City of Moreno Valley - Utility Box Application

Utility Box Application

The City Council continues to support community identity by encouraging development and display of public art to promote the history, heritage, culture, and contemporary identity of Moreno Valley. The goal of the Moreno Valley Public Art program is to offer an opportunity for local artists and business owners to create a distinctive sense of place and pride in Moreno Valley city facilities, parks, utility boxes, streets, and open spaces.
Utility Box Program

Please review the Utility Box guidelines and other important information available on the Public Art website (https://moval.gov/parks-comm-svc/program-support-arts-utilitybox.html). Reviewing the information outlined on the website will ensure that your submission meets all requirements.
IMPORTANT NOTICE

Please be advised that except for your personal email address, residential address and phone number, by submitting this application, you are consenting to the disclosure of this completed application and its contents under the California Public Records Act.
Requirement Checklist
Artist Information
Full Name*

First NameLast Name
Are you a resident of the City of Moreno Valley*

YesNo
Company Name
Business Tax ID Number
Contact Name (if different than applicant)

First NameLast Name
Contact Person Title
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Briefly describe your experience as an artist or involvement in public art projects:*
250 words max
Social Media
Website:
Instagram:
Facebook:
Other:
Project Details
Are you requesting monetary funds (maximum request: $500)?*

YesNo
If you responded yes to the above, what is the amount requested?
Project Theme:*
Top Choice- Proposed Project Location (include district and cross streets):*
Option 2- Proposed Project Location (include district and cross streets):*
Option 3- Proposed Project Location (include district and cross streets):*
Project description:*
MUST INCLUDE: materials, colors, logos/words used, sealant/finishing
Rendering of artwork on Utility Box Diagram:

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Describe the goal/objective of your project:*
500 words max
Has the City of Moreno Valley provided funding to you in the past?*

YesNo
If yes, please list the date, amount, and project name:
Additional Information Regarding Your Project:
If you have additional questions or comments, let us know here.
Please Upload the Following Items Below:
File Upload

Cancelof
Public Art Policy:
Waiver of Liability
The undersigned, by participating in the City of Moreno Valley Public Art Program (“Art Program”), hereby agrees to waive all rights to pursue any actions, claims or lawsuits against the City of Moreno Valley (“City”) and all of its affiliated agencies, and their respective officials, agents, employees or volunteers (collectively, “City Parties”), irrespective of the nature of the injury, damage or liability, and release and hold harmless the City Parties from all claims, actions or lawsuits arising from or in connection with any injuries, death, liability, expenses, losses, claims, suits, actions, judgments, costs, or damages arising from or related to my participation in the Art Program.

I also hereby expressly waive any and all rights and benefits conferred upon me by the provisions of Section 1542 of the California Civil Code which reads as follows:

“A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.”

Notwithstanding the provisions of Section 1542, and to implement a full and complete release as set forth, I acknowledge this waiver will be effective as a bar to any and all actions, fees, damages, losses, claims, liabilities and demands of whatsoever character, nature and kind known or unknown, or suspected or unsuspected. I further represent and warrant that I have read this Form, including this waiver provision, and, prior to executing this instrument, I have had an opportunity to consult an attorney about this instrument and specifically about this waiver provision.
Initials*
By signing below, I acknowledge that I am authorized to sign this application. I have read and agree to abide by the City of Moreno Valley Public Art Program requirements and Waiver of Liability. I understand I will need to complete the following items if my project is approved: artist agreement, new vendor form, W-9, Moreno Valley business license, and provide a certificate of insurance. I understand that this application is subject to City and Art Commission review, approval, and denial.*

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Date Signed*

MonthDayYear
Date
Next Steps:

The Public Art team will contact you if any additional items are needed to complete your application. Once your application is complete, you will be invited to give a mandatory presentation of your project to the Public Art Commission. If approved, the artwork will then be presented to the City Council for final approval. Once approved by the City Council, the City and the artist will enter into a contract. At that stage, artists will be required to submit new vendor forms, a W-9, and obtain a City of Moreno Valley business license (fee: $65).
Questions or comments?

Contact the Public Art team at Publicart@moval.org, visit Moval.org/parks, or call Jazmin Alvarez Barragan at 951.413.3163.
Should be Empty:

Utility Box Application

Utility Box Program

IMPORTANT NOTICE

Artist Information

Social Media

Project Details

Please Upload the Following Items Below:

Waiver of Liability

Next Steps:

Questions or comments?