HomeMy WebLinkAboutExhibits USA/Mid-America Arts Alliance; 2008-10-07;2018 Baltimore Avenue
Kansas City, Missouri 64108 816/421-1388
EXHIBITSUSA AGREEMENT Bookings - 44010
PLEASE READ THOROUGHLY Fiscal Year 2010 arts alliance
THIS AGREEMENT, dated September 16, 2008, by and between Mid-America Arts Alliance,
through its national division, ExhibitsUSA (hereinafter referred to as "ExhibitsUSA"), and
William D. Cannon Art Gallery
1775 Dove Lane
Carlsbad, CA 92009-4048
(hereinafter referred to as "Exhibitor"),
WHEREAS, ExhibitsUSA wishes to make Teapots: Object to Subject available to selected exhibitors,
and WHEREAS Exhibitor wishes to share Teapots: Object to Subject with its community, NOW,
THEREFORE, in consideration of the mutual promises in this agreement, the parties above agree as
follows: ~^
1. EXHIBITION, DATES
a. Exhibitor agrees to host the exhibition Teapots: Object to Subject (hereinafter referred to as
"Exhibition"), coordinated, subsidized, and available from ExhibitsUSA for the period beginning
November 10,2009 and ending January 28, 2010 and to accept and display the Exhibition
under the condition stated herein.
b. The Exhibitor shall not alter the incoming shipping date, opening display date, ending display
date or outgoing shipping date without written permission from ExhibitsUSA.
2. PROGRAM COST, EXHIBITION FEE, MANNER OF PAYMENT
a. Exhibitor shall pay an Exhibition Fee of $6,150.00 U.S. dollars.
b. The full Program Cost to ExhibitsUSA of the Exhibitor's display of the Exhibition is $9,460.00
c. The portion of this fee not paid by the exhibitor is $3,310.00. The portion of this fee not paid by
the exhibitor is supported by grants to ExhibitsUSA from:
The National Endowment for the Arts
and other public and private contributions to ExhibitsUSA and Mid-America Arts Alliance.
ExhibitsUSA's requirements for reporting to these funders are outlined in paragraph 4.
Requirements for crediting these funders are outlined in paragraph 5.
d. A 25% deposit of $1,537.50 must be received with this signed Agreement. The balance of the
Exhibition Fee is due in full on November 10, 2009. Checks should be made payable to
ExhibitsUSA. Two invoices are attached to the ExhibitsUSA Agreement for your convenience.
e. If ExhibitsUSA is not able to provide the Exhibition as described in this Agreement, the deposit
will be returned in full to Exhibitor.
2018 Baltimore • Kansas City, Missouri 64108 • (816)421-1388 • FAX (816) 421-3918 • www.maaa.org
IN PARTNERSHIP WITH: ARKANSAS ARTS COUNCIL, KANSAS ARTS COMMISSION, MISSOURI ARTS COUNCIL, NEBRASKA ARTS COUNCIL,
OKLAHOMA ARTS COUNCIL, TEXAS COMMISSION ON THE ARTS, AND THE NATIONAL ENDOWMENT FOR THE ARTS
M-AAA,'.'• '.''.), „•"• >;"".-f,. Regional Touring-,' '* : • "''-'• •' * • Program
EXHmiTSUSA AGREEMENT: Teapots: Object to Subject
BOOKING 44010
PAGE 2
f . If Exhibitor cannot fulfill the terms of the Agreement, the deposit will be forfeited and retained by
ExhibitsUSA. Exhibitor may also be subject to cancellation provisions as provided in paragraph
(10) of this Agreement.
3. SHIPPING
a. Incoming Shipping of Exhibition
1. Exhibitor will receive the Exhibition via van line from the previous exhibition site.
Exhibitor will be responsible for providing personnel to assist with the unloading of the
Exhibition. Exhibitor will not be responsible for incoming shipping costs and should
contact ExhibitsUSA before accepting collect shipments.
2. ExhibitsUSA will make a good faith effort to facilitate the arrival of the Exhibition no
later than 4 business days in advance of November 10, 2009 . ExhibitsUSA shall not be
held responsible for delays outside of its control.
3. If the Exhibition has not been received within four days prior to November 10, 2009,
Exhibitor must contact ExhibitsUSA IMMEDIATELY.
4. In order to ensure that the Exhibition will be delivered to the proper location, Exhibitor
must indicate below the shipping address to be used for transport. If this information is
not provided, the Exhibition cannot be shipped.
INCOMING SHIPPING INFORMATION:
(OIUL/fiM D. &3A/MOM ffer
Name of Exhibitor
Contact Person Telephone Number
Address
Address
City State Zip
LOADING DOCK? YES^Noitcircle one)
IF YES, LOCATION:
EXHIBITSUSA AGREEMENT: Teapots: Object to Subject
BOOKING 44010
PAGES
b. Outgoing Shipping of Exhibition Van Line - Fixed Rate
1. . Exhibitor will coordinate with ExhibitsUSA registrar and representative of the designated van
line carrier to transport the exhibit to the next exhibit site. Exhibitor is responsible for payment of
its pro-rated share of outgoing transportation charges. The amount of the pro-rated transportation
charges will be determined upon completion of the booking of the exhibition tour and will be
communicated to the Exhibitor in writing at the earliest possible date. Payment is due to
ExhibitsUS A upon the opening of the exhibit.
2. Fixed-rate shipping includes the cost of inside delivery and pick up within 50 feet of the delivery
truck to and from one location. Exhibitor will be liable for any additional charges incurred as a
result of special services such as multiple delivery sites or pick up locations, uncrating by shipping
company, packing by shipping company, et cetera.
3. ExhibitsUS A will specify the institution and address to which the exhibit is to be shipped, as well
as the date by which the exhibit must arrive at the next exhibit site.
4. Exhibitor will retain bill of lading receipts for a period of three weeks from the date of shipment.
5. Exhibitor will be liable for any costs resulting from exhibitor's delay or failure to transport the
exhibit in accordance with the provisions of this attachment.
c. Exhibitor will be responsible for reasonable supervision and care of the Exhibition, crates,
packing material and everything contained therein, from its incoming shipping until its outgoing
shipping according to the timeline.
4. PROJECT EVALUATION REPORT
By accepting the Exhibitions and grant specified in paragraph 2(c) EXHIBITOR IS OBLIGATED
TO THE SATISFACTORY COMPLETION AND SUBMISSION OF THE EXHIBITSUSA
EVALUATION REPORT. Exhibitor should be collecting information for this report as the program
develops. ExhibitsUS A is required to provide evaluation reports to the funders in paragraph 2(c).
Submission of any final report to a state arts agency does not satisfy this requirement. The Final
Evaluation is due to ExhibitsUSA NOT LATER THAN February 27, 2010.
5. CREDIT REQUIREMENTS
The program you are presenting is being made available to your community by ExhibitsUSA, which is
supported by public agencies and private contributors. Our ability to raise funds for such programs is
directly related to the credit acknowledgments you provide. You are required to give proper credit to
ExhibitsUSA and its funding sources in all promotional and educational materials. This section
provides you with the detailed credit language and how it is required to be used.
In the event ExhibitsUSA secures a sponsor for a particular program that affects your Exhibition, you may
receive amended credit requirements,
a. CREDIT PANELS:
When provided by ExhibitsUSA, all framed credit panels must be prominently displayed at or near the
entrance to the Exhibition at all times.
EXHIBITSUSA AGREEMENT: Teapots: Object to Subject
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b. For ADVERTISEMENTS, ANNOUNCEMENTS, WEBSITES, BROCHURES, INVITATIONS TO
OPENINGS and other printed materials and electronic materials the following is required:
A Program of ExhibitsUSA, a national division of Mid-America Arts Alliance and The National
Endowment for the Arts
-OR-
A Program of (ExhibitsUSA logo) and The National Endowment for the Arts
Type size should be consistent with the majority of the type in your materials and never smaller than
eight (8) point type.
c. For NEWS RELEASES:
ExhibitsUSA will provide credit language for news releases in the publicity kit that will arrive in
advance of the Exhibition.
Exhibitor's failure to meet the above credit requirements will jeopardize its participation in
future ExhibitsUSA programs.
6. INSURANCE, CONDITION REPORTS, DAMAGES
a. ExhibitsUSA will provide insurance coverage at its own cost for the complete contents of the
Exhibition during transit, unpacking, installation, display, storage, dismantling, and repacking.
Upon request, ExhibitsUSA will provide Exhibitor a bona fide certificate of insurance coverage,
the contents of which shall remain confidential with Exhibitor and shall not be made public.
b. Exhibitor will prepare and file a Condition Report with ExhibitsUSA at both the beginning and
conclusion of the Exhibition on forms provided by ExhibitsUSA. The Condition Report book
will arrive in the crates with the Exhibition.
c. Exhibitor will also complete a checklist receipt, which will arrive in advance of the Exhibition,
confirming safe arrival of all objects, and will return it to ExhibitsUSA within five (5) business
days of the Exhibition arrival.
d. Exhibitor will report any and all damages or losses to the Exhibition while in Exhibitor's custody
immediately by telephone to ExhibitsUSA. Within 24 hours of discovery of damage or loss,
Exhibitor will send a full written statement with photographs to ExhibitsUSA detailing the extent,
time, place and circumstances of the damage or loss. All damaged materials must be left as
discovered unless the Exhibitor is instructed by ExhibitsUSA to proceed otherwise or unless
emergency measures are necessary to prevent further damage.
7. SECURITY REQUIREMENTS
The Exhibition referenced in the Agreement requires security precautions for its proper care,
protection and maintenance. Exhibitor will provide the following minimum security requirements:
Moderate A
EXHE3ITSUSA AGREEMENT: Teapots: Object to Subject
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(furniture and installation technique emphasis)
For exhibitions which do not require distinct environmental control, but which have multiple display
modes (floor, wall, pedestal, ceiling), and require display furniture and trained installation staff.
These exhibitions are inherently vulnerable, due to artistic media.
a. No food or drink in gallery or around artworks at any time
b. Fire protection according to local ordinance
c. Minimum 3 trained staff for incoming shipping, installation, de-installation, and outgoing
shipping
d. Limited-access gallery
e. Exhibition locked after hours; alarms or night guards may also be required
f. Total temperature control (gallery temperature maintained at constant 68-72°)
g. No relative humidity extremes (+/-10% fluctuation in a 24-hour period)
h. No sunlight; light sources (including windows with shades/blinds) must have ultraviolet filters
i. Exhibitor must have or be able to produce display furniture including:
Locked cases for small objects
Vitrines on pedestals
Objects on the floor or on very large pedestals must have ropes or other barriers to keep
public at least 40 inches from the objects at all times
j. Staff trained specifically for secure supervision of the exhibition must remain in the display area
at all times while open to the public
8. RESPONSIBILITY, LIABILITY
a. Exhibitor is responsible for damages and costs of repairs to the Exhibition, crates, packing
material and everything contained therein when such damages are the result of:
1. Exhibitor noncompliance of stipulated security precautions as outlined in section 7; or
2. The negligence of personnel selected by Exhibitor to assist in handling the Exhibition; or
3. Exhibitor's negligence in any respect to provide for and insure the safety and protection of the
Exhibition.
4. Exhibitor does not adhere to damage reporting and other procedures identified in paragraph 6
hereof.
b. Exhibitor shall bear the full and complete burden of any and all liability to persons or property,
other than the Exhibition and its crates, arising out of or incurred in connection with the program
and shall absolve and hold harmless ExhibitsUSA from any and all such liability.
9. PHOTOGRAPHS
Photographs of the work contained in the Exhibition, or its unpacking, installation, dismantling, or
EXHIBITSUSA AGREEMENT: Teapots: Object to Subject
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repacking are prohibited unless specifically and solely for Exhibitor's reasonable publicity and
promotional purposes for this showing of the Exhibition or for ExhibitsUS A.
10. CANCELLATION
Exhibitor may cancel its intention to display the Exhibition only upon written notice from Exhibitor,
received and acknowledged by ExhibitsUSA, which shall be accompanied by a cancellation fee
payable to Mid-America Arts Alliance in the amount of the full Exhibition Fee plus any costs for
storing the Exhibition during the cancelled display period. Any deposit received by ExhibitsUSA
shall be credited toward the cancellation fee. If, in the event of Exhibitor's cancellation, ExhibitsUSA
is able to book the Exhibition with another exhibitor at the full fee, one-half of the Exhibition Fee will
be returned to Exhibitor.
11. NON-PROFIT STATUS
Exhibitor affirms that it is legally incorporated with not-for-profit status as designated by the Internal
Revenue Service, or is a unit of state, local or tribal government. Exhibitor agrees to notify
ExhibitsUSA immediately of any alteration of this status which may occur prior to the conclusion of
the Exhibition.
12. ASSURANCE OF COMPLIANCE
All ExhibitsUSA programs are made possible by support to Mid-America Arts Alliance from state
and federal sources. As a result, exhibitors are required to comply with state and federal regulations
as follows:
a. Exhibitor agrees to comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000 et seq.),
Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), the Age Discrimination Act of
1975 (42 U.S.C. 6101 et seq.), and where applicable, Title IX of the Education Amendments Act
of 1972 (20 U.S.C. 1681 et seq). Title VI, Section 504, and the Age Discrimination Act prohibit
discrimination on the basis of race, color, national origin, handicap or age in any program or
activity receiving ExhibitsUSA assistance. Title IX prohibits discrimination on the basis of sex in
any education program receiving ExhibitsUSA assistance.
b. Exhibitor's financial records and supporting documents (pertaining directly to the Exhibition) and
all other records related to this ExhibitsUSA program shall be retained for a period of three years
from the date of the Final Evaluation Report, or until a federal audit has been completed and any
questions arising from it have been resolved, whichever is the lesser period. Exhibitor shall grant
to ExhibitsUSA access to any pertinent books, documents, or other records kept by the Exhibitor
to make audits or examinations as necessary.
c. Exhibitor agrees to have its financial records examined by an independent auditor not less
frequently than once every two years, consistent with requirements stated in federal Office of
Management and Budget (OMB) Circular A-102, Attachment P, or Circular A-133, as applicable.
d. Exhibitor shall not use federal or state funds provided by ExhibitsUSA or Mid-America Arts
Alliance (if any) for purposes of lobbying to affect legislation of federal or state governments
pursuant to United States Code, Section 1913.
EXHffilTSUSA AGREEMENT: Teapots: Object to Subject
BOOKING 44010
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e. Exhibitor's Final Evaluation Report shall be prepared in compliance with cost principles as
established in OMB Circular A-122 ("Cost Principles for Non-profit Organizations", Circular A-
21 ("Cost Principles for Educational Institutions") or Circular A-87 ("Cost Principles for State
and Local Governments"), as applicable.
f. Exhibitor shall comply with the Drug-Free Workplace Act of 1988.
g. Exhibitor certifies that its organization and principals are not suspended or debarred by any
federal agency.
h. Exhibitor shall comply with 29 CFR Part 505 of the Department of Labor, which provides that (1)
all professional performers and related or supporting professional personnel employed on projects
or productions which are financed in whole or in part with ExhibitsUSA funds will be paid not
less than the minimum compensation for persons employed in similar activities, and (2) no part of
any project or production which is financed in whole or in part with ExhibitsUSA funds will be
performed or engaged in under working conditions which are unsanitary or hazardous or
dangerous to the health and safety of the employees engaged in such project or production.
i. Exhibitor certifies that its organization has on file a Section 504 Self-Evaluation. If Exhibitor has
not previously conducted this self-evaluation or wishes to update the results of previously
conducted evaluations, it may contact the NEA's Office of Civil Rights, free of charge, for a copy
of a Program Evaluation Workbook.
Copies of the above referenced federal guidelines can be obtained from the Office of Management
and Budget or local libraries.
13. FUNDING DEFAULT, 'FORCE MAJEURE'
a. In the event that any or all of the grants (as referenced in paragraph 2(a) above) or Exhibition fees
to support the full cost of the Exhibition are not forthcoming to ExhibitsUSA, neither
ExhibitsUSA nor Mid-America Arts Alliance nor Exhibitor shall be held liable and Mid-America
Arts Alliance may amend or terminate this Agreement.
b. Neither party will be held liable for any delay, adjournment or failure to perform the services and
or comply with the understandings provided in this Agreement, in the event of war; riot; rebellion;
electricity blackout; fire; flood; strike; lockout; labor difficulty; trade union action of any kind;
action of the elements; accident; delay in transportation; laws, rules or regulations of any
government authority having jurisdiction; or any other matter, events or conditions beyond the
reasonable control of either of the parties, provided that the above list is not limitative and that it
will not be necessary to establish whether any of these events or conditions affected only the
parties to the present contract or whether they also affected third parties. The above events or
conditions are hereafter referred to as Events of Force Majeure. This contract can be revoked
totally or partially only if reasons of Force Majeure are present.
c. If part or all of the Exhibition tour is canceled as a result of an Event of Force Majeure, then both
parties will agree to hold the other completely harmless.
14. GOVERNING LAW
EXHIBITSUSA AGREEMENT: Teapots: Object to Subject
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PAGES
The construction and interpretation of this Agreement shall at all times and in all respects be governed
by the laws of the State of Missouri.
15. BINDING EFFECT
This Agreement sets forth the full and complete understanding between ExhibitsUSA and Exhibitor
and shall be binding upon ExhibitsUSA and Exhibitor, as well as their respective successors and
assigns. Any questions or clarifications required by Exhibitor regarding this Agreement must be
directed to ExhibitsUSA prior to the execution of this document by Exhibitor. This Agreement may
be altered only in writing, signed by both parties, except as provided herein.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement September 16, 2008.
EXHIBITSUSA, a national division Will&m D. ]
of Mid-America Arts Alliance (M-AAA)
Bv
Name: Dee A. Harris
Title: Director;
Visual Arts and Humanities
Date September 16, 2008
B
Date
By.
Print Name
Title OP E.Xfl/B/T/OM3
Date
The following information is required for reporting to federal and state agencies. Please confirm
accuracy.
U.S. Congressional District No: 50
State House District No:
County Name: San Diego
State Senate District No:
ExhibitsUSA Final Evaluation Form Checklist/Instructions
Please feel free to record all or any part of your responses on separate sheets if that is more convenient for
you. Please do not feel compelled to conduct elaborate research to complete the form. Your brief
descriptions, observations, and recollections are what we need.
> "Exhibition Attendance Only"
• This entry refers only to the exhibition itself.
• If you do not keep visitor counts, or do not distinguish children (age 18 and under) from adults in
attendance, please enter estimates. In that event, it would be best if you indicate that the numbers
are estimates.
> "Other Activities"
• This is an especially important part of the report, but one that historically has been particularly
prone to confusion.
• Please fill in by type description each activity you held in conjunction with the exhibition. If
possible, we would like to have adult and child attendance figures here too, separate from those
for the exhibition itself. Again, if you do not have attendance records, estimates will be fine.
• If you have a number of groups participate in a given activity, please give us that number as well.
• If you repeat an activity several times (e.g. a workshop), please count each repetition as a separate
activity.
• For "total number of other activities," please simply enter that total. This is not an attendance
figure, but a count of the activities themselves.
> "Number of artists or humanities scholars ... other activities"
• Here we ask you to note the number of artists or humanities scholars who were involved in your
local supplementation of the exhibition, and in any other way associated with the show, such as in
ancillary activities.
• The number you indicate here should not include any artists on our exhibition checklist.
> "Project Description" questions
• Please use this section to note anything you would like us to know about your organization's
experience with this exhibition.
> Newspaper advertisements, articles, reviews, other public relations materials, etc.
• Here, we would like to see anything you care to include that your organization produced, or that
appeared in the mass media related to your hosting of the exhibition.
• If possible, please include 2 copies of any invitation cards, pamphlets, or other publicity material
that you produced in numbers.
<» If you have any photographs of people viewing the exhibition, please favor us with copies. These
are extremely helpful to us in more than one way.
Financial Information Section
Expenses: Record here a total of actual expenses incurred for the exhibit. Include a pro-rated share of
staff time and administrative costs, as appropriate. Please also figure in the exhibit fee paid to Mid-
America Arts Alliance.
Cash Allocation and Income: Record all actual allocated funds and income received or due to be
received for the exhibit. This number should include grants; funds from sponors; operating budget
allocations; etc. Gift shop sales, program participation fees, and similar income related to the exhibit
should then be added into the allocated funds. The total for this section should be equal to or greater than
your total cash expenses.
In-Kind: In-Kind Contributions. This line is for the value of items or services identified with the project
which are provided to your organization by outside parties at no cost to your organization. Volunteer
services can be shown in one of three ways:
Donated professional services (e.g. a lawyer donating legal advice) should be valued at
his or her professional rate.
Services that are similar to those performed by a paid staff member(s) from your
organization should be valued at the same rate as the paid staff.
All other services should be valued at the current federal minimum wage (even though
we know they're worth more!)
*> Please sign and date the report.
<» Return original to:
Raina Heinrich, Exhibitor Relations Assistant
ExhibitsUSA
2018 Baltimore Ave.
Kansas City, MO 64108
«J* Make one copy for your records.
* FOR ORGANIZATIONS IN MID-AMERICA ARTS ALLIANCE MEMBER STATES (AR, KS,
MO, ME, OK, XX)
Make one copy and send it to your state arts agency.
Randy Smith Elain Fisher
Arkansas Arts Council Nebraska Arts Council
1500 Tower Building 1004 Farnam St.
323 Center Street Plaza Level
Little Rock, AR 72201 Omaha, NE 68102
Chris Howell Suzanne Tate
Kansas Arts Commission Oklahoma Arts Council
700 SW Jackson, Suite 1004 PO Box 52001-2001
Topeka, KS 66603-3761 Oklahoma City, OK 73152
Michael Donovan Cassandra Scholte Jensen
Missouri Arts Council Texas Commission on the Arts
815 Olive St., Ste. 16 PO Box 13406
St. Louis, MO 63101 Austin, TX 78711
Final Evaluation Report
Booking Number:.
Institution:
Address:
City:_
DUNS Number:.
Contact Person:
Telephone:
Project Title:
Project Date:
State:_Zipi
IXflHMRusa
2018 Baltimore Avenue
Kansas City, MO 64108
phone 800.473.EUSA(3872)
816.421.1388
Fax 816.421.3918
Program/Exhibition Information
Exhibition Attendance only
OTHER Activities and
Number of Time Offered
Total OTHER Activity Attendance
Attendance Attendance
Adults Children
Attendance Attendance
Adults Children
Total Number of OTHER Activities:
Number of ARTISTS who are NOT REPRESENTED IN THE EXHIBITION
participating in OTHER Activities
PROJECT DESCRIPTION: (On a separate page, please answer the following questions)
1. What were the strengths of the exhibition? Please explain.
2. What were the weaknesses of the exhibition? Please explain.
3. How did the support materials (labels, text panels, books, videotapes, programming guide, etc.) meet your needs
and your visitors' needs?
4. Would you repeat this type of exhibition in the future? If not, why not? Please explain.
5. Please relate to us any stories, insights or observations about your exhibition hosting and its significance for your
institution or community.
6. If you provided public programming with your exhibition hosting, how did you develop your programming? Did
you use the ExhibitsUSA support materials to plan your programming? Did your public programming bring in
new audiences to your institution?
7. How did attendance for this traveling exhibit compare with your usual traveling exhibit attendance? (i.e. Same
attendance; lower attendance; higher attendance; etc.)
8. In what ways could we improve our service to you?
BE SURE TO INCLUDE any photographs or slides you have taken of the exhibition installation or people viewing
the exhibition; INCLUDE copies of newspaper advertisements or articles, press releases, exhibition reviews,
educational materials produced for the exhibition, etc...
Exhibitor's Personnel involved in project:
Number full-time:
Number part-time: ______
Number volunteers: ______
EXHIBITION FINANCIAL SUMMARY:
ACTUAL TOTAL CASH EXPENSES FOR EXHIBIT
(including fees, shipping, security, facilities, etc.)
Fees
Shipping
Security
Educational Programming
Reception
Lecture/Speaker's fees
Other:
Total:
ACTUAL TOTAL EXHIBITOR CASH ALLOCATION AND INCOME FOR EXHIBIT
(including grants, operating budget funds, sponsorships, gift shop sales, etc.)
Operating Budget Funds (for
traveling exhibit rental fees,
shipping, security, etc.)
Grants
Donations
Gift Shop Sales
Educational Programming Fees
Other:
Total:
ACTUAL TOTAL IN-KIND CONTRIBUTIONS FOR EXHIBIT
(include the total amount of all non-cash services contributed in
the implementation of the exhibition, such as volunteer hours,
donations for receptions, etc.)
YOUR Organization: AN IN-DEPTH VIEW
1. What is your institution's annual operating budget?
2. How many PAID full time and part time staff does your organization have at this time? How many
UNPAID full time and part time staff does your organization currently have? How many volunteers?
Paid full time Unpaid full time Volunteers
3. What is your organization's mission? How do traveling exhibits support your mission?
4. Has your organization rented traveling exhibitions before? If so, how often? How has this exhibition
compared with exhibits you have had in the past, either from ExhibitsUSA or another traveling exhibition
service?
5. According to our records the predominant racial characteristics of you and your organization is "" (check the
list below). If incorrect, please circle the correct information.
A [Asian/Pacific Islander] B [Black, not Hispanic]
H [Hispanic] W [White, not Hispanic]
N [American Indian/Alaskan Native
G [General (1/2 staff, board, or membership not one race)]
The following information is required for reporting to the National Endowment for the Arts.
State House State Senate U.S. Congressional
District No.: District No.: District No.:
County Name:_
Submitted by Authorizing Official:
Signature
Name (type or print) Title Date
M-AAA USE ONLY
PublishedFee TotalFee Grant