TSCC Mural Program | Artwork Submission Form

1

TSCC Mural Program | Artwork Submission Form

Your proposed location(s) for a Traffic Signal Control Cabinet (TSCC) mural are available to receive artwork.

Please complete this form to submit your agreement to install TSCC mural artwork as well as renderings of the proposed artwork/design(s).

2

Name* This field is required.Please provide the name for the project's representative or manager.

First Name

Last Name

3

Organization NamePlease provide the name of the sponsoring organization or group.

4

Email* This field is required.Please provide the email address for the project's representative or manager.

example@example.com

5

Phone NumberPlease provide the phone number for address for the project's representative or manager or sponsoring organization.

Area Code

Phone Number

6

Location Approval* This field is required. Has/Have your proposed TSCC location(s) been approved for artwork by MOCA? *If "No," please fill out the TSCC Mural Program Inquiry Form first.

YESNO

7

TSCC Mural Agreement* This field is required.IMPORTANT: Do you agree with the responsibilities for maintenance and close out process as described in the TSCC Agreement Form? *Selecting "NO" renders your application invalid.

YESNO

8

TSCC Mural Agreement* This field is required.Please upload the completed and signed TSCC Agreement Form that was emailed to you when you received approval of your TSCC location(s).

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Proposed Mural Artwork* This field is required.Please upload a rendering of the artwork proposed for the TSCC mural location. Renderings or drawings should show all sides of the cabinet. Please label your filename with the location of the TSCC cabinet and artist name in the following format example [Street Name @ Street Name_Artist Name].

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

10

Artist NamePlease provide the name of the artist creating the mural artwork.

First Name

Last Name

11

Insurance* This field is required.Do you have proof of insurance maintaining coverage of professional liability of $1,000,000 per occurrence?

YESNO

12

Proof of Insurance* This field is required.Please upload documentation proving professional liability insurance coverage

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

13

Timeline for InstallaionPlease share your timeline with us. Your response will assist us in processing your approval request.