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4. Fiscal Year 2024-25 Neighborhood Public Art Mini Grant
   Required Documents

   
   Congratulations on being selected as a 2024-25 Neighborhood Public Art (NPA) Grantee!

   Outlined below are the next steps required to enter into an agreement with the City of Richmond.  Please review the information below and make sure to complete each item in its entirety. The requested information is due by Close of Business (COB) on Friday, July 19, 2024. Earlier submissions are encouraged as staff will begin working on the items as they are received. 

   Questions? E-mail RACC@ci.richmond.ca.us

   Having technical issues with submitting your application? E-mail jordon_nesbitt@ci.richmond.ca.us. City staff technical support will be available Monday through Friday, 9:00 am to 4:00 pm. Please make sure all of your file sizes are below 20 MB if you have encountered issues with submission.

   For more information on the history of the Richmond Arts and Culture Commissions and the Public Art program, please go to:   www.ci.richmond.ca.us/2064/Arts-Culture.

6. Does the project have a fiscal sponsor?*

   1. Yes
   2. No
7. 1. Fiscal Sponsor Name*
9. 1. Applicant Name*
11. Applicant Name*

    This is the person/organization who is being fiscally sponsored.

13. 2. E-mail Address (Applicant)*
14. 3. Phone Number (Applicant)*

    (###) ###-####

16. 2a. E-mail Address (Fiscal Sponsor)*
17. 3a. Phone Number (Fiscal Sponsor)*

    (###) ###-####

19. 4. Have you previously contracted with the City of Richmond?*

    1. Yes
    2. No

    If fiscally sponsored, this question should be answered for fiscal sponsor.

20. If yes:*

    1. I have a vendor number
    2. I have a previous contract number
    3. I don't have a vendor or contract number
22. Vendor Number*
24. Contract Number*
26. Please complete and upload the following documents:

    1. * W-9 Form (form must be signed)
    2. * Vendor Supplemental Questionnaire and LLC Disclosure Form (LLC Disclosure must be completed even if the answer is "no")

    https://www.irs.gov/pub/irs-pdf/fw9.pdf

    Vendor Supplemental Questionnaire Form and Disclosure Statement

28. Completed W-9*
29. Completed Vendor Supplemental Questionnaire and LLC Disclosure Form *
31. Please complete and upload the following documents:

    1. * W-9 Form (form must be signed)
    2. * Vendor Supplemental Questionnaire and LLC Disclosure Form (LLC Disclosure must be completed even if the answer is "no")

    https://www.irs.gov/pub/irs-pdf/fw9.pdf

    Vendor Supplemental Questionnaire Form and Disclosure Statement

33. Completed W-9*
34. Completed Vendor Supplemental Questionnaire and LLC Disclosure Form *
36. 5. Will your cumulative contracts with the City of Richmond or with persons or businesses within the city of Richmond total $10,000 or more?*

    1. Yes
    2. No

    Cumulative contract values equal to or greater than $10,000 require a City of Richmond Business License. 

    You may apply for a business license online (recommended) at Business License Portal. 

    If you have questions about the business license requirements for non-profits, please call the Business License Division at (510) 620-6742.

38. If yes, please provide the City of Richmond business license number.*
40. 6. Insurance Certificate

    All vendors MUST carry current insurance. Provide a copy of your current insurance certificate AND the additional insured endorsement naming the City of Richmond as an additional insured.  

    The City requires Certificate(s) of Insurance coverage verification documents and Additional Insured Endorsement(s). These documents must be issued by your company’s insurance agent. Feel free to share the attached examples with your insurance agent so that they understand the City’s requirements. 

    Insurance requirements may be waived on a case-by-case basis.  Please contact staff if you have questions related to insurance.

    TYPE 1 INSURANCE REQUIREMENTS

    TYPE 2 INSURANCE REQUIREMENTS
    

    TYPE 5 INSURANCE REQUIREMENTS

    SAMPLE INSURANCE CERTIFICATE & ENDORSEMENT DOCUMENTS

42. Certificate of Insurance
43. Additional Insured Endorsement
47. 7. Draft Scope of Work
    Scope Drafting Template

    This document will assist you in providing staff with the details necessary to finalize and execute your grant contract.

    Upon submission, staff will work with you to finalize your scope of work.  

    Refer to your application for assistance with drafting a scope of work for your program or project. 

49. Completed Draft Scope of Work*

    Please upload Microsoft Word version.

51. Things to Consider:

    You will be required to comply with additional requests for required information and/or documents prior to receiving grant funding, including but not limited to:

    1. A signed contract with a Purchase Order and Contract number.
    2. An invoice from the artist to the City of Richmond requesting payment.
    3. Proof of insurance for any paid artists working on this project.
    4. Additional requests for documents as deemed necessary by the City.
    5. Any artist who receives awarded art funds shall give City of Richmond and grant source credit as a sponsor for the public art project (e.g., mural, social media, etc.) A high-resolution City of Richmond logo will be provided upon request.
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53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

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