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EXHIBIT A <br /> 1. ATTRIBUTION <br /> Information Lender would like the City to include in Credit Line (for use in catalogue, <br /> labels, and publicity): <br /> 2. DESCRIPTION OF LOANED ART <br /> Name of Lender: (First) (a., (Middle) A. , (Last) Mickk AE.,_- <br /> Title: <br /> Date of Work:• 219C <br /> Medium: O Q, <br /> Dimensions: (height x width x depth in inches) <br /> Without base: With base: <br /> Dimensions of base: Approximate weight in pounds: <br /> Condition of Artwork: The Work will ()will not 4 require cleaning prior to display. If the <br /> Work requires cleaning, the Lender agrees to clean the work before it is unveiled for the public. <br /> The Work willwill not( )be in an undamaged condition when crated at before installation in <br /> Everett. If the Work is damaged, please describe: <br /> Insurance value: Estimated current market value in US$: e sc.° <br /> Will you carry insurance for the art while on tour? yes () noV' <br /> Insurance company: Policy Number: <br /> Will you name the City as additional insured? 1.\O <br /> If no, may we insure? Yes No ()\ <br /> Sculpture Loan Agreement 2020 <br /> Page 9 <br />