AgdaPkt 2014-05-12 Joint with Planning

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7.1.C. - Page 17 All Artists: Please sign, date and return: TERMS OF SUBMISSION I agree that: (1) my submission(s)and their contents will automatically become the property of the City of Redwood City("City"), with no guarantee of compensation to me; (2) The City may use or redistribute the submissions and their contents for any purpose and in any way; (3)there is no obligation for the City to review the submission; and (4) there is no obligation to keep any submission confidential. Further, with respect to any artwork or work product produced for or submitted to City, I hereby waive any and all claims, arising at any time and under any circumstances, against City its officers, agents, employees, successors and assigns, arising under the federal Visual Artists Rights Act (17 U.S.C. §§106A and 113(d)), the California Art Preservation Act (Cal. Civil Code §§987 et seq.), and any other local, state, federal or international laws that convey rights of the same nature as those conveyed under 17 U.S.C. §106A, Cal. Civil Code §§987 et seq., or any other type of moral right protecting the integrity of works of art. X Signature Printed Name Date DISCLAIMER & WAIVER - DO NOT SIGN THIS DOCUMENT BEFORE YOU READ IT AS IT CONTAINS A WAIVER AND RELEASE OF LIABILITY TO WHICH YOU WILL BE BOUND. I agree that my participation in the City of Redwood City's Utility Box Mural Program is voluntary and that I assume all risk of injury, illness, damage or loss to me or to my property that might result from my participation. I further agree (on behalf of myself and my family members, personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge the City of Redwood City and its officers, employees, and agents, from any and all claims, liability, loss, penalties, expenses and costs (including attorney's fees), or causes of action (known or unknown) (collectively, "Liability") arising out of my participation in the Utility Box Mural Program. I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND I FULLY UNDERSTAND THAT, BY SIGNING BELOW, I AM WAIVING ANY RIGHT THAT I MAY HAVE TO BRING A LEGAL ACTION OR TO ASSERT A CLAIM AGAINST THE CITY. Participation constitutes permission for City of Redwood City to use artist's name, likeness or art entries for publicity and promotional purposes without additional compensation. Your signature indicates that you have read and agreed to abide by the rules and guidelines of the Redwood City Utility Box Mural Program. Last Name First Name Date Submitted Mailing Address (Street number and name, City, State, Zip Code) Home Phone Cell Phone Email Participant Signature Date Please attach rendering for consideration by the selection committee. Thank you!