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Letter of Intent

Production information

Complete the form below if you are interested in pursuing any commercial activities related to photography, film, videotaping or any other media production. The Film Office will provide the most up-to-date requirements necessary for the municipality in which you are interested in working.

IMPORTANT NOTE: Please be as specific, accurate and complete as possible as this information will be used to assess your request and to generate your permit documents, if and when issued.

e.g., location manager, assistant location manager, UPM, producer, director

FULL LEGAL NAME including "LLC," "Inc.," etc. This will be the entity named on your film permit. [Students: Use the name of your school.]

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Please list specific areas of the location(s) to be used, and provide as many details as possible

Number of people including ALL cast, BG, crew, catering/crafty, drivers, etc.

Summary of insurance requirements

ALL productions on the property or otherwise under the jurisdiction of Westchester County, including student and non-profit productions, MUST provide:
   1. A valid certificate of insurance, with a minimum limit of $2 million for general liability, naming:
         "County of Westchester148 Martine Ave., White Plains, NY 10601as additional insured. 
         If you fail to use that exact wording and address, your permit may be delayed or denied. 
   2. Proof of workers compensation insurance on NYS Form C-105.2New York State statutory limits apply.
Additional insurance may be required depending the nature of the project.
Complete requirements are specified in Schedule B of your location agreement and permit.

Red fields are required.



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