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Film Permit Application

A film permit is required for motion picture or television production, or commercial materials of any kind which includes the use of any public street, road, right-of-way, public facility or public place owned by the City, or over which the City has the right of control. A film permit is not required for any filming at an established fixed place of business within the City. A film permit is not required for filming or videotaping of persons, scenes, occurrences or events, which are done for news gathering purposes in the general public interest, for use in criminal investigations by law enforcement agencies, or for use in any judicial proceedings.

The public property to which the permit relates shall at all times be made accessible to fire, police, or other emergency personnel for public health, safety, or welfare.

The permittee shall not block or close any streets, sidewalks or alleys.

The permittee shall not in any way interfere with traffic or pedestrian right of ways. The permittee shall be responsible for restoring any area used pursuant to a permit to the same condition it was in prior to use by the permittee.

The permittee is required to include the City of Pearland in production credits for filming or videotaping.

Costs incurred in the use of City equipment or any assignment of City employees, including Police and Fire personnel must be reimbursed to the City by the permittee.

A certificate of insurance is required prior to issuance of the film permit. The certificate of insurance must contain combined single limit coverage for bodily injury and property damage of not less than one million dollars ($1,000,000), and basic workers’ compensation insurance as provided in the laws of the state. The certificate shall name the City as additional insured. The City may require additional coverage if it is determined that the risks inherent in the proposed activity, would not be adequately covered, by the basic coverage.

A certificate of insurance is required prior to issuance of the film permit. Please do not submit your application without a certificate of insurance which has combined single limit coverage for bodily injury and property damage of not less than one million dollars ($1,000,000).

Application Date:

Film Company Name

Film Company Address

Street Address Address Line 2 City ZIP Code

Name of Responsible Party(Required)

First Last

Phone(Required)

Cell #

Fax #

Your Email Address(Required)

Email Address Confirm Email Address

Complete address(es) and name of location(s) where filming will occur: i.e. park address(Required)

Project Type:

I will be doing: video – What kind?

Documentary

Movie

Reality Show

Other

Please describe what the video/movie is about:

When and where will the video/movie be shown:

I will be taking photos: of what?

Models

Scenic shots

Other

Please describe what the photos will be used for:

Date(s) of when filming/photo shoot will occur:

Time(s) of filming/photo shoot Start:

a.m. or p.m.

Time(s) of filming/photo shoot End:

a.m. or p.m.

Number of persons to be involved in the project:

Please describe their function

Type of equipment to be used during filming:

*Streets, sidewalks or alleys may not be blocked or closed.

Describe the number and type(s) of vehicles to be used in the proposed activity and a description of any vehicle(s) movement or use:

I, the Undersigned, as the Responsible Party, agree to the following six requirements to obtain a film permit.

*(Required)

I agree that by obtaining this permit and signing below, to defend, indemnify and hold harmless the City of Pearland from any and all losses, costs, damages and expenses on account of activity of the permittee on the public property which is the subject of the permit.

*(Required)

*Required – I The public property to which the permit relates shall at all times be made accessible to fire, police, or other emergency personnel for public health, safety, or welfare.

*(Required)

The permittee shall not block or close any streets, sidewalks or alleys.

*(Required)

The permittee shall not in any way interfere with traffic or pedestrian right of ways.

*(Required)

The permittee shall be responsible for restoring any area used pursuant to a permit to the same condition it was in prior to use by the permittee.

*(Required)

The permittee is required to include the City of Pearland in production credits for filming or videotaping.

Confirmation by the Undersigned of Acknowledgement as the Responsible Party to Terms Above.

First Name(Required)

Last Name(Required)

Title

Date(Required)

Certificate of Insurance

Upload your of Certificate of Insurance

Accepted file types: pdf, docx, doc, Max. file size: 10 MB.

11200 Broadway St Suite 1390, Pearland, TX 77584
[email protected]
281-997-5970