Sculpture Information Sculpture Installation Info Your Name* First Last Sculpture Title*Your InstallationYour Preferred Installation Date*Installations will be scheduled on weekdays only. Date Format: MM slash DD slash YYYY Your Preferred Installation Start Time*Due to availability of Public Works staff, installations will need to be scheduled at 10:30am or earlier for morning installations and at 1 or 1:30pm for afternoon installations. : HH MM AM PM Will you require a hotel reservation?*The City of Johnson City will cover hotel accommodations for a total of 1 night for your installation. Yes No Hotel Reservation Date (if needed) Date Format: MM slash DD slash YYYY Would you prefer a king or two queens?(if hotel reservation needed) KIng Two Queens Sculpture/Equipment InfoApproximate Sculpture Weight*Concrete Pad Dimensions*Please provide the dimensions of the concrete pad that will accommodate the sculpture footprint. Your sculpture could potentially be placed in a location with an existing concrete pad, and we will need to know if the pad could accommodate your piece. If your piece does not require a concrete pad, please type “n/a”. Drawing of Concrete PadIf you would like to clarify the dimensions of the pad needed (or if the pad dimensions are atypical), please upload a drawing here. Drop files here or Special Equipment Required for Installation*Please list any equipment required for installation (i.e. general tools, a crane, forklift, etc.). If none is required, please type “none”. Size of Anchors Required (if needed)*If none are required, please type “none”.Number of Anchors Required (if needed)*If none are required, please type “none”Number of Helpers Needed for Installation*Required DocumentsSigned ContractYou may upload your signed contract here or email to ckumbhare@johnsoncitytn.org. Please indicate the sculpture price on page 3 of the contract. Drop files here or Accepted file types: jpg, png, pdf, doc, docx. Certificate of Commercial General Liability InsuranceYou may upload your certificate of insurance here or email to ckumbhare@johnsoncitytn.org. The City of Johnson City, TN and the Johnson City Parks and Recreation Foundation must be named as additional insureds on the certificate. Drop files here or Accepted file types: jpg, png, pdf, doc, docx. W-9You may upload your W-9 here or email to ckumbhare@johnsoncitytn.org. Drop files here or Accepted file types: jpg, png, pdf, doc, docx.
