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ALLEGATO 3

ATTACHMENT 2

FUNDING REQUEST FORM

Development of talents and international promotion of artists, curators and critics

TO THE MINISTRY OF CULTURAL HERITAGE AND ACTIVITIES

Directorate-General for Contemporary Art and Architecture and Urban Peripheries

Via di San Michele, 22 – 00153 Rome, Italy

OBJECT: ITALIAN COUNCIL PROJECT. PUBLIC CALL TO FINANCE CULTURAL PROJECTS FOR THE PROMOTION, PRODUCTION, AWARENESS AND CIRCULATION OF CONTEMPORARY ITALIAN CREATIVITY IN THE VISUAL ARTS IN ITALY AND ABROAD.

FUNDING REQUEST

AREA OF ACTION

Development of talents and international promotion of artists, curators and critics

PROJECT TYPE

Specify: Exhibition/Participation in international events/Residency/Editorial Project

PROJECT TITLE

NAME OF APPLICANT OR LEAD APPLICANT

ARTIST/CURATOR/CRITIC INVOLVED IN THE PROJECT

FOREIGN INSTITUTION INVOLVED IN THE PROJECT

When different from the Applicant

TOTAL PROJECT COST €

QUOTA FINANCED BY THE ITALIAN COUNCIL CALL €

QUOTA CO-FINANCED BY THE APPLICANT €

The undersigned [First and Last Name] legal representative of [Applicant’s name] legally headquartered in [City], street [address], n. …….

Tax Code/VAT number …………………………………

Telephone n. ………………………………………..

email ………………………………………………………

Registered email …………………………………………………………

REQUESTS

funding for a cultural project that promotes the production, awareness and circulation of contemporary Italian creativity in the visual arts in Italy and abroad, as part of the Italian Council Project, as an Individual Applicant or in partnership with [institutional partner(s)] with financial support from [Co-Financier(s)],

COMMITS

from this moment to accept and respect all conditions outlined in the Call.

AUTHORISES

the Directorate-General for Contemporary Art and Architecture and Urban Peripheries to publish a description of the project via its information channels, pursuant to art. 13 of the Call.

COMMUNICATES

that in the event funding is awarded,

□ a request will be made

□ no request will be made

of an advance payment of up to 30% (thirty percent) of funding, upon presentation of an acceptable bank or insurance guarantee, or for non-residents in Italy, an analogous guarantee or collateral agreement for a sum equivalent to the advance payment (art. 9).

Payment will be made via:

□ bank transfer – IBAN _________________________________

□ other (specify) _____________________________________

· Attachments

· Project Proposal and Project Budget.

· Documents:

A. Curriculum of activities over the past three years of the Individual or Lead Applicant demonstrating activities in the fields of contemporary art and website links [see form];

B. Curricula of eventual partners and/or website links and/or foreign institutions that will promote the project pursuant to art. 3.2 [see form];

C. Curriculum of the artist or curator or critic involved in the project to be promoted and website link [see form];

D. Agreement between the Individual Applicant or Lead Applicant and external curator or critic (for projects as per art. 3.2 letters A and C) [see form];

E. Agreement between Lead Applicant and cultural partners (Italian institutions, artists, curators and critics must submit copies of agreements with foreign institutions supporting the project, cf. art. 3.2) [see form];

F. Eventual agreement between the Individual or Lead Applicant and Co-Financier(s) [see form];

G. Letter of commitment from the Applicant to support at least 20% (twenty percent) of the project costs when the project does not involve contributions from Co-Financier(s) [see form];

H. Self-certification pursuant to art. 46 of D.P.R. 28 December 2000 n. 445 signed by the Applicants demonstrating the general requisites outlined in art. 5 of the Call and formal acceptance of the conditions of the Call, with attached identity documents [see form];

I. Information note pursuant to art. 13 of Italian Legislative Decree 196/2003 and art. 13 of Regulation (EU) 2016/679 [see form]

Place and Date

Stamp and Signature

N.B.: Upon penalty of exclusion, the Funding Request must be signed by the Applicant’s Legal Representative (art. 7 of the Call).

PROJECT PROPOSAL AND BUDGET (art. 6.2 of the Call)

Project Proposal

Section a) – Project Concept (max 2 pages)

1

Project Name, or title identifying the proposal

2

Project Type (Exhibition/Participation in international events/Residency/Editorial Project)

3

Name of the Individual Applicant or Lead Applicant

4

Nome of foreign institution(s) involved in the project

5

Name(s) of eventual partners

6

General description of the project listing the following, based on the area of action:

· name of the artist/critic/curator to be promoted;

· precise indication of the mission of the exhibition, location and proposed dates

or

the selected international event, including the location and proposed dates, and a clear description of the artist’s project

or

the selected residency, location and estimated duration, and clear description of the artist’s project

or

the subject of the publication and topic or issue to which it is dedicated

Section b) – Detailed information about the Proposal (max 3 pages)

1

Clear and detailed description of the project, accompanied by eventual images

· the scientific project behind the exhibition and curatorial strategies

or

· the artist’s project for the selected international event

or

· the project the artist, curator or critic intends to develop during the proposed residency

or

· the scientific-editorial project including the title, curator(s), planned texts, publisher, supporters, universities or institutions involved.

2

Information about the artist/critic/curator to be promoted or, for editorial projects, the artist, movement, period, theme or issue.

Section c) – Exhibition Strategy for an Art Work (max 1 page)

1

Description of the method of presentation of the project including information about the exhibition design and methods of presenting and accessing the work of art on display.

Section d) – Promotion and communication strategy excluding projects with a residency component (max 1 page)

1

Description of promotional activities abroad and in Italy

2

Description of project communication activities

Section e) – Proposal for event, training and educational activities linked to the realisation of a project excluding projects with a residency component (max 1 page)

1

Description of the events

2

Description of training and educational activities

Section f) – Proposal for a catalogue accompanying an exhibition (max 1 page)

1

Catalogue project

2

Publisher

Section g) – Project Schedule

Description of all planned project activities from the first to the eleventh month (Gantt diagram with generic months: month 1, month 2, month 3, etc.)

Project Budget – For each cost area specify the detailed individual sub-items. Insert all necessary costs for the completion of the project. The number of rows can be modified.

THIS FORM MUST BE COMPILED EXCLUSIVELY IN ITALIAN.

Production costs (exhibition-related costs, travel costs, insurance, etc.)

Rental of lodgings or studio space (art. 3.2.3, max 20%)

Staffing Costs (max 15%)

Communications (max 30%)

Events and promotion

Educational activities

Catalogue

Administrative costs

Other

TOTAL

Funding for projects that include the realisation of exhibitions and their production (up to 80% up to a maximum of € 250.000,00)

Funding for projects that include the participation of an Italian artist in international cultural events and editorial projects (up to 80% up to a maximum of € 100.000,00)

Funding for projects proposing study residencies and training abroad (up to 80% up to a maximum of € 35.000,00)

Funding by applicants (minimum 20%)

Place and Date

Stamp and Signature

N.B.: Applicants are reminded that the Funding Request must be signed by the legal representative.

Project proposals must be compiled using the form provided.

All sections of the form must be filled out. Please respect the total number of pages indicated

BOZZA

(1 page = 2000 keystrokes spaces included)

Via di San Michele 22, 00153 Roma - Tel. 066723.4851 - C.F. 97829270582

[email protected]@mailcert.beniculturali.it

REQUESTED DOCUMENTS

A. Curriculum of activities developed over the last three years by the Individual or Lead Applicant clearly demonstrating the pertinence to the field of contemporary art (Insert the name of the Applicant);

B. Curricula and/or website links of eventual partners and/or foreign institution promoting the project as per art. 3.2 (insert the name of each partner);

C. Curriculum of the artist or curator or critic involved in the project to be promoted and website link (name of the artist/curator/critic);

D. Eventual agreement between the Individual Applicant or Lead Applicant and external curator or critic (for projects as per art. 3.2 letters A and C)

E. Eventual agreement between the Lead Applicant and cultural partners (Italian institutions, artists, curators and critics must submit copies of agreements with foreign institutions supporting the project, cf. art. 3.2);

F. Eventual agreement between the Applicant and Co-Financier(s);

G. Letter of commitment from the Applicant to support at least 20% (twenty percent) of the project costs when the project does not involve contributions from Co-Financier(s);

H. Self-certification pursuant to art. 46 of D.P.R. 28 December 2000 n. 445 signed by the Applicants demonstrating the general requisites outlined in art. 5 of the Call and formal acceptance of the conditions of the Call, with attached identity documents;

I. Information note pursuant to art. 13 of Italian Legislative Decree 196/2003 and art. 13 of Regulation (EU) 2016/679

N.B. No material aside from or differing from that listed above will be accepted

Form A

Applicant’s Curriculum (art. 6.2 let. i)

(max 2 pages)

NAME (for institutions)

Contact

Website

Principal activities from the past three years inherent to contemporary art

FIRST AND LAST NAME OF THE ARTIST/CURATOR/CRITIC (physical persons)

Contact

Website

Selection of relevant activities from the past three years.

For the Artist

· Education

· Residencies

· Monographic exhibitions

· Group exhibitions, at least one presented at an important national or international institution

· Presence in public collections

· Awards

· Academic career

· Bibliography

· Other

For the Curator or Critic

· Education

· Academic and/or professional career

· Principal talks and conferences

· Exhibitions curated

· Bibliography

· Awards

· Other

N.B. No material aside from or differing from that listed above will be accepted

Form B

Curriculum of Promoting Partners and/or Foreign Institution(s) Involved in the Project

(art. 6.2 let. j)

(max 2 pages)

NAME

Contact

Website

Principal activities from the past three years inherent to contemporary art

N.B. No material aside from or differing from that listed above will be accepted

Form C

Curriculum of the Artist/Curator/Critic Involved in the Project and To Be Promoted

(art. 6.2 let. k)

(max 2 pages)

FIRST AND LAST NAME

Contact

Website

Principal activities from the past three years inherent to contemporary art

For the Artist

· Education

· Residencies

· Monographic exhibitions

· Group exhibitions, at least one presented at an important national or international institution

· Presence in public collections

· Awards

· Academic career

· Bibliography

· Other

For the Curator or Critic

· Education

· Academic and/or professional career

· Principal talks and lectures

· Exhibitions curated

· Bibliography produced

· Awards

· Other

N.B. No material aside from or differing from that listed above will be accepted

Form D

(art. 6.2 let. l)

AGREEMENT BETWEEN THE APPLICANT AND EXTERNAL CURATOR OR CRITIC (AS PER ART. 3.2 LETTERS A AND C)

TO BE COMPILED EXCLUSIVELY IN ITALIAN

a) Applicant

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [Applicant’s name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (Applicant) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

b) Critic/Curator

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. as the critic/curator involved in the project,

Tax Code (partner) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

SUBJECT OF THE AGREEMENT

[Applicant’s name] and [name of the critic/curator] jointly accept to carry out the project [project name] in the event of awarding of funding from the Italian Council 2019.

The parties jointly accept to carry out the following activities in relation to their respective roles:

[specify the planned activities, respective roles with a particular focus on those of the critic/curator involved]

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

All signees of the partnership agreement hereby relieve the DGAAP from any controversy deriving from relations between the individual signees and from any relationship with third parties relative to the realisation of projects awarded funding.

Place and Date

Applicant's Legal Representative

Curator/Critic [First and Last Name]

N.B. to be compiled for projects that respect art. 3.2 of the Call

Form E

(art. 6.2 let. m)

AGREEMENT BETWEEN THE LEAD APPLICANT AND CULTURAL PARTNERS

(if the agreement involves more than one applicant, add the necessary paragraphs)

TO BE COMPILED EXCLUSIVELY IN ITALIAN

a) Individual or Lead Applicant

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [Applicant’s name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (Applicant) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

b) Cultural Partner (repeat for each partner)

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [partner institution name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (partner) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

SUBJECT OF THE AGREEMENT

Joint realisation of the project [project name] with a planned duration of [indicate the period of realisation of the project] with a total cost of € [total cost], for which a total of € [requested funding] of funding is requested from the Directorate- General for Contemporary Art and Architecture and Urban Peripheries, equivalent to ……% of the total project cost.

As part of the cultural promotion of the abovementioned project, the signees will assume the following roles and functions to promote and valorise the project:

[specify the planned activities, respective roles with a particular focus on those of the cultural partner(s)]

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………….

All signees of the partnership agreement hereby relieve the DGAAP from any controversy deriving from relations between the individual signees and from any relationship with third parties relative to the realisation of projects awarded funding.

Place and Date

Applicant's Legal Representative

Legal Representative of the Cultural Partners

N.B. to be compiled only for projects involving cultural partners. We remind that Italian institutions, artists, curators and critics must submit copies of agreements with foreign institutions supporting the project.

Form F

(art. 6.2 let. n)

LETTER OF COMMITMENT BETWEEN THE LEAD APPLICANT AND CO-FINANCIER(S)

(if the agreement involves more than one applicant, add the necessary paragraphs and respective logos)

TO BE COMPILED EXCLUSIVELY IN ITALIAN

a) Applicant

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [Applicant’s name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (Applicant) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

b) Co-Financier(s) (repeat for each single Co-Financier)

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. as the legal representative of [name of the co-financing institution] legally headquartered in [City] , Street ….……………………………… n. ….………

Tax Code (Co-Financier) ….………………………………

Telephone Number ….…………………...

Email ….…………………………………

REGISTERED EMAIL ….……………………………………

SUBJECT OF THE AGREEMENT

Joint realisation of the project [project name] with a planned duration of [indicate the period of realisation of the project] with a total cost of € [total cost], for which a total of € [requested funding] of funding is requested from the Directorate- General for Contemporary Art and Architecture and Urban Peripheries, equivalent to ……% of the total project cost.

The Applicant declares the ability to cover € [co-financing], equivalent to at least 20% of the total project cost through co-financing provided by the signees of the present agreement. In relation to this/these contribution(s), each subject commits to participating as follows::

Applicant

[Applicant’s name]

Financial Contribution: € ……………………….

Co-Financier (repeat for each Co-Financier)

[name of the co-financing institution]

Financial Contribution: € ……………………….

All signees of the partnership agreement hereby relieve the DGAAP from any controversy deriving from relations between the individual signees and from any relationship with third parties relative to the realisation of projects awarded funding.

Place and Date

Applicant's Legal Representative

Legal Representative(s) of the Co-Financier(s)

N.B. to be compiled only for projects involving Co-Financiers

Form G

(art. 6.2 let. o)

APPLICANT’S LETTER OF COMMITMENT TO SUPPORT 20% OF THE PROJECT COSTS

TO THE MINISTRY OF CULTURAL HERITAGE AND ACTIVITIES

Directorate-General for Contemporary Art and Architecture and Urban Peripheries

Via di San Michele, 22 – 00153 Rome, Italy

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [Applicant’s name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (Applicant) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

DECLARES

to assume responsibility for paying the remaining sum to be paid by [Applicant’s name], equivalent to at least 20% to the total cost of the project [project name].

Place and Date

Stamp and Signature

N.B.: letter to be provided on the Applicant/Lead Applicant’s letterhead. to be compiled only for projects not involving Co-Financiers

Form H

(art. 6.2 let. p)

Self-certification pursuant to art. 46 of D.P.R. 28 December 2000 n. 445 signed by the Applicant(s) confirming the general requisites listed under Art. 5 and formal acceptance of the conditions outlined in the present document

PROJECT TITLE

APPLICANT’S NAME

The undersigned [First and Last Name], born in [place of birth], on the [date of birth], tax code ….……………………………….. legal representative of [Applicant’s name] legally headquartered in [City], Street ….……………………………… n. ….………

Tax Code (Applicant) ….………………………………

Telephone n. ….…………………...

email ….…………………………………

Registered email ….……………………………………

DECLARES

to accept and respect, from this moment, all clauses in the Call and

DECLARES

pursuant to art. 46 of the Unified Text (T.U.) approved with D.P.R. 445/00, under my personal responsibility, and aware of the content of art. 75 of the aforementioned T.U., and the sanctions foreseen by art. 76 of the T.U. respectively in the event of false declarations or of mendacious actions and declarations:

1. to possess the requisites for participation outlined in art. 5 of the Call;

1. to be aware that the loss of any one of these requisites or failure to respect any of the conditions and/or instructions contained in the Call, will comport the complete and/or partial revocation of any financial contribution and the consequent obligation to return any sums received;

1. that the Legal Representative and eventual members of the B.O.D. face no pending legal procedures;

1. that the Legal Representative and eventual members of the B.O.D. have not received criminal convictions from a court of law;

1. that the Legal Representative and eventual members of the B.O.D. are not subject to sanctions banning them from public office or other sanctions that make it impossible for them to enter into a contract with the Public Administration;

1. that Subject Represented is up to date with all obligations relative to the payment of duties, taxes and contributions in accordance with all applicable legislation.

Place and Date

Stamp and Signature

N.B. the self-certification must be provided by the Applicant’s legal representative and accompanied by a valid identification document

Form I

(art. 6.2 let. q)

Information note pursuant to Article 13 of Italian Legislative Decree 196/2003 and Article 13 of Regulation (EU) 2016/679

Pursuant to art. 13 of Italian Legislative Decree 196/2003 (hereinafter the “Privacy Code”) and art. 13 of Regulation (EU) n. 679/2016 (hereinafter “GDPR 679/2016”), providing for the protection of natural persons with regard to the processing of personal data, please be informed that any personal data provided by you will be processed in full compliance with the aforementioned legislation and obligations to maintain confidentiality to be respected by the MiBAC.

The Data Controller

The Data Controller is the Ministry of Cultural Heritage and Activities (MiBAC - Ministero per i Beni e le Attività Culturali), Via del Collegio Romano 27 – 00186 Rome, Italy.

Data Protection Officer (DPO)

The Data Protection Officer (DPO) nominated by the Ministry of Cultural Heritage and Activities is prof. Alessandro Benzia, email: [email protected].

Why We Require Your Data

The personal data you provide is necessary to respect the legal aspects of participation in the “Italian Council” Call.

How We Process and Conserve Data

Data may be processed automatically and/or manually, as provided for in art. 32 of GDPR 2016/679 and Attachment B of Legislative Decree 196/2003 (arts. 33-36 of the Code) regulating matters of safety, by assigned subjects and in compliance with art. 29 GDPR 2016/679.

Please note that, with respect to principles of lawfulness, compatibility and minimisation of data, pursuant to art. 5 GDPR 2016/679, under your free and express consent provided by signing the present document, your personal data will be conserved only for the period of time strictly necessary to fulfil the objectives for which this data was collected and processed.

Communication and Circulation

In addition, please be informed that any data collected will not be circulated and will not be communicated without your explicit consent, with the exception of necessary communications that may comport the transfer of personal data to public bodies, consultants or other third parties to meet certain legal requirements.

Your Rights

In relation to your personal data, you have the right at any time to obtain confirmation of the existence, or non-existence, of this data and to know its content and origin, verify its correctness or request it be integrated, updated or ratified (art. 7 of Legislative Decree n. 196/2003).

Pursuant to this same article, you have the right to request the cancellation, transformation into anonymous form or blockage of any data processed in violation of the law, or in any case and for legitimate reasons, to oppose the processing of this data. Requests must be addressed to the MiBAC.

The undersigned hereby declares to have received the above information.

PlaceStamp and Signature

Date

In light of the above, I hereby:

◻ express my consensus ◻ DO NOT express my consensus to the processing of my personal data;

◻ express my consensus ◻ DO NOT express my consensus to the communication of my personal data to public bodies or private companies for the purposes outlined in this document.

Stamp and Signature

N.B. The information note and consensus to the handling of personal data must be signed by the Applicant’s legal representative