C A L I F O R N I A
Visual Art Grant
PROPOSED BUDGET WORKSHEET
Sean Griffin / Griffin One Design LLC - Rising Sun Building Location 2024
INSTALLATION PROPOSED EXPENSES
Line Item Proposed Cost Proposed
Grant
Funding
Amount
Administrative Salaries & Fees / Fiscal Agent Fees
Artistic Salaries & Fees $13,650. $13,650.
Building Permit /Structural Engineer
Insurance $1100. $1100.
Lift Rental $1800. $1800.
Other Equipment
Supplies / Materials $900. $900.
Travel / Transportation Local Local
Promotion / Publicity
Other Expenses:
1. Emeryville Business Lic $50. $50.
2. TOTALS: $17,500. $17,500.
PROGRAM / ACTIVITY PROJECTED INCOME
Cash Amount
Emeryville Visual Art Grant Proposed $17,500.
Other Funding Sources:
Other Public Grants
Private Foundations
Corporation Contributions
Concessions / Ticket Sales
Promotional Sales / Advertisements (Other Cash)
Other Funding Subtotal:
TOTAL RECEIVED INCOME: $17,500.
Submit this form with the Applicatio
and other required forms found he
https://
www.ci.emeryville.ca.us/1469/VISU
ARTS-GRANT
Questions: send to
[email protected]
Attachment A
REV121916
C A L I F O R N I A
Visual Art Grant Application
Attachment C
Insurance Affidavit
If awarded a Visual Arts Grant from the City of Emeryville I understand all installation work shall require insurance $1,000,000.00 per occurrence and $2,000,000.00 aggregate for bodily injury, personal injury and property damage, including without limitation, blanket contractual liability and as a Contractor shall, at its expense, procure and maintain for the duration of the Contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the Work or Services required by the Contract including Contractor, its agents, representatives, employees or subcontractors. Contractor shall also require all of its subcontractors to procure and maintain the same insurance for the duration of the Contract. The insurance coverage shall be primary insurance as respects the City, its officials, employees, agents and authorized volunteers, or if excess, shall stand in an unbroken chain of coverage excess of Contractor’s scheduled underlying coverage.
Any insurance or self-insurance maintained by the City, its officials, employees, agents and authorized volunteers shall be excess of Contractor’s insurance and shall not be called upon to contribute with it in any way.
Costs for the policy are the sole responsibility of the applicant though policies are an eligible cost of awards.
S Print Name Date
Sean Griffin 2/22/24