA 0197C qw 19 FERON JILL A. PLANNING DEPARTMENT 21 BERRY CIRCLE (978)745-9595 EXT 5692 120 WASHINGTON STREET 3RD FL HAMILTON, MA 01982 SALEM, MA • 01970 Vendor Phone Number IVendor Fax Number I Requisition Number I Delivery Reference 00008139 Date Ordered I Vendor Number Date Required Freight Method/Terms I Department/Locatioi 06/04/15 030781 06/03/15 1 PLANNING Item# Description/Part No. Unit/Qty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500.00 EACH • artbox 15 Totemis animals PO Total 500.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 500.00 CITY OF SALEM ARE PRESENTINTHIE BUDGET ACCOUNT ENCUMBERED FUNDS PURCHASING DEPARTMENT 4I 120 Washington Street APPROVED BY �O�►�V/"V SALEM, MASSACHUSETTS 01970 TEL(978) 745-9595 FAX 19781 744-5918 Whitney C. Haskell Purchasing Agent SALES TAX EXEMPTION#E-046-001-413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S SIGNATURE) PURCHASE ORDER Fiscal Year 2015 " E PLANNING DEPARTMENT (978)745-9595 EXT 5692 Purchase 02007325-00 120 WASHINGTON STREET 3RD FL Or SALEM, MA 01970 BEARD AMANDA PLANNING DEPARTMENT 167 WILLOW AVENUE#2 (978)745-9595 EXT 5692 • 120 WASHINGTON STREET,,RD FL SOMERVILLE, MA 02144 SALEM, MA 01970 Vendor Phone Number Vendor Fax Number I Requisition Number Delivery Reference 00008140 Date Ordered Vendor Number I Date Required I Freight Method/Terms DepartmenULocation 06/04/15 030780 1 06/03/15 PLANNING hemp I Description/Part No. Unit/Qty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500.00 EACH • artbox 2015 - "Derby Woof" PO Total 500.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 500.00 • CITY RECORDS INDICATE SUFFICIENT UNENCUMBEFED FUNDS CITY OF SALEM ARE PRESENT IN THE BUDGET ACCOUNT. PURCHASING DEPARTMENT 9 120 Washington Street APPROVED 6Y SALEM, MASSACHUSETTS 01970 TEL(978) 745-9595 FAX 1978) 744-5918 Whitney C. Haskell Purchasing Agent SALES TAX EXEMPTION#E-046-001-413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S S13NATURE) PURCHASE ORDER Fiscal Year 2015 Page 1 PLANNING DEPARTMENT (978) 745-9595 EXT 5692 Purchase02007265-00 120 WASHINGTON STREET 3RD FL SALEM, MA 01970 S J SERVICES INC PLANNING DEPARTMENT 235 NEWBURY STREET (978)745-9595 EXT 5692 • 120 WASHINGTON STREET 3RD FL DANVERS, MA 01923 SALEM, MA • 01970 Vendor Phone Number Vendor Fax Number Requisition Number Delivery Reference 00008084 Date Ordered Vendor Number Date Required Freight Method/Terms Department/Location 06/01/15 024604 06/01/15 PLANNING Item# Description/Part No. Urit/Qty Cost Each Extended Price ORIGINAL 001 1.00 1200.00000 1,200.00 EACH • ARTIST ROW BATHROOM CLEANING MONTH OF JUNE PO Total 1,200.00 ***** General Ledger Summary Section ***** Account Amount 11992-5846 1,200.00 CITY INDICATE CITY OF SALEM ARE PRESENTSIN THE BUDGET ACICOUNT.ENCUMBERED FUNDS PURCHASING DEPARTMENT ^ � 120 Washington Street APPROVED BY 964, r (Il SALEM, MASSACHUSETTS 01970 TEL(9781 745-9595 FAX (978) 744-5918 whitneY C. Haskell Purchasing A ent SALES TAX EXEMPTION#E-046-001-413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S SIGNATURE) PURCHASE ORDER Fiscal Year 2015 page 1 PLANNING DEPARTMENT (978)745-9595 EXT 5692 POurch�e 02007264-00 120 WASHINGTON STREET 3RD FL SALEM, MA 01970 NELSON CRAIG PLANNING DEPARTMENT (978)745-9595 EXT 5692 56 BUFFUM STREET APT. 1 120 WASHINGTON STREET 3RD FL SALEM, MA 01970 SALEM, MA 01970 Vendor Phone Number lVendor Fax Number I Requisition Number Delivery Reference 978-835-3111 00008064 Date Ordered Vendor Number Date Required Freight Method/Terms Department/Location 06/01/15 020508 06/01/15 PLANNING Item# Description/Part No. Unk/Qtv Cost Each Extended Price ORIGINAL 001 1.00 600.00000 600. 00 EACH • Project Manager for Painting Art Boxes PO Total 600.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 600.00 CITY RECORDS CITY OF SALEM ARE PRESENT IN THIE CATE BUDGET ACICOUNT ENT ENCUMBERED FUNDS PURCHASING DEPARTMENT ��//Q ,/y, �//J 120 Washington Street APPROVED BY M�/iVrP"% r q j�.yV Y SALEM, MASSACHUSETTS 01970 H TEL(978) 745-9595 FAX (978) 744-5918 Whitney Purchasing in Haskell Agent SALES TAX EXEMPTION#E-046-001.413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S SIGNATURE) rVI"'iUni-kJC UnLjc:n Fiscal Year 2015 Page 1 PLANNING DEPARTMENT Purchase (978)745-9595 EXT 5692 Order # 02007351 -00 120 WASHINGTON STREET 3RD FL SALEM, MA 01970 MITCHELL KENNETH PLANNING DEPARTMENT 17 PHELPS STREET (978)745-9595 EXT 5692 • 120 WASHINGTON STREET 3RD FL • SALEM, MA 01970 SALEM, MA • 01970 Vendor Phone Number Vendor Fax Number Requisition Numbe- Delivery Reference 00008148 Date Ordered Vendor Number Date Required Freight Method/Terms Department/Location 06/05/15 030788 06/04/15 PLANNING Item# Description/Part No. Unit/Qty Cost Each Extended Price ORIGINAL 001 1.00 500.00000 500.00 EACH artbox 2015 - the pirate's gamble • PO Total 500.00 ***** General Ledger Summary Section ***** Account Amount 11992-5389 500.00 CITY RECORDS INDICATE SUFFICIENT UNENCUMBEFED FUNDS CITY OF SALEM ARE PRESENT IN THE BUDGET ACCOUNT.. PURCHASING DEPARTMENT • 120 Washington Street APPROVED BY (/ SALEM, MASSACHUSETTS 01970 Whitney C. Haskell TEL(978) 745-9595 FAX 19781 7445918 Purchasing Agent SALES TAX EXEMPTION#E-046-001413 (NOT VALID WITHOUT CITY PURCHASING AGENT'S S13NATURE) For, W-9 Request for Taxpayer Give Form to the • (flaw August 2013) requester.Do not Iflev.i&KIl df the Tnwlwy Identification Number and Certification sendtothelRS- interra!Rovanu,Srvira Name(as shown on you ncorne tax re!�._Amanal . sir___ _-- - N 4iu mass namerdarfgprt100 enbb a^'e. '..i.usn na�n above g Chec!j0I6Votxiale box(or edema tax daaswil"ior, FxamGaro{sea insrucMns): o �( m ndwwuavWle proprietor O Ccrpration ❑sCrporatbn ❑ Pannrsnip ❑Trusfyeswbm Exempt Pay«node ul am) u ❑ Limpet IrabilRy company.Enter the tax rJassllbcmatron(Cd corpamhon.SSS corporation.P=Pannersship)► Exemption tide FATCA reporting 52i Cade Of any) p^ ❑ OIMr(see iratrudiwns]► Address(number,aireaL and .or suite nc) Recuostar s"lame and address(oplonap City,state,and Zip code S Ville MA DIN4 List Account nu eWS)hero tplmnap Tax eel Identification Number IN Enter your TIN in the appropriate box.The TIN provided must match the name given on the'Name"line Soria)securtq number to avoid backup withholding-For individuals,this is your social security numbw(ssM.However,for a In�„s� resident alien,sole proprietor.or disregarded entity,see the Part I mstrUCWM an page 3.For other I�-a�-14%f� entities,it Is your employer Identification number(EIN).If you do not have a number,see How!o get a TIN on page 3. Note.If the account is in more than one name,see the than on page 4 for guidelines on whose Empbyr Identification number number to enter Certification Under Worries of perjury,t certify that: I. The number shown on this form is my correct taxpayer Identification number(d I am waiting for a number to be issued to me).and 2, lam not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal f laver-e Service(IRS)that I am subject to backup withhoding AS a msuh of a(adjure to repot all interest or dividends,or(c)the IRS has notifled me that am no longer subject to backup withholding,and 3. 1 Am a U.S.clfiten d other U.S.person(defined below),and 4.The FATCA codes)entered on this form(elf anyi indicating that I am exempt from FATCA reporting is correct Certification instructions.You must Cross out Kern 2 above it you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report Ail Interest and dividends on your tax return.For real estate transections,item 2 does not apply.For mortgage interest pail.acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement anengement I'".any re generagy.payments other than interest and dividends,you anot required to sign the cenlgcabon.but you must provide your correct TIN.See the instructions an page 3. Sign U.S.demon L) fWIS Here uS.person. Date► u/IJ General Instructions withholding holding tax on foreign petnrs sham of aeattwey connected income,Are Sedwn references are to the Internal Revenue Code unless othewise r omO a.exempt fp:from that FATCA Codet$i ensued on mro toms If a*Nr1 indicating that you aro rom IM FATCP.reporting,n correct Future developments T+e IRS MASS created a page on IRS-90Y lar i1f0matgn Nolo.If you are a U.S.person and a rryuesle gives you a form other than Form about Form W-9.at wixw on goy1w9.Information about any future developments W.9 to regexll you TIN,you must use the requester's form it It a substantially ef'atting Form W-9(such as egnswit n enacted ane,we releasor 40 will be poetcd s,-w to the Form W-9. on teal page Definition of a U.S.Derwen.For fedrai tax purposes.You ere comrtlead a U 5 Purpose of Form person 2 you are: A Person wM is radiated to me An nio matbn return with me IRS must d%ain you -M atdbidual who is a U.S.cogen Or U.S.resrdett omen. condo taxpayer idenrificahon number(MAN)to report,Ir example,income paid to •A purtneefup,corporation,rampany.r aseQ,t'21 n seated or orgy -'W`tna you,payments made to you in Settlement of payment card aha tried party ncthvmrk United States or under the laws or the United Stores, transections,real eetam transactions,mortgage Merest you paid,acdWa24n or .An estate(other than a Irelgn estate).or abandevi tent of Sacxed property,cartcetlenon of dant.Of Contributions you mace .A domestic oust(as defymd in Reguffibons Seca"301.7701-7) to an IRA Use Form W-9 only if you we a U.S.patient(MIudvg a resident alien),to Spacial rulas tel partrxnahips.lertnestaps that conduU a trade or tebinssa n prpvda Vow correct TIN to FM Person requeStlrlg rt fine rpWela4 and.Cotten Ine United Slates am generaly mquwod to pay a Minho ding lax under secbim applicabla,to 1446 do any foreign prtners'Share o:etld0vety onri acted parable income t•om such buseass.Further.in certan cases where a Form W-9 rias not been received. 1.Gently that the TIN you are giving is correct(r you are wamuq for a numae the rules under Sscaon 1446 require a partnership to presume that a partner a a. to be issued). foreign person.and pay the section 1446 witNwlding tax.Therefore,if you are a 402 Car"that you are not wbkup jact to bacwithholding.r If$.person that is a partner in a panrorship conducting a trade r business in the 3 Claim exampWn from baUwp withholding If you we a US,exempt payee.It United Stain,provide Form W-9 to the pennersho to esiae6h you U.S.status applcabsa,you are arse cemtying that aS a U.S,parson,your allocabW Stem of and avid section 1446 wnhrpgoing en your Share of partnership inca+.fa. any partnership income from a U.S.trade r business,Is rol subject to the Cat.No,16231% Form W-9 glev.6d011 W-9 Request for Taxpayer Give Form to the Farm requester. Do not Augusl 2013) Identification Number and Certification send to the IRS. of Nc Trenuay artu�Ravanuv s.mu Namur(as show on your I me tax tum) �';rl �Pe.con 6usinss--0A rcregazded witty,name.it different tram above N on al rc Exemptions(sae intructans)' C Check appropriate box Ior lederel tax cyss4¢ati0n: 0 Individual/sole Proprietor E] C Corporation C:] S Cpry0214)n ❑ Partnerslvp Trusf/estate p Exempt payee code(e any) LPo ❑ Limited liability company.Enter in tax cWs9ilreabon(C=C corporation.S=S corperalQn,P=pwlnensnp)► Exemption from FATCA reporting `o code(If any) y = ❑ Olher(see irovuctiam)► � U Ad� .dress(nwn street.and apt-w sWlo oro.) Requester's"me and address(uolionall[ err � 2 a Gy.sta .and ZlP cqd n 0199Z List account number(S)here(optdna9 -Taxpayer Identification Number IN Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Social security number to avoid backup withholding.For individuals,this is your social security number(SSM.However,for a O I _ 1 _ I resident alien,sole proprietor,or disregarded amity,awe the Part I instructions on page 3.For other entities,it is your employer identification number(EIM.If you do not have a number,am How to get a 71N on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer Identification number number to enter. Certification W penalties of perjury,I certify that: number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me).and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)Nat I am subject to backup withholding as a result of a failure to report all interest or dividends.or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.dtizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this forth(if any)indicating that I am exempt from FATCA reporting is correct. certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acqulsition or abandonment of secured property.cancellation of debt,contributions to an Individual retirement arrangement ORA).and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature 01 /II I �� Here U.S.person► � A Date► General Instructions witnnoldmg tax on foreign Partners'share of effectively connected,came,aro 4.Ceniy that FATCA wools)entered on this farm(if any)indicating that ycu are section references are to the Internal Revenue Code unless otherwise noted. exempt Nam the FATCA repoNng.is correct Future developments.The IRS has created a page on IRS.gov for information Note.If you we a U.S.person and a requester gives you a farm other Iran Fwm about Farm W-9.at www.ta govlw9.Information about any future developments W9 to request you TIN.you must use the requesle,s farts it it is wirstanuany offecivg Form W9(atn m tag"tian en wed ahw we release it)will bo posted similar to this Farm W9. on ihol page. Deanitlon of a U.S.person.Far federal tax purposes.you are considerod a U S Purpose of Form person it you are- A penten who is requ'ved to file an information return with the IRS must obtain your 'An indirvidual who is a U.S.cgden or U.S.rmaent dlien, correct taxpayer itlerWfiiyeon nxl.'ribev(TIN)to report far example.klcoma pad to •A partnership,corporation.company.or eSsaaratdn created or wganued in Inc you.payments made to you in settlement of payment card and I"piny network Untied Stales w under the taws of the United States. transactions.real estate transection,mortgage knerost you paid.acqubition or .An estate(other than a foreign estate),or o ndR�A ent of secured property.cancellation of debt,or contributions you made .A tlomestit cast(as tleluutl M Regulatan section 301 7701.7). Use Form W-9 only if you we a U.S.Person(including a resident alien).to Special rulas for partnrshlpa.Parinenihipe that conduct a trade w busmess in provide yaw correct TIN to the person requesting h(the mquestwi and.when the United States are generally mquncf to pay a wMnoying tax order iii iC+l applicable,10: 1446 an any foreign partners'share of effectively connected taxable income-rom such btailness.Further,in cenem cases where a Form W-9 has not been received. 1.Cavity tial the TIN you are givvg a correct(a you ant wanug for o iwmlDw the rules under section 1446 require a porinersnip to presume Thal a partner is a KsueO). foreign person,and pay the section 1446 wdhrtWding tax.Therefore,ff you are a Miy Inst you we nal Subject to backup withholding.art U.S.Parson that Is a partner in a Partnership conducting a trade or business in the .Claim ol.mption from backup withholding it you we a U.S.exempt payee.if United States,Provide Farm W9 to Ine Partnership to establish year U.S status applicable,you aro ai80 Unifying Int as a U.S.person.your evocable shore of and amd 69CliO 1446-dmofoug on yaw share of pwlnonihip mcome. any PW!rW5hip arcome hpm a U.S.trade w business is net aubpct to the Cat No,10231X Forth W-9(Rev B-2013) ��9 Request for Taxpayer Give Form tc the Form requester. Do not (Rev,August 2013) identification Number and Certification send to the IRS. Allb,padmem of the Treasury erm81 Revenue Service Na (as shown r income tax return) i& yMeou2(, Business name' Isregartled entity name,if different from above N Wm G Check appropriate box for fetleral tax classification: Exemptions(see instructbrek lyl Indlvldual/sole proprietor ❑ C Corporation ❑S Corporation ❑ Partnership ❑TrusUestate Exempt payee code(if any) 0 1 ❑ Limited liability company.Enter the tax cassification(C=C corporation.S=S corporation,P pertnershlp)► Exemption from FATCA repotting p code(if any) c n ❑ Dlher(see instrucllons)► !E Add (number,street,and pt.or wk noJ Requesters name and address(optional) Lti'ty, il tate,and ZIP code MA o List account'numbers)here(options l Taxpayer Identification Number(TIN) Enter your TIN In the appropriate box.The TIN provided must match the name given on the Name line Social security umbar to avoid backup withholding.For individuals,this is your social security number(SSM.However,fora resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other 7 V entities,it Is your employer identification number(EIM.If you do not have a number.see How to get a TIN on page 3. Employer Identification number Note.If the account is in more Than one name,see the chart on page 4 for guidelines on whose number to enter. _ Certification 4d;penalties of perjury,I certify that: e number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b,I have not been notified by the Internal Revenue Service(IRS)that 1 am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.citizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are squired to sign the certification,but you must provide your correct TIN.See the instructions on page 3. / r Sign Signature of i Date► 6 Z 2,011// Here U.S.person► General lnstructio S withholding tax on foreign partners'share of effectively connected incorne,and 4.Cerny that FATCA code(s)entered on in*form(11 any)indicating tha'you are Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting.is correct. Future developments.The IRS has created a page on IRSgov for information Nota.If you are a U.S.person and a requester gives you a form other than Form about Form W-9,at www.irs.gov/w9,Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substar tally aNeding Form W-9(such as legislation enacted atter we release IQ will be posted similar to this Forth W-9. on that page. Definition of a U.S.person.For federal tax purposes.you are considered a U.S. person n you are: Purpose of Form .An individual who Is a U.S.cdlzen or U.S.resident alien, A person who Is required to file an Information return with the IRS must obtain your A rtnrtrsnip,corporatlon,company,or association created or organized in the torted U taxpayer Identification number TIN)to report,for example,income paid to pa you,payments made to you in settlement of payment card and third party network nited States or under the laws of the United States, t eramllons,real estate transactions,mortgage interest you paid.acquisition or .An estate(other than a foreign estate),or abandonment of secured Property,cancellation of debt,or conlributions you made .A domestic trust(as defined in Regulations section 301.7701-7). to an IRA Special rules for partnerships.Partnerships that conduct a trade or business in Use Form W-9 only if you are a U.S.person(including a resident alien),to the United States aro generally required to pay a withholding tax under section provide your correct TN to the person requesting n(the requester)and,when 1446 on any foreign partners'share Of effectively connected taxable income tram applicable,to: such business.Further,in certain cases where a Form W-9 has not been received, 1.Certify that the TIN you are giving is correct(or you are waning for a number the rules under section 1446 require a partnership to presume that a partner is a •�isst� foreign parson.and pay the section 1446 withholding tax.Therefore.it you are a U.S.person that is a partner in a partnership conducting a"do or business In the ^. Certify that you are not subject to backup withholding,Or United States,provide Form W-9 to the partnership to establish your U.S.status 3.Claim exemption from backup withholding if you are a U.S.exempt payee.It and avoid section 1446 withholding on your share of partnersnip income. applicable,you are also certifying that as a U,S.person,your allocable share of any partnershlp income from a U.S.trade or business is not subject to the Cat.No.10231X Form W-9(Rei.8-2013) Form Inti-9 Request for Taxpayer Give Form to the (Rev August 2013) Identification Number and Certification requester.Do not Cepanment a the Treasury send to the IRS. Ir.!e:na'Re.�ence Service Name(as shmvn rn yd:t income tax re:um; eu9ness^ cisrega ed .-name,if dittereni Irom above N 47 tr Cneck appropriate box Icr federal tax classitrcalion: Exemptions(see insUuclions): o Intdrviawilsole proprietor ❑ C Corporation ❑S Corporation ❑ Partnership ❑ Trust/estate n It c Exempt payee code bf airy) S ❑ umited liability company.Enter the tax classification IC=C corporaliot S=S corporation,P=partnership)► Exemption from FATCA repomng toile fit anyl C � ❑ Other(see innructicns)► 4 ACtl-ns(number street,and apt.or suite no.) Requaners name and address(ow onali 27 101110r. S+. 43 N City.nave,and zip code N marc p�Att1 , 3 A02tD lust account nunrtbeYs)here(op,ionaA - Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name'line ISocial security number to avoid backup withholding. For individuals,this is your social security number(SSN).However,tot a p resident alien,sole proprietor,or disregarded entity,see the Part I instruclons on page 3.For other 133 2 entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer Identification number number to erter. Certification Under penalties of perjury. I certify that: 46The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Intemal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.citizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this form(d any)indicating that I am exempt from FATCA reporting is correct. certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellatiol of debt,contributions to an individual retirement arrangement(IRA}, and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN. See the btstructicrs or.page 3. Sign Signature of r 44 J C Here U.S.person► Date l0 15 General Instructio S 0 withholding tax on foreign partners'share of effectivey connected income.and Sectionretererx:es are to the Internal Revenue C:,de unless otherw;sa need. 4.Certify that FATCA code(s)entered on this form(H any)I:Wicannp that you are exempt from the FATCA raporing,is co!rcc;. Future developments.The IRS has created a page on IRS.gov for informaton Note.If you are a U.S.person and a requester gves you a form other than Form about Form W-9,at wwNJ s.govlw9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially Wfecting Form W-9(such as iopsation enacted after we release it)will be posted similar to this Form W-9. on that page. Definition of a US.person.For federal tax purposes,you av considered a U S. Purpose of Form person it you are: A person who is required to Poe an 4dormaton return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien, cares taxpayer identification number MN to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or abandon it of secured property,cancellation of debt.or contributions you made to an IRA •A domestic trust(as defined in Regulations section 301.7701-7). Jse Form W-9 only i'you are a US.person 6ncluding a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in prov,0e your correct TIN to the person requesting 4(the requester)and.when the United States are generally required to pay a withholding tax under sector able,to: 1446 or any foreign partners'share of effectively connected taxable income from Certify that the TM you are m such business.Further,in certain cases where a Form W-9 has hot been received, giving is correct(or you are waiting for a number the rules under section 1446 require a partnership to presume mat a partner is a cable, a issued),I forego person.and pay the section 1446 withholding tax Tnerelore,it you area 2.Certify that you are not subject to backup withholding,or U.S.person that is a partner In a partnersnip conducting a trade or business in the 3.Claim exemption from backup wrthhokting 8 you are a U.S.exempt payee.It United States.provide Form W-9 to the partnership to es:abish your U.S.status appkcabie,you are also certifying that as a J.S.person,your allocable stare of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or busiress is not subject to the Cat-No.10231X Form W-9(Rau 8-2313) c ARTIST CONTRACT { ArtBox 2015 • Salem Utility Box Painting Program This Agreement between the City of Salem, ("the City'), and 1P( (the "Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist Mql� 1.01 The Artist agrees to paint the design known as 3;Ib+e (the "Artwork") submitted as part of ArtBox 2015. The Artist shall paint the Artwork on the utility box located on 1 at V" (number U). The Artist agrees to commence painting on or around Jytir aft. 2015, and complete painting by , g l 2015. The Artist shall perform all services and furnish all supplies and materials necessary for painting the Artwork at the designated location. 1.02 The Artist warrants, represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, including attorneys' fees, caused by, growing out of, or incidental to, the performance of this Agreement by the Artist or subcontractors of the Artist if any, to the full extent allowed by the law and not • beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 1.03 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two ;2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The City 2.01 Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues, brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the Artist; such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's • name and the date of the publication of the Artwork. 2.02 The City has the right to move, remove, or destroy the Artwork at any time. Section 3. Release • 3.01 For and in consideration of the foregoing mutual promises and obligations, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the Artist, the Artist does hereby and by these presents for itself, its predecessors and successors in interest, officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release, acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally or manmade, of the Artwork being exhibited or to be exhibited by the Artist. Section 4. Compensation 4.01 The City shall pay the Artist $100.00 upon full execution of this Agreement. The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section S. Termination 5.01 The City may terminate this Agreement: a. Upon five (5) days' written notice to the Artist if the termination is without fault on the Artist's part.The City shall not be required to make any further payment. b. If the Artist fails, refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give • the Artist written notice of its intention to terminate. Unless satisfactory arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment. In addition, within fifteen (15) days of termination of the Agreement, the Artist shall refund to the City any payments made to the Artist. Section 6. Miscellaneous 6.01 This document shall not be construed more strictly against the party who itself or through its agent prepared the document. 6.02 This agreement may be executed in separate counterparts. 6.03 Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made, any statements, agreements, or representations, either oral or in writing, express or implied, modifying, adding to, or changing the terms and conditions hereof,and none of the parties has relied upon any representations not set forth in this agreement. No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No • waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. • Artist signature: 10k Printed name of Art' t: E Address: q �A 0 Ao+-7 GM Date: S SSN/Taxpayer ID: M 3' 6 q- 3 S qO City of Salem, MA By: Print Name: As its: Address: Date: • • ARTIST CONTRACT ArtBox 2015 • Salem Utility Box Painting Program This Agreement between the City of Salem, ("the City"),and Kaleigh Foley, (the "Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist 1.01 The Artist agrees to paint the design known as "Piscean Dream" (the "Artwork") submitted as part of ArtBox 2015. The Artist shall paint the Artwork on the utility box located on Webb Street. The Artist agrees to commence painting on or around June 26, 2015, and complete painting by July 5, 2015. The Artist shall perform all services and furnish all supplies and materials necessary for painting the Artwork at the designated location. 1.02 The Artist warrants,represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, • including attorneys' fees, caused by, growing out of, or incidental to, the performance of this Agreement by the Artist or subcontractors of the Artist if any,to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 1.03 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two (2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The Citv 2.01 Notwithstanding the provisions of Sections 1.02 and 1.03 above,the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues, brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the • Artist; such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will • contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork. 2.02 The City has the right to move,remove, or destroy the Artwork at any time. Section 3. Release 3.01 For and in consideration of the foregoing mutual promises and obligations, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the Artist, the Artist does hereby and by these presents for itself, its predecessors and successors in interest, officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release,acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally or manmade, of the Artwork being exhibited or to be exhibited by the Artist. Section 4. Compensation 4.01 The City shall pay the Artist$100.00 upon full execution of this Agreement. The City • shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section 5. Termination 5.01 The City may terminate this Agreement: a. Upon five (5) days' written notice to the Artist if the termination is without fault on the Artist's part. The City shall not be required to make any further payment. b. If the Artist fails, refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give the Artist written notice of its intention to terminate. Unless satisfactory arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment. In addition, within fifteen (15) days of termination of the Agreement, the Artist shall refund to the City any payments made to the Artist. Section 6. Miscellaneous 6.01 This document shall not be construed more strictly against the party who itself or through its agent prepared the document. 6.02 This agreement may be executed in separate counterparts. • 6.03 Failure of any party to insist upon compiance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made,.any statements, agreements, or representations, either oral or in writing, express or implied, modifying, adding to, or changing the terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Artist signature: Printed name of Arnst: �f^ r• Address: f6w e r S+• T 3 • lcc� �air� �✓! P„ 02 ' 3 Date: CO �D 115 City of Salem, MA By: 1!( LVIi-- Print Name: Address: Date: • • 6.03 Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made, any statements, agreements, or representations, either oral or in writing, express or implied, modifying, adding to, or changing the terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Artist signature: Printed name of Artist: -r-t4t� IP4 o Address: /d s 4ciii'1�5c XOS • ,fogs .I. /r7S�9 Dater City of Salem, MA By: Print Name: Address: Date: • ARTIST CONTRACT ArtBox 2015 • Salem Utility Box Painting Program This Agreement between the City of Salem, ("the City"), and4. `he "Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist ,+ 1.01 The Artist agrees to paint the design known as l b o '?, r E(the"Artwork") submitted as paq of ArtBox 2015.The Artist shall paint the Artwork on the utility box located on P�at number�.The Artist agrees �°I commence painting on or around 2015, and complete painting by TD. 20 1 2015.The Artist shall perform all se ices and furnish all supplies and materia s necessary for painting the Artwork at the designated location. 1.02 The Artist warrants, represents and covenants that: a. The Artwork is a unique and original product of the Artists creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, including attorneys' fees, caused by,growing out of, or incidental to, the performance of this Agreement by the Artist or subcontractors of the Artist if any,to • the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however,to such rights as are granted to the City pursuant to Section 2.01 herein. 1.03 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two (2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The Citv 2.01 Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues, brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City s catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the Artist, such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is • understood that anuse b the Ci of aphotographic ima a of the Artwork wil: Y Y City g contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork • 2.02 The City has the right to move, remove, or destroy the Artwork at anytime. Section 3. Release 3.01 For and in consideration of the foregoing mutual promises and obligations, and for other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged by the Artist the Artist does hereby and by these presents for itself, its predecessors and successors in interest officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release, acquit,and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction,whether occurring naturally or manmade, of the Artwork being exhibited or to be exhibited by the Artist Section 4. Compensation 4.01 The City shall pay the Artist$100.00 upon full execution of this Agreement The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section S. Termination 5.01 The City may terminate this Agreement: a. Upon five (5) days'written notice to the Artist if the termination is without fault on the Artist's part The City shall not be required to make any further payment • b. If the Artist fails,refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give the Artist written notice of its intention to terminate. Unless satisfactory arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment In addition, within fifteen (15) days of termination of the Agreement, the Artist shall refund to the City any payments made to the Artist Section 6. Miscellaneous 6.01 This document shall not be construed more strictly against the party who itself or through its agent prepared the document 6.02 This agreement may be executed in separate counterparts. 6.03 Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make,or has made, any statements,agreements,or representations,either oral or in writing, • express or implied,modifying,adding to,or changing the terms and conditions hereof,and none of the parties has relied upon any representations not set forth in this agreement No dealings between the parties or custom shall be permitted to • contradict,add to,or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Printed name of Artist +Ce o -,Q-1 Address: 17O (ne Int c,f Ad .`: S _7&^ , M _ 01"[_70 Date:/Ilod .2n, < SSN/Taxpayer D: City of Salem, MA Print Name: t( / Address: • Date: 1 For-. ® IZeE)tleSt for FaX13a�ler Give Form to the requester. Do not .Rev Asgdal2gT3: Identification Number and Certification send to the IRS. Cepartmerl or trio traction, ^ie!ra Revenue Serv.ce Kinn OIL Inco^tar',,/�• l fi :• k 1 5asness 'the disregarded ertn:ante.,f o,f erent loom above a t C- Checa appropriate box for'acera tax claser,mitron Faempt*' 'See ingar Ict:Jrs'� ° Ci&ioi:ic.a!'sole proprietor EJC Cprporavoo LlS corpo'atic1 ElPamers,ip [j Trust estate C Exempt papce code I-'any: r ❑ L mites liability company Enter the lax classtf canon rC=C comforanon S-S corperatw. P-panre snip)> Exemption bol,FATCA repode,c p C 6 cope:any. � ❑ Orner isee lrstruct,ors)► e gyo.ess(n;rnoerr s_tr t.a^C apt.a sine no.l Req:eslr s name ain aoo2ss ppGona[ a —i 1 y City'.state.a ZIP c S P, L c(n (M 9 7 U — List account numuentu here toplenal/ Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the'Name* line Social security number to avoid backup withholding.For individuals,this is your social security number(SSN).However.for a resident alien,sole proprietor,or disregarded entdy.see the Part I instructions on page 3. For othe- entities. It is your employer identification rumba'ON).It you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name see tee chart or page 4 for guidelines or.whose FEmployer Identifkatlon number number to enter INEM Certification Under penalties of perjury.I certify that: 1. The number shown or this form is my correct taxpayer identification number for I am waiting for a number to be issued to me,.and 2 !am not subject to backup withholding because:(a)I am exempt from backup withholding.or to)I have not hear notified by the Internal Revenue Seri IIRS)that 1 am subject to backup withholding as a result of a failure to report all imeresf or dividends.drill!the IRS has notified me that I ao no longer subject to backup withholding,and I am a U.S.cfizen or other U.S.person(defined below),and 4.The FATCA codecs)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct Certification instructions.YOU must cross out item 2 above it you have beets notified by the IRS that you are currently subject to backup withholdirg because you rave fatted to report all interest and dividends on your tax return.For real estate transactions.item 2 does not apply.For mortgage interest paid.acquisition or abandonment of secured property.cancellation of debt.contributions to an individual retirement ar-angemeni(IRAj,and generally payments other than interest and dividends.you are not required to sign the certification,but you must provide your correct TIN.See We instructions on page 3. Sign Signature of / Here I u.s person Date► (D 2d S General Instructions ntnnao gtax on`aeg^oar.-os snare ci e'ie nveym octet cone.oho sac,. rererences are to the tniemal Reve.:e Code.,n;egs omehyae notedCT'''trial FATCA coeelsl entered o-this'orm Df any)ncicat :hg 1 at.'O area exempt from"FATCA repaid.ng.a totted Future detotopmerds.Tie FIS has created a page of QRS gov for In ermatlw Note."you arc a U.S canon and a mboestel gives yw a form otrer Ira-!For• aeout Form W-9.at wwW.,M gomWg-tnlbrme:ion about any future developments W-9 to reciest yo4r TIN,you must use the•egdester s form F it Is sebstan:tai, affecting Form V1.9Isom as"q atwn enacted atter we release ai wll be posted u-no r to tris Fomr W-9. or that page Definition,of a U.S.parson.For facetal;ax purppsps.yoi are cons:uerod s V S Purpose of Fort penspr you are. A person who Is moueec to f.te an Infonnabon re;,r.n w r,the:RS must ootain your •Ar Inoivid,fai who is a U.S.c9[e^or u,S.reede^t aIle• correct taxpayer rdentihcation number(ntl)to(spirt.tpr example income paid le s A partnership.corporation,company,or assocratron crea!ec or organIzee in Ino yp4,payments made to yba m sealemern of payrnani Card and!bird party herwprk J^ter States or,inner Me laws dr tie Un4eb States. :ransactmns tea,estate transectionsmortgage interest yin.paidacoulsibon w s Ar estate romar tna^a'oreign estate),or aeaidonment Or securec property,cancelrznon of debt or conbib,rtias you nada tc ar IRA ,A domes'ac bus-lois defined in.Regulationsns section 30' :']n1 r i use Fdrm W9 only`yp,are a 1:.5.person pnCruprng a rPSdea aliorl.!o Special nuke f0/partnerships.Partnersirps'nat cc^.o,r_I a trade pr bsr-aass provide your correct^P:to tun person.reouesting it"he mouester and when trio United States are generatiy reopvee to pay a mtrrolaing our,Hoer sauro,o,r applicap.'e to 1:46 on arty tomuf n partners"snare or errective.y co^^Cctt'c taxable Inpe-'e socn cosiness Funher ie certain Cases where F-prn w-9 has m:been reCti en. t Certify roar tie Td.yo,are giving is Cove,;(lot von are orae:•g we number the roles uWer section 14:6 require a partnership to presume Inat a partner Is a to be rss..eci. roragr person.enc pay lie sector.':46 tnthholdrng rax tr`ererorb.if yc are 3 2Certify lna!yp.are^o's,olecl to backip Ithirold,-gv U.S person.Peal3a N^.nEr^apannprsF.p WnduC,r^.ga(race a-buslti-ss :-e II C avn rc-r ceckip W.rhioxung'you am a U S eren:pi poyee " -c led States crevice Form V✓-9 to Pte partrersnlp to astabrsa your U S states aooi:c3L uyp_are a se ce=ry�''91na!as a U S ped .. }roor a focable snare p` a"c avoid section 1448 o O.little o'partnership incc•r.c oar,•.ers":p 'co'-',c-a U.S.trace Or bus he=_s is not subject to the Cai.Np 1023'x Fo•h W-S IPe- a?J'3 ARTIST CONTRACT • ArtBox 2015 Salem Utility Box Painting Program Imo, This Agreement between the City of Salem, ("the City"), and J l Qrori , (the "Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist I. The Artist agrees to paint the design known as�o4tMI L &M? $ (the "Artwork") submitted as part of ArtBox 2015.The Artist shall paint the Artwork on the utility box located on at (number__J. The Artis: agrees to commence painting on or around 2015, and complete painting by �u 2015. The Artist shall perform al services and furnish all supplies and mateltials necessary for painting the Artwork at the designated location. 2. The Artist warrants, represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims,damages, losses and expenses, including • attorneys' fees,caused by, growing out of,or incidental to,the performance of this Agreement by the Artist or subcontractors of the Artist if any, to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork,subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 3. The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two(2)years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The City 1. Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising,catalogues, brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications. which right the City agrees to exercise in a tasteful and professional manner consistent • 3. Failure of any party to insist upon compliance with any provision hereof shall not • constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. 4. This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make,or has made,any statements,agreements,or representations,either oral or in writing,express or implied, modifying,adding to,or changing th--terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement.No dealings between the parties or custom shall be permitted to contradict,add to,or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Artist signature: Oto Printed name of Arti t.. -i-iti-i-ite ryil Address: 4-1 2 'r'Gle. I I MA 0 1 of Date: (01, 1115 ` SSN/Taxpayer I D:' City of Salem, MA By:_ Print erne: As its: Address: Date: • 3 ARTIST CONTRACT ArtBox 2015 Salem Utility Box Painting Program This Agreement between the City of Salem, ("the City"), and Amanda Beard, (the "Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist 1. The Artist agrees to paint the design known as "Derby Woof' (the "Artwork") submitted as part of ArtBox 2015. The Artist shall paint the Artwork on the utility box located on the comer of Bridge and Flint Street. The Artist agrees to commence painting on or around June 22, 2015, and complete painting by June 28, 2015. The Artist shall perform all services and fumish all supplies and materials necessary for painting the Artwork at the designated location. 2. The Artist warrants, represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements • thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, including attorneys' fees, caused by, growing out of, or incidental to, the performance of this Agreement by the Artist or subcontractors of the Artist if any,to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 3. The Artist owns the copyright of the Artwork and may use it for portfolio purposes but Lot commercial purposes for a period of two 2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The City 1. Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues,brochures,programs and media publicity • and for other non-commercial purposes; such license includes the right of the City to • utilize such photographs in the City's catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the Artist; such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork. 2. The City has the right to move,remove, or destroy the Artwork at any time. Section 3. Release 1. For and in consideration of the foregoing mutual promises and obligations, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the Artist, the Artist does hereby and by these presents for itself, its predecessors and successors in interest, officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release, acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally • or manmade, of the Artwork being exhibited or to be exhibited by the Artist. Section 4. Compensation 1. The City shall pay the Artist $100.00 upon full execution of this Agreement. The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section 5. Termination 1. The City may terminate this Agreement: a. Upon five (5) days' written notice to the Artist if the termination is without fault on the Artist's part. The City shall not be required to make any further payment. b. If the Artist fails, refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give the Artist written notice of its intention to terminate. Unless satisfactcry arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment. In addition, within fifteen (15) days of termination of the Agreement, the Artist shall refund to the City any payments made to the Artist. • Section 6. Miscellaneous 1. This document shall not be construed more strictly against the party who itself or through its agent prepared the document. 2. This agreement may be executed in separate counterparts. 3. Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. 4. This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made, any statements, agreements, or representations, either oral or in writing, express or implied, modifying, adding to, or changing the terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement. No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. • Artist signature: Printed name of Artist.Am /(fQ kand Address: I rJ� III o/V Mc Eomffruille , MA oziYq Date: 2nI�,c� ' o City of Salem,MA 13y: (GJ� �V` • Print Name: \l�,�d�(i N� Ga-bi -T' Address: Date: • • • ARTIST CONTRACT ArtBox 2015 Salem Utility Box Painting Program ljQ Aq This Agreement between the City of Salem, ("the City"),and I.6AV . (the "Artist') is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist 1.1 The Artist agrees to paint the design known as 0 i'il d (the "Artwork") submitted as part of ArtBox 2015.The Artist shall paint the Artwork on the utility box located on at (number_).The Artist agrees to commence painting on or around . 2015,and complete painting by 2015.The Artist shall perform all services and furnish all supplies and materials necessary for painting the Artwork at the designated location. 1.2 The Artist warrants, represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvemerts thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify,keep and hold harmless, the City and its agems, • officials and employees against all suits, claims,damages,losses and expenses, including attorneys' fees, caused by,growing out of, or incidental to,the performance of this Agreement by the Artist or subcontractors of the Artist if any,to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however,to such rights as are granted to the City pursgant to Section 2.01 herein. 1.3 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two (2)years. However,the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. I Section 2. The Citv 2.1 Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues,brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications,which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the • Artist; such license also includes the right of the City to make and use promotional footage collected for television,web publication,and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will contain an appropriate credit to the Artist,copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork. • 2.2 The City has the right to move, remove,or destroy the Artwork at any time. Section 3. Release 3.1 For and in consideration of the foregoing mutual promises and obligations,and for other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged by the Artist,the Artist does hereby and by these presents for itself,its predecessors and successors in interest,officers directors, shareholders, j employees and agents,and for anyone claiming by or through or under the Artist, fully remise,release, acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally or manmade, of the Artwork being exhibited or to be i exhibited by the Artist. i Section 4. Compensation 4.1 The City shall pay the Artist$100.00 upon full execution of this Agreement.The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section 5. Termination 5.1 The City may terminate this Agreement: a. Upon five (5) days'written notice to the Artist if the termination is without fault on the Artist's part. The City shall not be required to make any further payment. b. If the Artist fails,refuses or is unable to execute the Artwork for any reason with • such diligence to allow timely completion in accordance with the Agreement,the City shall give the Artist written notice of its intention to terminate. Unless satisfactory arrangements to the City are made within five (5) business days. the City may terminate the Agreement without any further payment. In addition, within fifteen (15) days of termination of the Agreement,the Artist shall refund to the City any payments made to the Artist. Section 6. Miscellaneous 6.1 This document shall not be construed more strictly against the party who itself or ithrough its agent prepared the document. 6.2 This agreement may be executed in separate counterparts. 6.3 Failure of any party to insist upon compliance with any provision hereof shall nct constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. i t 6.4 This agreement contains the entire agreement between the parties hereto. No agent, j representative or officer of the parties hereto has any authority to make,or has Ii made,any statements,agreements,or representations,either oral or in writing, express or implied,modifying,adding to,or changing the terms and conditions • hereof,and none of the parties has relied upon any representations not set forth in Ithis agreement. No dealings between the parties or custom shall be permitted to i 2 • contradict,add to,or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. R Artist signature: aI\ Printed name of Artist: iM e( Address: A 4,3 Date: Z SSN/Taxpayer lD: City of Salem, MA By: Print Name: As its: Address: . Date: i i l 3 ArtBox Locations - 2015 The following are locations that have been identified as potential spots for ArtBox 2015. Not all of the locations will be painted and the ArtBox:selection committee will determine which boxes are to be painted at the time of artist's selection. • 1. Bridge and Webb Streets Aw a -�-" .:l/•-` :`. _s dpi: • 2.Bridge and Lemon Street i • 3. Bridge Street and Flint Street (near Landry and Acari &St. Peter's Church) 00 • 4. 1 1Street i lera� 1 K« S. . 1 1 1 r 9 6.Washington Street on Riley Plaza 3' Starbucks) a 00 7.Pedestrian Mail (outside of PEM) t — I I �1' .1 ry `" , ■ 4 e1� . V A Y �w :r t ' vit r ,.4 • B. Highland Ave-Across the Street from the Middle School Another view f � 1 • s ANI „ TANI ry sem, 9. Boston Street- in front of Walgreen's • t ' 10. Corner of Boston and (Upper Essex) and Highland Ave. TM� 441 a ArtBox Locations - 2015 The following are locations that have been identified as potential spots for ArtBox 2015. Not • all of the locations will be painted and the ArtBox selection committee will determine which boxes are to be painted at the time of artist's selection. Y _ i --Now xy;+ 1. Bridge and Webb Street • A 2.Bridge and Lemon Street �I ,I f 111 , 3. Bridge Street and Flint Street (near Landry and Acari &St. Peter's Church) ,a l U 4. Highland Ave -Across the Street from the Middle School • 5. Corner of Boston and (Upper Essex) and Highland Ave. • AIMS f,' i 6. Derby Street- In front of Waterfront Hotel • • G IN ~�� • + i , ► ^M •� •' �'•}S :y ryl r� i �,, , � ,. � ter. _ . -, ALAt '• } , f 2021 to 2014 `, + 20 30 2015 . . I T i .*� �1 . - - .•,tea' �1 ,. :* • A. - •.. ,,;M 't fir © •• 4A 00 000000, r 13 e. k �� e l■{�}r---.� j til 11 'fl;. i ArtBox 2015 Craig Nelson-theorycomicsogmail.com- (978) 835-3111 Deborah Greel-dgreelCcbsalem.com- 508-932-3497 Name Address Email Phone Title Placement Date of Painting Kaleigh Foley 27 Tower St.#3 kaleighbird3Ca)gmail.com 781-956-9867 Piscean Dream Bridge&Webb June 27,28 Jamaica Plain Streets �'1GU� 02130 Amanda Beard 7 Willow Ave. abeard(cDrisd.edu 978-828-2430 "Derby Woof' Bridge St.& June 20, 21 #2 Flint Somerville, MA Jill Feron 21 Berry Circle seferon@verizon.net 978-468-0196 Totemic Bridge&Lemon July 11, 12 y Hamilton, Animals {/� 01982 Kenneth 17 Plielps St. paiutedbusOicloud.com 860-806-1107 The Pirates Corner of lh 17� Mitchell Salem,01970 Gamble Boston and Highland Ave. Jeremy 98 Leach Street Sureshot 6C@yahoo.com 414-587-9992 Marooned Highland Ave. Lowther Salem infot@ieremylowther.com Pirate Across from Middle School Erica Mazzeo 111B Heritage orangefireheartOgmail.com 914-522-0538 The Wisdom Essex Street- June 26,27,28 Hills, Somers, Keeper Near NY 10589 Waterfront Hotel Tiffany Cabral 14 Metropolitan TCABRAL880amail.com 401-218-3443 Life of a Pedestrian Mall Road, Tradesman Providence,RI 02908 r ArtBox 2015 Craig Nelson - theorycomics(abgmail.com - (978) 835-3111 Name Address Email Phone Title Placement Date of Painting Kaleigh Foley 27 Tower St. #3 kaleighbird3Pgmail.com 781-956-9867 Piscean Dream Bridge&Webb Jamaica Plain Streets 02130 Amanda Beard 7 Willow Ave. abeardarisd.edu 978-828-2430 "Derby Woof' Bridge St. & June 22-26, 15- #2 Flint 19,29-July 3 or Somerville, July 6-10, 20- 24,27-31 Jill Feron 21 Berry Circle gferonoverizon.net 978-468-0196 Totemic Bridge&Lemon tl,D] Hamilton, Animals 01982 Kenneth 17 Phelps St. paintedbus(cDicloud.eom 860-806-1107 The Pirate's Corner of Mitchell Salem, 01970 Gamble Boston and Highland Ave. Jeremy 98 Leach Street Sureshot 6(anyahoo.com 414-587-9992 Marooned Highland Ave. Lowther Salem info(a)jeremylowther.com Pirate Across from Middle School Erica Mazzeo 111B Heritage orangefireheartC@gmail.com 914-522-0538 The Wisdom Essex Street- Hills, Somers, Keeper Near NY 10589 Waterfront Hotel Tiffany Cabral 4 Metropolitan TCABRAL88(a)gmail.com 401-218-3443 Life of a Pedestrian Mall Road, Tradesman Providence, RI 02908 4 CID Salem State University Art + Design Majors: Get Your Art Viewed by One Million People Receive a $500 Stipend Submit a Proposal to ArtBox 2016! Statement of Purpose Salem, Massachusetts is a community of 41,000 people that is rich in art, culture, and history. Its residents are passionate about their hometown and graciously welcome one million visitors each year. In fact, Salem is the second most visited place in Massachusetts. In recent years a proliferation of above ground Lighting and Signal control Boxes (LSBs) has sprouted in downtown Salem and in other areas of the city. Their bland, standard presence usually detracts from the setting where they are placed. In the interest of enhancing the visual experience for residents and visitors in this great walking city, the City of Salem is inviting artists to help transform these stoic industrial essentials into visual and graphic delights that will provide an entertaining and stimulating experience to passersby. ArtBox 2012, 2013, 2014 and 2015 resulted in over 20 LSBs being transformed. Thanks to support from the Center for Creative and Performing Arts (CCPA) at Salem State, the City has identified two additional LSBs for Salem State A+D Majors to participate in ArtBox 2016. Two finalists, selected Salem State Art+ Design majors, have a chance to each receive a$500 stipend, if their ArtBox proposals are chosen and the LSBs are painted by the deadline. Who can participate? Any undergraduate or graduate Art+ Design major who is currently enrolled at Salem State University in a BA in Art, BA+ MEd (4+1), or MAT program, who can apply paint to an LSB, and who meets the requirements of this call for artists. A jury will make selection recommendations, and final approval will be made by the City of Salem. Artists'Proposals Artists' proposals should be based on the dimensions of the enclosed "Electrical Box Diagram".Artists' proposals should include a depiction of the planned visual treatment for all five sides of the LSB. Please note that the actual box may be a different proportion than the diagram. Also, the rear panel on some of the Art Boxes is not easily accessible (or visible). Photographs of the two Boxes that are available for this opportunity are provided at the end of this document. Boxes will be assigned by the City of Salem. Artists have the option of submitting a more detailed, one-to-one scale portion of their proposed piece on the enclosed sheet titled "One-to-One Scale Depiction."This is meant to provide judges with a clearer understanding of what a specific section of the art will look like at actual size. A detailed up- close view of a portion of the Box design is not required, but it may help provide a better idea of what the surface would look like in real life. Proposals should include the artist's signature (or identifying mark) as it would appear on the actual LSB. Signatures must not exceed 2 inches x 8 inches in actual size and may include the copyright sign V"with the date. All submitted proposals become the property of the City of Salem. What proposals are eligible? The first priority is that the Art Boxes are high quality artworks (in workmanship and content)that enliven the public realm. This can be realized in many forms and styles. Proposals should be positive, original and colorful in their appearance with an emphasis, or focus, on the following attributes: • Environment • Culture • History • Community Pride • Creativity Proposals should be designed to last a minimum of two years. However. LSBs are public property equipment and may require upgrading or need replacing at any time. There is no guarantee as to how long the artwork will remain on an LSB. The City has the right to move or remove the artwork at any time. Proposals will be ineligible if they involve: • A breach of intellectual property rights (i.e., somebody else's idea); • Trademarks, brand or business names, logos or copyrighted images; • Anything that is harmful to a third party; • Collage or gluing anything onto the box. What about copyright? The artist owns the copyright of the artwork created for the LSB and may use it for portfolio purposes, but not commercial purposes, for a period of two (2) years. However, the City of Salem may enter into an additional agreement with the artist if commercial products will be produced through the City of Salem or the ArtBox Program. The artist further agrees to allow the City of Salem use the artwork image in any noncommercial way, to promote the ArtBox Program and the City of Salem, or associated events. The ArtBox Program and the City agree to use all images in a professional manner and will label all images with the artist's name attached. In addition, the City reserves the rights to make and use promotional footage collected for television, web publication, and other media outlets. What steps are involved? 1. Applicants should review the enclosed materials including the draft Artist Contract. 2. Applicants need to mail or deliver a complete proposal so it is received by 12:00 noon on Friday, March 25, 2016. Late submissions will not be reviewed. City offices located at 120 Washington St, 3rd Floor, are open until 7pm on Thursdays and are closed Friday afternoons. 3. The jury will review the proposals and recommend two Salem State student artists for the two LSBs. 4. The City of Salem will grant final approval and inform the selected artists by April 4, 2016. 5. Selected artists will need to sign and return the Artist Contract. 6. The selected artists must complete their surface treatments of the Art Boxes by April 30, 2016. It normally takes artists 2-4 days to paint an Art Box. Other Useful Information • The City will have the LSB's primed and ready at the appropriate time. Electrical Box Diagram Remember to include all five sides in your proposal. If you would like to present your box idea in 3D,cut along the exterior lines and fold the tabs. Note:The actual box may be a different size or proportion than this diagram.The rear panels on three boxes are not easily accessible(or visible). d Yl N � � N N , L 1 N V I R 1 i P � NtYk+�,, • The City, in consultation with the selected artists, will assign a specific timeslot for each artist to paint the LSB. (As part of the submission, please indicate your availability— see checklist item 4 below.) • The City will provide standards as to the types of paint that are allowed based on durability, fading and ability to hold up in weather. • Selected artists may supply their own materials based on these standards or use the City-supplied materials donated by Waters and Brown. Submission Checklist 1. Only complete submissions will be reviewed by the jury and must be received by 12:00 noon on Friday, March 25, 2016. Late submissions will not be considered. Please submit the following: ® Contact Information Artist name, mailing address, and telephone number. ® Mock-Up t Visual Proposal The proposal should be submitted with -he enclosed "Electric Box Diagram" and include all five sides of the LSB. Artists may also submit a one-to-one scale portion of the proposed piece. This actual-size detail is optional and not required for a complete submission. Remember to include your artist signature or identifying mark in the proposed Art Box design. All submitted proposals become the property of the City of Salem. EDArtwork Information Name for the artwork and brief description (50 words or less) of the reasons or inspirations behind the proposal. (This information may be used for publicity about the program.) ® Availability Please indicate any week between April 4 and April 30, 2016 that you would be unavailable to paint the utility box. Mail or Deliver the Submission Mail one printed version of the complete submission tc: ArtBox 2015, City of Salem 120 Washington Street, aro Floor Salem, MA 01970 Or deliver the submission to the address above before 12:OOPM (noon) on Friday, March 25, 2016. Questions? Please submit any questions to artbox(&salem.com ArtBox 2016 is made possible by the City of Salem with support from Waters & Brown Paint & Decorating. This call for SSU Art + Design Majors to participate in ArtBox 2016 is supported by the CCPA (Center for Creative and Performing Arts) at Salem State University. One-to-One Scale Depiction You have the option of using this sheet of paper to present an actual sized detail of your Art Box visual treatment.A Gose-up, one-to-one scale portion of your proposed piece may provide judges with a clearer idea of what your Art Box would look like. This is an opportunity for you to showcase a particular aspect of your proposed solution, but it is not required for a completed submission. I to r % a t ArtBox Locations for Salem State - 2016 The following are the two locations that have been identified as potential spots for Salem State Art+ Design Majors to participate in ArtBox 2016. The ArtBox selection committee will determine which boxes are to be painted by the selected artists. 1. Corner of Lafayette St and West St North • S• intersection,West St near Lafayette St 2 views of - box. r 2. Corner of Washington St 1 New 1 ' b• 1'k id A ` Sl `�13 a � `O �rJ .. •711 ARTIST CONTRACT ArtBox 2015 Salem Utility Box Painting Program This Agreement between the City of Salem, 'the City"),and (the"Artist") is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist 1.01 The Artist agrees to paint the design known as (the "Artwork") submitted as part of ArtBox 2016. The Artist shall paint the.Artwork on the utility box located on at (number _). The Artist agrees to commence painting on or around 2016, and complete painting by 2016. The Artist shall perform all services and furnish all supplies and materials necessary for painting the Artwork at the designated location. 1.02 The Artist warrants,represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be allowed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, including attorneys' fees, caused by, growing out of, or incidental to, the performance of this Agreement by the. Artist or subcontractors of the Artist if any, to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 1.03 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two (2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The City 2.01 Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues, brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the Artist; such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork. 2.02 The City has the right to move, remove,or destroy the Artwork at anytime. Section 3. Release 3.01 For and in consideration of the forego_ng mutual promises and obligations, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the Artist, the Artist does hereby and by these presents for itself, its predecessors and successors in interest, officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release, acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally or manmade, of the Artwork being exhibited or to be exhibited by the Artist. Section 4. Compensation 4.01 The City shall pay the Artist$100.00 upon full execution of this Agreement.The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section S. Termination 5.01 The City may terminate this Agreement: a. Upon five (5) days' written notice to the Artist if the termination is without fault on the Artist's part The City shall not be required to make any further payment b. If the Artist fails, refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give the Artist written notice of its intenticn to terminate. Unless satisfactory arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment In addition, within fifteen (15) days of termination of the Agreement, the Artist shall refund to the City any payments made to the Artist Section 6. Miscellaneous 6.01 This document shall not be construed more strictly against the party who itself or through its agent prepared the document 6.02 This agreement maybe executed in separate counterparts. 6.03 Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made, any statements, agreements, or representations, either oral or in writing, express or implied, modifying, adding to, or changing the terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement. No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Artist signature: Printed name of Artist: Address: Date: SSN/TaxpayerID: City of Salem, MA By: Print Name: As its: Address: Date: Opp 7Z)V J 04�L For- dt�e ArtBox 2016 Proposal RECEIVED MAR 24 2016 DEPT. OF PLANNIN3 & COMMUNITY DEVELOPMENT Contact Information Mark Katz 1 Pond St Apt 7E Winthrop, MA 02152 781-572-7174 (cell) mkatz781 LZDgmail.com Artwork Information Title: You Are Here (This piece was designed specifically for the ArtBox on the corner of Washington St and New Derby St, as it deals with the surrounding area.) The idea behind this design is an enrichment and celebration of the City of Salem. The concept is that each side of the box shows a scene, which in reality is behind it. I included landmarks and references without being too specific. The piece is stylized, iconic, and positive. Availability I am available throughout April, but I do have some obligations in regards to the Student Art Awards Exhibit at Salem State University. These are mainly during the first two weeks of April, but I am flexible, and if needed I will be able to work anytime during the month with proper notice. f - V dV w: .ww. i J:, c 1 R /i F RIM MOP 41 Ai LLL v A .1 L it i r z i •k i r 2 4L L00 4 411 �I •j" r II � r '' {r y�7 1 Y s hex ' 1 _ -•�� i Sys A ' it �I r 4 #i t � � 7 = , ry a r ' WAif 2' • 'S, e Yy•ta r „ r 9 � i�Qm 1 I w r . 1 ti•� t� L Ji- � � n i y 1 1 �I :I ff#5 t fill IF G 'vT 'n A March 25, 2016. Late submissions will not be consider the followin tact Information ,rtist name, mailing address, and telephone number. ck-Up/Visual Proposal he proposal should be submitted with the enclosed "Elec ve sides of the LSB. Artists may also submit a one-to-on le portion of the iece. This actual-size detail is optional and not required for a complete submissio remember to include your artist signature or identifying mark in the proposed Art Bo esign. All submitted proposals become the property of the City of Salem. (work Information lame for the artwork and brief description (50 words or less) of the reasons or inspir ehind the proposal. (This information may be used for publicity about the program.) ailability 'lease indicate any week between April 4 and April 30, 2016 that you would be una% i paint the utility box. _ r the Submission C� 1. I version of the complete submission to�y 7 ;ity of Salem LG k X, %, in Street, 3rd Floor 1970 ibmission to the address above before 12:OOPM (noon) ase submit any questions to artboxasalem.com rtBox 2016 is made possible by the City of :)port from Waters & Brown Paint & Decorati r SSU Art + Design Majors to participate in A is supported by the CCPA (Center for Creat Performing Arts) at Salem State Univer - Y i w��ya d tl•-��r' Y ,.... r N ,*44! Fin- r T- -= SALAl EM 4 = j �r ! r ST 1�0 �� r �, f Sed„ "CoaS�� Sir ��by n r7 Contact Information D Kelly My Nguyen MAR 241016 38 Plainfield Avenue °ter r (781)-558-7771148 CCrvir4 OFPLA UNI rYOEVECOPMENT Artwork Information Name of Artwork: Life of Colors The world is filled with colors everywhere we go, of different tints and shades. Without colors our world would be dull and boring. With colors, it gives our world, life and beauty. I want this artbox to be bright and beautiful with colors all over it,to show people how colors makes our heart and mind feel happiness. Availability Any week, but the last week. 1 Electrical Box Diagram Remember to include all five sides in your proposal. If you would like to present your box idea in 3D,cut along the exterior lines and fold the tabs. Note: The actual box may be a different size or proportion than this diagram.The rear panels on three boxes are not easily accessible(or visible). lot 4WD T n � � o 4 N .h 1 j7 i - F R Y J 47, M r �MCgT.- 1 • The City, in consultation with the selected artists, will assign a specific timeslot for each artist to paint the LSB. (As part of the submission, please indicate your availability–see checklist item 4 below.) • The City will provide standards as to the types of paint that are allowed based on durability, fading and ability to hold up in weather. • Selected artists may supply their own materials based on these standards or use the City-supplied materials donated by Waters and Brown. Submission Checklist 1. Only complete submissions will be reviewed by the jury and must be received by 12:00 noon on Friday, March 25, 2016. Late submissions will not be considered. Please submit the following; Contact Information IIIIII�yyyyyyllllll/Artist name, mailing address, and telephone number. EI i( Mock-Up/Visual Proposal The proposal should be submitted with the enclosed "Electric Box Diagram" and include all five sides of the LSB. Artists may also submit a one-to-one scale portion of the proposed piece. This actual-size detail is opt onal and not required for a complete submission. Remember to include your artist signature or identifying mark in the proposed Art Box —/design. All submitted proposals become the property of the City of Salem. E3�I Artwork Information 11� vvv�� Name for the artwork and brief description (50 words or less) of the reasons or inspirations behind the proposal. (This information may be used for publicity about the program.) Availability Please indicate any week between April 4 and April 30, 2016 that you would be unavailable to paint the utility box. Mail or Deliver the Submission Mail one printed version of the complete submission to: ArtBox 2015, City of Salem 120 Washington Street, 3`' Floor Salem, MA 01970 Or deliver the submission to the address above before 12:OOPM (noon) on Friday, March 25, 2016. Questions? Please submit any questions to artboxasalem.com ArtBox 2016 is made possible by the City of Salem with support from Waters & Brown Paint & Decorating. This call for SSU Art + Design Majors to participate in ArtBox 2016 is supported by the CCPA (Center for Creative and Performing Arts) at Salem State University. 2. Corner of Washington St and New 1 bo q '.1 „tea 5 ARTIST CONTRACT ArtBox 2015 Salem Utility Box Painting Program This Agreement between the City of Salem, ("the City"),and��the"Artist') is for the painting of the Artist's design submitted as part of ArtBox 2015. Section 1. The Artist 1.01 The Artist agrees to paint the design known as rNRC1Cv�, (the "Artwork") submitted as part of ArtBox 2016. The Artist shall paint the Artwork on the utility box located on - atAwu,t @o$� (number _2J. The Artist agrees to commence painting on or aroundl 2016, and complete painting by JLI � C�QR016. The Artist shall perform all services and furnish all supplies and materials necessary for painting the Artwork at the designated location. 1.02 The Artist warrants,represents and covenants that: a. The Artwork is a unique and original product of the Artist's creative efforts. b. No alterations to the landscape will be al-owed without the consent of the City. c. The Artist shall be responsible for all loss or damage to the site and improvements thereon caused by the Artist's services during the performance of this Agreement. d. The Artist shall defend, indemnify, keep and hold harmless, the City and its agents, officials and employees against all suits, claims, damages, losses and expenses, including attorneys' fees, caused by, growing out of, or incidental to, the performance of this Agreement by the Artist or subcontractors of the Artist if any, to the full extent allowed by the law and not beyond any extent which would rendered these provisions void or unenforceable. e. The Artist shall retain at all times all rights granted under all applicable copyright laws and all other reproduction rights in and to the Artwork, subject however, to such rights as are granted to the City pursuant to Section 2.01 herein. 1.03 The Artist owns the copyright of the Artwork and may use it for portfolio purposes but not commercial purposes for a period of two (2) years. However, the City may enter into an additional agreement with the Artist if commercial products are produced by the City or the ArtBox Program. Section 2. The City 2.01 Notwithstanding the provisions of Sections 1.02 and 1.03 above, the Artist grants an irrevocable license to the City to make photographs of the Artwork which photographs may be utilized solely in advertising, catalogues,brochures, programs and media publicity and for other non-commercial purposes; such license includes the right of the City to utilize such photographs in the City's catalogues and other similar publications, which right the City agrees to exercise in a tasteful and professional manner consistent with the reputation and professional standing of the Artist; such license also includes the right of the City to make and use promotional footage collected for television, web publication, and other media outlets. It is understood that any use by the City of a photographic image of the Artwork will contain an appropriate credit to the Artist, copyright notice in statutory form setting forth the Artist's name and the date of the publication of the Artwork. 2.02 The City has the right to move,remove,or destroy the Artwork at anytime. Section 3. Release 3.01 For and in consideration of the foregoing mutual promises and obligations, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the Artist, the Artist does hereby and by these presents for itself, its predecessors and successors in interest, officers directors, shareholders, employees and agents, and for anyone claiming by or through or under the Artist, fully remise, release, acquit, and forever release and discharge the City from any and all claims or damages of any kind whatsoever relative to any damage or destruction, whether occurring naturally or manmade,of the Artwork being exhibited or to be exhibited by the Artist. Section 4. Compensation 4.01 The City shall pay the Artist$100.00 upon full execution of this Agreement. The City shall pay the remaining$400.00 within two weeks of completion of the Artwork. Section S. Termination 5.01 The City may terminate this Agreement: a. Upon five (5) days' written notice to the Artist if the termination is without fault on the Artist's part.The City shall not be required to make any further payment. b. If the Artist fails, refuses or is unable to execute the Artwork for any reason with such diligence to allow timely completion in accordance with the Agreement, the City shall give the Artist written notice of its intention to terminate. Unless satisfactory arrangements to the City are made within five (5) business days, the City may terminate the Agreement without any further payment. In addition, within fifteen (15) days of termination of the Agreement,the Artist shall refund to the City any payments made to the Artist. Section 6. Miscellaneous 6.01 This document shall not be construed more strictly against the party who itself or through its agent prepared the document. 6.02 This agreement may be executed in separate counterparts. 6.03 Failure of any party to insist upon compliance with any provision hereof shall not constitute a waiver of the rights of such party to subsequently insist upon compliance with that provision or any other provision of this agreement. 6.04 This agreement contains the entire agreement between the parties hereto. No agent, representative or officer of the parties hereto has any authority to make, or has made, any statements, agreements, or representations, either oral or in writing, express or implied, modifying,adding to, or changing the terms and conditions hereof, and none of the parties has relied upon any representations not set forth in this agreement. No dealings between the parties or custom shall be permitted to contradict, add to, or modify the terms hereof. No waiver or amendment to the provisions hereof shall be effective unless in writing and signed by all parties. Executed as of the dates set forth below. Artist signature: Printed name of Art' it 34 WN' Address: v Date:? SSN/TaxpayerlD: Cy?-7R-C �E City of Salem,MA By: Print Name: As its: Address: Date: 1 � Z O. iiww'�uw jNVj 5 ..�r 20 i. N`Uj c't ��'ssi FFA �:y L s LU oGT1�P ARRA N� f A 92r "Arn it, F W y ST 'P 4E011 PN4e0m OCNO/l918 at 03:48 PN I am submitting two designs to ArtBox 2016 based on the different locations. Below are the descriptions for each box. 1 . Corner of Lafayette St. and West St. "Lemonade Stand" This box will be painted to represent a wooden, homemade lemonade stand. Inside are small children distributing lemonade, and a boy yells "Lemonaaade!" from the small box in the front panel. The painting will be proportionate so the opening of the fence corresponds to the opening of the stand. On the side, the utility box that comes out will be painted into a gumball machine with a small sign below. I waited to create something different and relatable. There are many people that walk around this area, so it would be perfect for a lemonade stand. I hope that whenever this is seen it will bring a smile and sense of nostalgia to the pedestrians. 2. Corner of Washington St. and New Derby St. "Coastal Sunset" The location of this box is one to be seen by all Salem residents and tourists. The imagery has to be striking and represent Salem, MA. I had the idea to create a sunset scene with a lighthouse and incorporate the Friendship of Salem. My vision is to show the same scene, but from different points of view. For example, as you turn the box it should look like you are actually walking around the water. In each panel you find something new, whether it be the Friendship of Salem or the historical Salem sign in the water. I am available to work on the box at anytime during April, however I would need to set specific dates to request time off from work. The only obligations I have are April 13th and April 21 st after 6pm. Thank you so much for your time and consideration. Best, 0C9'Vtr= C"W Cassie Ferreira �9 cossieferreiro.com 0 contact@cassieferreira.com "U1 Y, OES 100 Nutting Rd G2 •' ® 978.257.4343 8 Westford, MA 01886 " ' '