Matthew W. Del Gaudio Service Award

I understand that the information collected will not be identified with me personally. It may be used in statistical reports. I give my permission to use the information for statistical reporting.

Information and illustrations for any firm or individual receiving an award or chosen for inclusion in any award citation will be taken from the information and materials submitted by the Entrant. There may be no further communication with an entrant prior to the announcement of an award. Accuracy, therefore, is essential.

BY MAKING A SUBMISSION, THE ENTRANT AGREES THAT THE INFORMATION CONTAINED IN ITS CONCEALED IDENTIFICATION FORM AND ANY OTHER INFORMATION OR MATERIALS SUBMITTED BY THE ENTRANT ARE COMPLETE AND ACCURATE. THE ENTRANT FURTHER AGREES THAT IT SHALL INDEMNIFY AND HOLD

HARMLESS The American Institute of Architects New York State (‘AIANYS’), FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF THE USE OF ANY INFORMATION OR OTHER MATERIALS SUPPLIED BY THE ENTRANT. ALL ERRORS OR OMISSIONS ARE THE SOLE RESPONSIBILITY OF THE ENTRANT.

The Entrant further certifies that the Entrant has obtained all permissions necessary to permit AIANYS to publish, without financial or other obligation, any information, photograph or other materials submitted by the Entrant, including any permissions required from any individual, architect, contractor, owner or photographer, and such grant will include the necessary permissions to include the same in the AIANYS’s designated periodical(s) for purposes of any announcements for this awards program. The Entrant certifies that AIANYS is authorized to use all such materials as they deem appropriate in connection with this awards program, including publicizing the program itself.

Exhibits for Archives

I understand that should my nomination be selected as the recipient of this award this submission will be archived by AIANYS.

Unpaid Labor Declaration

I declare, acknowledge, and affirm that I do not utilize, employ, or otherwise engage labor that is unpaid, including working students, and neither does any firm of which I am an owner or manager, in part or in whole. I acknowledge this wording shall cover all persons working under my employ or that of my firm, regardless of position or title. I also recognize that exceptions recognized by federal law (such as legally defined internships or educational cooperative programs) or by the AIANYS Rules of the Board are exempt from this policy.

I further declare, acknowledge, and affirm that I have not utilized any unpaid labor as defined above: for a minimum of 5 years prior to the application deadline for all AIANYS Honor Awards (if I am a candidate for such an award; and a minimum of 10 years prior to the application deadline for all other AIANYS Honor Awards, (If I am a candidate for any of those awards).

Code of Ethics and Professional Conduct

The AIA stands for universal respect for human dignity, and the unbiased treatment of all persons in employment, civic, and business transactions regardless of race, gender, sexual orientation, gender identity, physical abilities, or religious practices.

I affirm that I uphold this value in all my business and professional practices, and all my activities and conduct relating to the AIA.

In addition, the Rules of Conduct of the AIA Code of Ethics and Professional Conduct are mandatory for all AIA members and enforceable by the National Ethics Council.

Rule 1.401 – Members shall not engage in harassment or discrimination in their professional activities on the basis of race, religion, national origin, age, disability, caregiver status, gender, gender identity, or sexual orientation.

Rule 1.402 – Members shall not engage in conduct involving wanton disregard of the rights of others.

Rule 2.101 – Members shall not, in the conduct of their professional practice, knowingly violate the law.

Rule 2.104 – Members shall not engage in conduct involving fraud.

I affirm that, throughout the course of my AIA membership, I have consistently abided by the standards set by Rules 1.401, 1.402, 2.101 and 2.104 of the 2018 AIA Code of Ethics and have not engaged in conduct that may have violated the standards stated there.

I understand and agree that the AIA may take any action it finds appropriate (including the withdrawal of any honor or award) if any affirmation I have made is false, misleading, or deceptive, or any other reason the AIA may in its sole discretion determine is appropriate.

I understand any potential recipient of an AIANYS Honor Award may be subject to a background check and hereby consent to such a background check and to such other inquiry as the AIA, in its sole discretion, may determine to be appropriate.

Copyright Information and Announcement Images

For good and valuable consideration, the exchange of which is hereby acknowledged, I grant The American Institute of Architects New York State (‘AIANYS’) a non- exclusive license to use my copyrighted Work, including any text, brochures, drawings, photographs, graphics, plans, slides, books, transparencies or other copyrightable material, (the “Work”) identified on this form and submitted in connection with this submission as follows.

This license shall permit limited rights to use, reproduce, crop or resize, publicly display, distribute and transmit worldwide the Work during the full term of the copyright in all media, now known or hereafter devised, including the internet, without payment of any royalty or license fee, as follows:

in connection with the announcement of any awards under the awards program and the promotion of the awards program itself

in connection with efforts to educate architects through different media, in which AIANYS members only have access to view the Work; provided, however, that AIANYS shall implement reasonable technological measures to ensure that access is limited to AIANYS members, shall provide written notice accompanying each access to the Work specifying the conditions under which the Works may be used and that any other use requires additional permissions from me, and shall provide the written contact information supplied below so that the AIA member can contact me for permission for further use.

This license applies when the entrant has not secured greater rights to copyrighted material by a license or other agreement. If the entrant has previously secured greater rights to the copyrighted material, please select ‘Entrant has secured greater rights to copyrighted material’ below.

Permissions, Indemnification, Approvals and Images

By submitting this Copyright Permission Form for Textual and Visual Works, I represent that I have obtained all permissions that I believe are necessary to grant the limited rights granted by this Form and that the use or reproduction of the Work by AIANYS as permitted by this Permission Form shall not, to the best of my knowledge, information and belief, infringe or violate any other person’s copyrights.

I AGREE TO INDEMNIFY AND HOLD HARMLESS AIANYS FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF ANY BREACH OF THESE REPRESENTATIONS. AIA AGREES TO INDEMNIFY ME AND HOLD ME HARMLESS FROM AND AGAINST ALL CLAIMS OR DAMAGES ARISING OUT OF ITS USE OF THE WORK.