Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
ATELIERS DE GASPÉ – 5455 AND 5445 DE GASPÉ – MONTRÉAL, QUÉBEC PROJECT PARTICIPATION FORM IMPORTANT: It is necessary to have read the document Guide for the Preparation of the Project Participation File (Pied Carré, 2013) before filling out this form. Please take the time to complete all sections of the form. Please remember to attach all annexes1 to the application, as well as all relevant supporting documents for each annex. Please remember to sign the form and the annexes relevant to your application, and to initial the bottom of every page of the form and of the annexes. Pied Carré is making every effort to provide the best possible service to each of its members. However, Pied Carré is not able to guarantee timely processing, nor the terms offered in the Guide for the Preparation of the Project Participation File (Pied Carré, 2013), in the case of incomplete applications. 1.
PIED CARRÉ MEMBER – CONTACT INFORMATION
Last Name, First Name2 (Individual): OR Legal name2: (organization, business, group) Telephone 1: Telephone 2: Email address: Web site:
1 2
Annexes are provided at the end of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). As it appears on the Pied Carré Membership Form.
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 1 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
Street Address: Suite or Apartment: City
Province
Postal Code
Country
2. PIED CARRÉ MEMBER – STATUS Individual
☐
Not-for-profit organization
☐
(append letters patent to your application) (append the resolution authorizing the signatory)
Incorporated business ☐ Number of employees:____________
(append the constitution to your application) (append the resolution authorizing the signatory)
Group of ateliers (4 and more) ☐ Number of ateliers: ____________
(name of the person responsible as indicated above) (append a power of attorney for the signatory)
Member status:
MFG3 ☐ GRM5 ☐
MR4 SM6
☐ ☐
ANNEX D – TO BE COMPLETED : All members, new or registered, must complete ANNEX D to this form
available at the end of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). Note: Pied Carré membership is mandatory for the submission of the project participation file.
3
"de Gaspé" founding member, see the Guide for the Preparation of the Project Participation File. Regular member, see the Guide for the Preparation of the Project Participation File. 5 “de Gaspé” regular member, see the "Guide for the Preparation of the Project Participation File. 6 Solidarity member, see the Guide for the Preparation of the Project Participation File. 4
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 2 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
3. PIED CARRÉ MEMBER – PROFILE: What is your field? Visual arts Media arts Performing arts Other:
☐ ☐ ☐ ☐
Craft arts Books and publishing Television, film, video
☐ ☐ ☐
Specify:
Artistic process: Brief summary of your artistic process describing your process and the nature of your work (enclose a document providing more detail, if possible):
Mission (for NPOs, groups, collectives, companies): Brief summary of the mission and objectives of your organization/business (enclose a document providing more detail, if possible):
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 3 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
Professional status of artist: Are you a professional artist under the Act respecting the professional status of artists? Yes ☐ No ☐ Are you a member of a professional association? Yes ☐ No ☐ If yes, please specify:
Has your work been recognized with an award, grant or any other form of peer recognition? Yes ☐ No ☐ If yes, specify briefly:
Is your artistic practice your principal occupation? Yes ☐ No ☐ How many hours a week do you devote to it?
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 4 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
4. WORKSPACE – NUISANCE AND GOOD NEIGHBOURLINESS Note: Activities that are noisy or produce odours, dust or toxic emissions are limited to specific areas of the building. In some cases, installation of ventilation or soundproofing may be required. Please answer the following questions in order to help us ensure good neighbourliness. Is your practice noisy? Yes ☐ No
☐
If yes, specify briefly:
Do you use solvents or other substances that generate toxic odours or gases? Yes ☐ No ☐ If yes, specify:
Do you use machinery that generates vibrations or requires high voltage? Yes ☐ No ☐ If yes, specify briefly:
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 5 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
5. WORKSPACE – ABILITY TO PAY: Are you able to prove your ability to pay by providing relevant information and references? Yes ☐ No ☐ List your references and provide relevant supporting documents (e.g., atelier or residence owner, employer or organization from which you receive funding, e.g. the Council for the Arts, bank references, etc.) 1.
2.
3.
4.
5.
Do you grant us authorization to perform a credit check if your application is accepted? Yes ☐ No ☐
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 6 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
6. WORKSPACE – DIMENSIONS AND LOCATION
Number of square feet of the desired space (WARNING: Refers to the usable area, excluding payable common areas of the project but including internal common areas for a group if applicable7):
Additional storage: You can set up your storage in your space, however if you would like to rent extra storage space, please indicate the number of square feet required:
Preferred location of the workspace in the building (please indicate three choices):
CHOICE No. 1 Floor: Ground8 – 5455 de Gaspé Ground8 – 5445 de Gaspé
☐ ☐
3rd floor – 5445 de Gaspé 4th floor – 5445 de Gaspé 5th floor – 5445 de Gaspé
☐ ☐ ☐
6th floor – 5445 de Gaspé
☐
Location: Corner: South-East ☐ Corner: South-West Corner: North-East ☐ Corner: North-West In the North-South axis, facing West, on de Gaspé In the North-South axis, facing East, on the future Alma Street In the central area of the floor (no windows)
☐ ☐ ☐ ☐ ☐
7
The formula for calculating the total rented area (including common areas of the project) can be found in Section B>1. Rate Structure of the Guide for the Preparation of a Project Participation File (Pied Carré, 2013). 8 Please note that ground floor spaces must mandatorily be open to the general public and have a reception center.
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 7 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
CHOICE No. 2 Floor: Ground9 – 5455 de Gaspé Ground9 – 5445 de Gaspé
☐ ☐
3rd floor – 5445 de Gaspé 4th floor – 5445 de Gaspé 5th floor – 5445 de Gaspé 6th floor – 5445 de Gaspé
☐ ☐ ☐ ☐
Location: Corner: South-East ☐ Corner: South-West Corner: North-East ☐ Corner: North-West In the North-South axis, facing West, on de Gaspé In the North-South axis, facing East, on the future Alma Street In the central area of the floor (no windows)
☐ ☐ ☐ ☐ ☐
CHOICE No. 3 Floor: Ground9 – 5455 de Gaspé Ground9 – 5445 de Gaspé
☐ ☐
3rd floor – 5445 de Gaspé 4th floor – 5445 de Gaspé 5th floor – 5445 de Gaspé 6th floor – 5445 de Gaspé
☐ ☐ ☐ ☐
Location: Corner: South-East ☐ Corner: South-West Corner: North-East ☐ Corner: North-West In the North-South axis, facing West, on de Gaspé In the North-South axis, facing East, on the future Alma Street In the central area of the floor (no windows)
9
☐ ☐ ☐ ☐ ☐
Please note that ground floor spaces must mandatorily be open to the general public and have a reception center.
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 8 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
7. WORKSPACE – LAYOUT Note: To understand Pied Carré's rental offer for each member category, please refer to Section A>Rental Offer of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). ANNEX A – TO BE COMPLETED: For GFMs only, from April 11 to 24 2013, inclusively. To make a request for tenant improvements, GFMs must complete ANNEX A to this form available at the end of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013) and submit it with this form at the latest on April 24, 2013. For all non-GFM members of Pied Carré, please provide a brief description of the layout (heavy equipment, general configuration, etc.) of your future workspace (please enclose a sketch of your layout plan):
For complex layouts: Do you plan on working with professionals on your project (architects, contractors)? Yes ☐ No ☐ Would you like Pied Carré to send you information on this subject (layout planning)? Yes ☐ No ☐
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 9 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
8. WORKSPACE – RENTAL COST Note 1 – Rental cost and rent reductions: To understand de Gaspé project rental costs for each atelier type, please refer to Sections B>1. Basic Rate Structure, B>2. Rent Reduction Structure, and B>3. Pied Carré Project Cost and Annual indexations of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). Note 2 – Rent increase adjustment: To understand the rent increase adjustment, available only to GFMs from April 11 to 24, 2013 inclusively, please refer to Section A>1. Rental offer – GFM of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). ANNEX B – TO BE COMPLETED: For GFMs only, from April 11 to 24, 2013, inclusively. To request a rent increase adjustment, GFMs must complete ANNEX B to this form available at the end of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013) and submit it with this form at the latest on April 24, 2013. ANNEX C – TO BE COMPLETED: For Ateliers "To Protect" (ATP) only, for the duration of the project. To make a request for rent reduction(s), members applying for an ATP lease must complete ANNEX C to this form available at the end of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013) and submit it with this form. Rental cost: Based on your understanding of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013), you will be leasing (please check one): An Atelier "TO PROTECT" (ATP) at the rate of $9,05/annual sq. ft.10 An Atelier "TO CONSERVE" (ATC) at the rate of $10,00/annual sq. ft.11 A "SOLIDARITY" Atelier" (SA) at the rate of $13,05/annual sq. ft.11
☐ ☐ ☐
Project donations (first lease year): You checked one of the three atelier types above, but would like to support the project by donating a few cents per annual square foot to the project: Yes ☐ I wish to support the de Gaspé ateliers project, and hereby add $ ____/ annual sq. ft. for year 1 of my lease with Pied Carré. No thank you! ☐
10
Cost per annual sq. foot before QST/GST and before applicable reductions – see Section B>Rate Structure of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013). 11 Cost per annual sq. foot before QST/GST, reductions not applicable – see Section B>Rate Structure of the Guide for the Preparation of the Project Participation File (Pied Carré, 2013).
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 10 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
9. PROJECT PARTICIPATION – SURVEY Please help us better process your application and plan the project by answering the following brief questions: Walls: Are you comfortable with the idea of leasing an atelier with walls that do not extend to the ceiling (i.e., 8 foot walls)? Yes ☐ No ☐ Windows: Are you comfortable with the idea of leasing an atelier with high windows allowing for indirect natural light only? Yes ☐ No ☐ Space sharing: If you are applying for a space of 550 sq. feet or less, are you comfortable with the idea of sharing space with a group or collocation in a larger space of the de Gaspé ateliers project? Yes ☐ No ☐ Ventilation: Would you be interested in a common facility with special ventilation for working with toxic products (lacquers, aerosols, etc.)? Yes ☐ No ☐ If yes, would you be willing to pay a monthly supplement or an hourly rate for access to this facility? Yes ☐ No ☐ If yes, what is your estimated usage per month of this facility? _________hours /month Multi-purpose room: would you be interested in a common multi-purpose facility (conference room, photo studio, rehearsal room)? Yes ☐ No ☐ If yes, would you be willing to pay a monthly supplement or an hourly rate for access to this facility? Yes ☐ No ☐ If yes, what is your estimated usage per month of this facility? _________hours /month Other comments, suggestions, needs:
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 11 of 12
Regroupement Pied Carré 5455 de Gaspé, #210, Montréal (QC) H2T 3B3 Tel: 514-272-1313 www.regroupementpi2.org
10. MEMBER – DECLARATION, COMMITMENT AND SIGNATURE (Individual) I declare that I have read and understood in their entirety the Guide for the Preparation of the Project Participation File (Pied Carré, 2013), its annexes, and this form. I declare that all information provided in or with this form and in its annexes are accurate. (Organization, business, group) I declare that I have read and understood in their entirety the Guide for the Preparation of the Project Participation File (Pied Carré, 2013), its annexes, and this form. I declare that I have the authority and the power to provide the information contained in this form and in its annexes and that this information is accurate. I declare that I have the authority and the power to commit the organization, group or business that I represent. By signing the present form and its annexes, I make an irrevocable commitment, on behalf of myself or on behalf of the organization, business or group that I represent, to rent a space in the project on condition that the following choices – location of the requested space in the building and on the floor12, rental cost for the requested space including requested reductions if applicable, usable area in sq. ft. of the space – are respected. If one or more of these choices – location, cost, dimensions – are not respected, the present commitment will be declared null and void. Signed in
, on
Signature
IN PRINT: Last name, first name.
IN PRINT: Function, of [name of the organization, group or business] (not applicable to individual requests – i.e., Director of BUSINESS
N.B. : Please initial the bottom of each page of this form as well as the bottom of each page of all submitted annexes of this form.
12
See Section 6> Dimension and Location of this form: Refers to at least one of the three preferences indicated in the form.
Translation performed and subsidized by Castorpollux Traduction et Révision | www.castorpollux.ca
Page 12 of 12
