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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 TITLE

NAME OF APPLICANT OR LEAD APPLICANT

ARTIST

TOTAL PROJECT COST €

QUOTA FINANCED BY THE ITALIAN COUNCIL CALL €

QUOTA CO-FINANCED BY THE APPLICANT €

The undersigned ______________________________________________ as the legal representative of ________________________________________________________________ headquartered in _______________________________________________________________ ______________________________________________________________ n. ________

Italian Taxpayer’s Code/VAT n. ______________________________________________________

Tel. _______________________________________________________________

E-Mail _________________________________________________________________________

Registered email (PEC) ____________________________________________________________

REQUESTS

financing for a cultural project that promotes the production, awareness and circulation of contemporary Italian creativity in the visual arts in Italy and abroad, under the Italian Council Project, as an individual applicant or in partnership with ______________________,

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

within the fiscal year 2019, of an advance payment of up to 30% (thirty) 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 by the applicants (lead applicant and project partners) demonstrating its/their relevance to the fields of contemporary art; curriculum of the artist, curators and critics, and/or website link (max 2 pages);

B. Curricula of eventual cultural Partners and/or website link (max 2 pages);

C. Curriculum of the artist to be promoted in the event of exhibition proposals and international events and website link (max 2 pages);

D. Agreement between the artist, curator or critic and the cultural institutions supporting the project (see facsimile letter D);

E. Eventual accreditation letters and letters of formal acceptance of the conditions of the present document signed by each of the cultural partners (see facsimile letter E);

F. Letter stating the applicant’s commitment to support 20% of the project cost and/or eventual agreements with other financial sponsors (see facsimile letter F);

G. Self-certification signed by the applicant and cultural partners demonstrating the general requisites outlined in art. 5 of the present document (with attached copy/ies of identification documents, see facsimile letter G);

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

PlaceStamp and Signature

Date

N.B.: Applicants are reminded that the Funding Request must be signed by the legal representative (art. 7 of the call). Unsigned documents will be cause for exclusion.

PROPOSTA PROGETTUALE E QUADRO ECONOMICO (art. 6 del Bando)

Project Proposal

Section a) – Project Concept (max 2 pages)

1

Project Name, or title identifying the proposal

2

Name of the applicant

3

Name of the institutional partners

4

Name of eventual cultural partners

5

Description of the project clearly indicating, based on the area selected:

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

· the mission of the exhibition, the selected location and proposed dates

or

· the international event selected

or

· the selected residency, location and estimated duration

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

A clear and exhaustive description of the project accompanied by eventual images.

· project for an exhibition focused on curatorial strategies

or

· project for an international event in which the project intends to participate

or

· project to be realised in occasion of a residency, indicating the location, duration and/or eventual dates

or

· scientific-editorial project indicating the title, curator/s, proposed texts, publisher, sponsors, universities or institutions involved.

2

Information about the artist/critic/curator to be promoted or, for an editorial project, the artist, movement, period, theme or problem.

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 that include 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 activities and events linked to the realisation of a project excluding projects that include a residency component (max 1 page)

1

Description of the activities

2

Description of the events

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 activities from the first to last month (Gantt Diagram). Applicants are reminded that the realisation of the project or residency or participation in an international event, and the promotion phase, must be concluded by August 31, 2020.

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 FILE MUST BE COMPILED EXCLUSIVELY IN ITALIAN.

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

€

€

€

€

€

Staffing costs

€

€

€

Communication

€

€

€

Events and promotion

€

€

€

Educational activities

€

€

€

Catalogue

€

€

€

Administrative costs

€

€

€

Other

€

€

TOTAL

€

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

€

Financing 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)

€

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

€

Funding by applicants (minimum 20%)

€


Date

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

Project proposals must be compiled using only the form provided.

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

(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 over the past three years by the applicants (lead applicant and project partners) demonstrating its/their relevance to the fields of contemporary art; curriculum of the artist, curators and critics, and/or website link (Insert the name of the applicant and institutions supporting the project);

B. Curricula of eventual cultural Partners (Insert the name of all cultural partners);

C. Curriculum of the artist to be promoted in the event of exhibition proposals and international events (Insert the name of the artist);

D. Agreement between the artist, curator or critic and the cultural institutions supporting the project;

E. Eventual accreditation letters and letters of formal acceptance of the conditions of the present document signed by each of the cultural partners (Insert the name of the cultural partners);

F. Letter stating the applicant’s commitment to support 20% of the project cost and/or eventual agreements with other financial sponsors;

G. Self-certification signed by the applicant and cultural partners demonstrating the general requisites outlined in art. 5 of the present document (with attached copy/ies of identification documents, see facsimile letter G);

H. Information note pursuant to art. 13 of Italian Legislative Decree 196/2003 and art. 13 of Regulation (EU) 2016/679 (for the applicant and each project partner).

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

Applicant/s Curriculum/a (6.1.3 letter A)

(max 2 pages)

NAME

Contact

Website

Principal activities from the past three years inherent to contemporary art

FIRST AND LAST NAME OF THE ARTIST/CURATOR/CRITIC

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


Curriculum of the Partner Institutions (6.1.3 letter A)

(max 2 pages)

NAME

Contact

Website

Principal activities from the past three years inherent to contemporary art


Curriculum/a of Cultural Partners (6.1.3 letter B)

(max 2 pages)

NAME

Contact

Website

Principal activities from the past three years


Artist’s Curriculum (6.1.3 letter C)

(max 2 pages)

FIRST AND LAST NAME

Contact

Website

Selection of relevant activities from the past three years.

· 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


FACSIMILE – Letter D

AGREEMENT BETWEEN THE APPLICANT AND PARTNER INSTITUTIONS

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

TO BE COMPILED EXCLUSIVELY IN ITALIAN

a) Artista/Curatore/Critico

Il sottoscritto ____________________________________nato/a a______________________il ________________ codice fiscale ___________________________residente in ___________________alla Via _______________________________________________ n. __________________________________

Recapito Telefonico _______________________________________________________________________

E-Mail _________________________________________________________________________________

PEC ___________________________________________________________________________________

b) Istituzione Culturale

Il sottoscritto ____________________________________ nato/a a ______________________ il ________________ codice fiscale _____________________________ in qualità di legale rappresentante del _________________________________________________con sede legale in __________________ alla Via _______________________________________________ n. __________________________________

Codice Fiscale (soggetto proponente) _________________________________________________________

Recapito Telefonico _______________________________________________________________________

E-Mail _________________________________________________________________________________

PEC ___________________________________________________________________________________

OGGETTO DELL’ACCORDO

Realizzazione congiunta dell’iniziativa denominata (nome progetto)…..………………………………… …….……….., con la durata prevista di ………..…….. e un costo totale di € ………………………., per la quale si è richiesto un finanziamento di € ……..……. alla Direzione Generale Arte e Architettura Contemporanee e Periferie Urbane, pari al ……% del totale.

È previsto un contributo da parte dei soggetti proponenti di € ………, pari al 20% del costo totale. In relazione a tale contributo, ciascun soggetto assume l’impegno di contribuire secondo le modalità di seguito descritte:

Artista/Critico/Curatore o Istituzione Culturale (ripetere per ciascun soggetto proponente)

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

Contributo monetario: € ………………………..

Inoltre, nell’ambito dell’iniziativa, il partner svolgerà i ruoli e le funzioni seguenti:

1. Gestione delle risorse finanziarie: (descrivere)

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

1. Gestione delle risorse umane e materiali: (descrivere)

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

1. Gestione di attività e/o prestazione di servizi: (descrivere)

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

Tutti i soggetti firmatari del presente accordo di partenariato esonerano la DGAAP da ogni controversia derivante dai rapporti tra i singoli firmatari e da ogni rapporto instaurato con terzi relativo alla realizzazione dei progetti ammessi al finanziamento.

Luogo e Data

L’Artista/Curatore/Critico

Il/I legale/i rappresentante/i delle Istituzioni Culturali

N.B. Pursuant to art. 2.2 of the Call, the agreement between the applicant and the institution supporting the project is necessary to participate in the selection process.

FACSIMILE - Letter E

LETTER OF ACCREDITATION AND FORMAL ACCEPTANCE OF THE CONDITIONS OF THE PRESENT CALL BY ALL PARTNERS

PROJECT TITLE

ARTIST/CURATOR/CRITIC

The undersigned ____________________________________ born in ______________________ on the ________________ Italian taxpayer’s code _____________________________ as legal representative of _________________________________________________headquartered in __________________ _______________________________________________ n. _____

Italian taxpayer’s code (applicant/lead applicant) _________________________________________

Tel _______________________________________________________________

E-Mail _________________________________________________________________________

registered email (PEC) ____________________________________________________

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

COMMITS

to promote the project according to the methods outlined in the proposal through the following activities:

______________________________________________________________________________________________________________________________________________________________________________

Place and Date

Stamp and Signature

N.B. To be compiled by the legal representative of each cultural partner on institutional letterhead

FACSIMILE - Letter F

APPLICANT’S LETTER OF COMMITMENT TO PROVIDE AT LEAST 20% OF THE FUNDING AND/OR EVENTUAL AGREEMENTS WITH PROJECT SPONSORS

PROJECT TITLE


The undersigned __________________________________ born in _____________ on the ____________ in Italian taxpayer’s code _____________________________ as legal representative of ____________________________________________ headquartered in ____________________ ________________________________________________ n. ________

Italian taxpayer’s code/VAT n. _________________________________________________________

Tel _______________________________________________________________

E-Mail _________________________________________________________________________

registered email (PEC) ____________________________________________________

DECLARES

to assume responsibility for paying the remaining sum to be paid by ________________________________________________________________, equivalent to 20% to the total project cost, using its own funds or that of eventual Partners or with the support of the following project Sponsors:

______________________________

Place and Date Signature

FAC SIMILE - letter G

Self-certification signed by the applicant(s) confirming the general requisites listed under Art. 5 and formal acceptance of the conditions outlined in the present document

TITOLO DEL PROGETTO


The undersigned ____________________________________ born in ______________________ on _______________ Italian Taxpayer’s Code ____________________________ resident in __________________ address _________________________________ n. ___________________________

Tel. ___________________________________________________________________________

E-Mail _________________________________________________________________________

Registered email (PEC) ____________________________________________________________

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 DateStamp and Signature

N.B. the self-certification must be provided by the legal representative of each applicant and accompanied by a valid identification document

FAC-SIMILE – letter H

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.


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 legal representative of each applicant