Piano technician Ray Kampermann of Kampermann Piano Center says tuning ensures notes played on a piano work together.

In a storage room beneath the stage of the Alberta Bair Theater, Caesar LaMonaca is preparing to tune a 9-foot-long, half-ton instrument, a 1990 Steinway Model D concert grand piano.

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The program costs roughly $40,000 per year, which is used to cover piano moving, tuning and a $1,000 honorarium for artists. The Bohemian Foundation, a private family foundation in Fort Collins, ...