Location Manager Information

City

ZIP

Email

City

Cell Phone #

State

State

Production Company Name

Email

Email

Production Company Information

Company Name

Office Phone #

Name

Business Address

Cell Phone #

Contact Name

Cell Phone #

Business Address

Contact Name

Email

Email

ZIP

Office Phone #

Applicant Information

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Will existing power lines be utilized?

If yes, give date.

Have you applied for a film permit in the past?

Will any building fire and life safety equipment be affected?

Will residents or businesses be affected by filming? (Resident letters must be sent to affected individual(s) and a list of the addresses must accompany this application)

Are combustible curtains/back drops, window coverings or decorative material flame retardant in accordance with NFPA Standards?

Are Fire Extinguishers a 2A-10B:C minimum rating?

Application Details

Have you ever been convicted of a crime?

Filming Location(s) Information

Will any building utilities be altered before the shoot? (water, gas, electric)

Note: It is the responsibility of the filming company to contact the Police (609-494-3322) to inquire whether an officer will be necessary and/or cancel a film shoot. It is also the responsibility of the filming company to provide the Clerk's Office with a list of addresses (including the address numbers) of the homes that were notified of an upcoming filming. Failure to provide (48 hours prior to filming) a copy of the Letter of Intent, along with the list of addresses of residents that might be affected by this shoot, will result in denial/rejection of your filming permit).

Will pedestrian or vehicular traffic be affected as a result of filming? (If "yes", an off-duty police officer is required)

Is there a method of reporting an emergency to 911 readily available? (cell phone, landline)

Will there be any flammable/combustible liquids or pyrotechnics present? (cooking oil, etc.)

Will beaches be utilized/affected?

Will there be catering tents and/or food trucks for cooking?

Have the proper permits been applied for through the City Building Department for altering utilities and or set building?

# of Locations

Signature

1.   Indemnification and Hold Harmless. As an express condition of and in consideration of the grant of authority to engage in the event, the Applicant expressly, knowingly, and, to the fullest extent permitted by law, agrees to release, indemnify, defend, and hold harmless the Township of Long Beach, its elected and appointed officials, officers, employees, agents, volunteers, and others working on behalf of the Township from and against any loss, damages, claims, causes of action, liabilities, obligations, penalties, demands, and any and all other costs and expenses, including attorneys’ fees and costs, threatened against, suffered, and/or incurred by the Township, its elected and appointed officials, officers, employees, agents, volunteers, and others working on behalf of the Township arising out of and/or in any manner relating to the authorized event and the acts and/or omissions of the Applicant, its officers, owners, agents, employees, independent contractors, guests, volunteers, others working on behalf of the Applicant, and/or customers relating thereto. The Applicant shall be responsible and liable for the payment of any and all of the foregoing attorney’s fees and costs, to attorneys of the Township’s selection, for any investigation and review, pre-litigation, litigation, post-judgment litigation, and any and all appeals arising out of and/or relating to this application and agreement. Further, the existence of any available and/or applicable insurance shall not waive or release Applicant from the Applicant’s obligations set forth in this applicant and agreement.

2.   Consideration. Upon approval of the application, the Applicant shall be responsible to pay the Township the facility fee set by the Board of Commissioners within ten (10) days of the date of approval and prior to the event, if any. All payments shall be made payable to the Township of Long Beach. In the event payment is not made, the event shall be terminated.

3.   Compliance with Laws and Conduct. Applicant shall observe and comply with all laws and regulations. The maximum occupancy set by the Township shall not be exceeded. If in the Township’s sole determination, the Applicant and/or the Applicant’s employees, agents, invitees, and/or guests appear noticeably under the influence of alcoholic beverages, narcotics, drugs, or other controlled substances or exhibit behavior, conduct, or acts that would reflect negatively upon the Township or are socially unacceptable, the Township shall have the right to terminate this contract and have the offenders removed from the premises with no liability on the part of the Township. Applicant acknowledges that no weapons of any kind, alcoholic beverages, narcotics, drugs, or other controlled substances are permitted on or to be consumed on the Township’s property. In the event the Township terminates the event or otherwise takes action pursuant to this Paragraph, the consideration paid by the Applicant shall be retained by the Township.

4.   Use of Township Property. The Applicant shall use the property for the specific event alone and shall not be permitted to use it for any other purpose or at any other time. If the Applicant fails to remove its personal property, materials, and equipment following the event, the property shall, at the option of Township, either: (a) be deemed abandoned and shall become the property of the Township; or (b) the Township shall have the right to remove, dispose of, and/or store said property at the expense of the Applicant and the Applicant shall indemnify the Township as set forth in the Indemnification provisions of this application relating to the removal of the aforesaid. In the event the Township elects to store the Applicant’s property, materials, and equipment and the Applicant does not take possession of same within ten (10) days after the Township has taken possession, the Township may elect to dispose of same or deem it abandoned.

5.   Assumption of Risk. The Applicant hereby freely assumes all risks arising from and/or relating to this Agreement, including, but not limited to, any harm, injury, or loss that may occur to the Applicant and the Applicant’s property as a result this Agreement.

 

 

Identification and Hold Harmless Agreement

I hereby apply for a permit and tender the total fee mentioned above, and agree to be bound by all provisions of City of Long Branch Ordinance #233.

Please attach the following:

1. Certificate of Insurance
2. Copy of letter of intent to neighbors

• Addresses for neighbors involved (within 200 feet) can be obtained from the Tax Assessor's Office.

3. Detailed Description Letter
   • Filming location & dates.
   • Total number of cast & crew.
   • Number of scenes to be filmed.
   • All the cars, box trucks, trailers, campers, vans, and other vehicles being utilized.
   • All special production equipment (cranes, drones, generators, etc.) to be utilized.
   • How do you intend to provide for:
     • Security
     • Traffic Control
     • Toilet & Sanitary Facilities
     • Site Clean-Up and Parking

Applicant Signature

Attachments

Fee Schedule

Certification

Total Fee

Basic Production (under 5 million dollars):

• Application Fee: $250
• Permit Fee: $250

Major Production (5 million dollars +):

• Application fee: $2000
• Permit Fee: $5000

Non-Profit/Student Production:

• Application Fee: $100
• Permit Fee: Exempt

Expedited Fee $125