City of Peterborough Filming Application

Please file this application at the City of Peterborough, Clerk’s Office, 500 George Street North, Peterborough, Ontario, K9H 3R9 Fax: 705-742-4138, E-mail: clerk@peterborough.ca Contact: City Clerk’s Office Peterborough Economic Development City Hall Phone: 705-743-0777 ext. 2130 Phone: 705-742-7777 ext. 1820 Fax: 705-743-3093 Toll Free: 855-738-3755 E-mail: filming@peterboroughcanada.com Fax: 705-742-4138 E-mail: clerk@peterborough.ca

2017

City of Peterborough Filming Application

Page 2 Filming Application Form

Applicant and Production Company Information Name of Applicant/Production Company:

Address of Production Company: Street Address

Street Address cont.

Province Postal Code Phone Number

Main Contact Name: Position:

Telephone (bus.): Telephone (cell):

Email Address:

Location Manager: Telephone:

Asst. Location Manager: Telephone:

Name of Producer: Name of Director:

Project Details Project/Film Title:

Feature Film Television Music Video Commercial Documentary

Promotional Video Other ______________________________

Anticipated Rating of Film: Country of Origin of Production:

City of Peterborough will be portrayed as:

Description of storyline and scenes being filmed:

Total Budget: ___ Estimated amount to be spent in Peterborough:

City of Peterborough Filming Application

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Technical Requirements Location Definitions:

• Full Road Closure - Road is completely closed to vehicular traffic.

• Lane Closure - A lane is closed to vehicular traffic.

• Intermittent Road Closure - Vehicular traffic is momentarily stopped at a specific location with the use of City Police Officers for a specified period of time.

• Sidewalk Closure - Sidewalk is closed. Pedestrians are detoured around the occupied location using other sidewalks.

• Travelling shot - Moving vehicles are escorted by police for a travelling shot within a delineated section of the City or a specified route.

Location Requirements: Recreational Facility Permit - Appendix A: Park/Recreational/City Facility

Traffic Information - Appendix B: Full Road Closure Lane Closure Intermittent Road Closure Sidewalk Travelling Shot with Normal Traffic Flow (within a grid or a specified route)

Other, specify

Sign Dressing: Yes No Location(s): (Attach details)

Flag to be Flown: Yes No Location(s):

Proposed Flag:

Special Effects and props (fireworks, gunfire, etc.): Location(s): Dates and Details Parking Requirements: Location(s): Dates and Details

City of Peterborough Filming Application

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Checklist of Requirements (see section 3.2 of Guide to Filming in the City of Peterborough)

Insurance Certificate(s) Copy of Notice to Residents (all locations on City roads or sidewalks) Application Fees Security Hold Harmless Agreement Shooting Schedule

Local Approval Authorities for Non-City Locations • County of Peterborough, Public Works Department: 705-775-2737 ext. 337; Sheridan

Graham, Director of Procurement, Facilities & Communication 705-743-0380 ext. 323 • Ontario Provincial Police (Peterborough County Road Closures): 705-742-0401 • Trent Severn Waterway: http://www.pc.gc.ca/eng/lhn-nhs/on/trentsevern/index.aspx • Peterborough Lift Lock – Natalie Austin, Parks Canada, Ontario Waterways Unit,

Public Relations & Communication Officer, Phone: 705-750-4443 • Curve Lake First Nation: 705-657-8045; Hiawatha First Nation: 705-295-4421 • Kawartha Pine Ridge District School Board: 705-742-9773 • Peterborough Victoria Northumberland and Clarington Catholic District School Board:

705-748-4861 • Armouries, 220 Murray Street, (CFB Trenton Base switchboard): 613-392-2811 • Trent University: 705-748-1011; Fleming College: 705-749-5530

• Peterborough Regional Health Centre, 1 Hospital Drive: 705-743-2121

• Peterborough Downtown Business Improvement Area: 705-748-4774

Please complete the appropriate appendices for all requested filming locations. If applicable, include a map of the route. See Appendix D for a map of the City boundaries. The City reserves the right to alter any route.

City of Peterborough Filming Application

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Applicants should note that a filming permit will not be issued by the City Clerk until: 1. The Applicant has entered into a Hold and Save Harmless and Indemnity Agreement,

otherwise known as “the agreement”, with the City; 2. Proof of insurance in the minimum amount of $2 million dollars liability, naming the

Corporation of the City of Peterborough as an additional insured with 30 days notice of cancellation, is provided to the City Clerk, City of Peterborough, 14 days prior to the event. The City of Peterborough reserves the right to revise insurance requirements at our discretion. Insurance certificates submitted for film permit applications at City facilities co-owned with another party (e.g. Sport & Wellness Centre) must also name the other party as an additional insured.

3. All applicable fees are received by the City Clerk. Payment may be made at the City

Clerk’s office in cash, debit, Visa or Mastercard.

Cancellation Policy When approval has been issued to any person, organization or group to hold an event, should it become necessary to cancel the event, any monies refunded to the organizer shall be at the discretion of the City Clerk. Administrative fees will not be refunded. I hereby confirm I have read the above information, understand and agree to the contents of the application. Date: ______________ Signature of Applicant: _______________________________

I have authority to bind the company/corporation

_____________________ _______________________________ Title Name Printed In accordance with the Municipal Freedom of Information and Protection of Privacy Act, all information gathered will be used for the purpose of issuance of a film permit only.

Filming Application - Appendix A: Recreational Facility Permit Application

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City Facility Permit Request – Filming Type of Facility Required

Park Pavillion Beach Wading Pool

Splash Pad Sport Field/Court Arena Indoor Pool

Gymnasium Fitness Facility Other – specify

Type of Event Depicted:

Number of participants:

Name of Requested Facility Check off Applicable Days

Date(s) Times required

Interior or

Exterior shots S M T W T F S

A staff member from the appropriate division will contact you to obtain any additional details required to issue the appropriate permit.

Office Use Only: Computer Rental Number:

Recreational Facility Permit Application

Filming Application - Appendix B: Traffic Information Sheet

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Traffic Information Sheet Complete Road Closure: Road is completely closed to vehicular traffic. Road closure must be set up and traffic diverted as per the Ontario Traffic Manual, Book 7, (Temporary Conditions). Arterial and Collector road must not be diverted onto local streets. A detailed drawing showing detour route and appropriate signage is to be provided. (Fig 1.0) Lane closure: A lane is closed to vehicular traffic. Traffic can be diverted into other lanes or around the occupied location as per the Ontario Traffic Manual, Book 7, (Temporary Conditions). Please provide Typical Layout that will be used. Intermittent Road Closure Vehicular traffic is momentarily stopped with the use of City Police Officers for a specified period of time. Please provide vehicle/pedestrian stoppage time. Sidewalk Closure Sidewalk is closed. Pedestrians are detoured around the occupied location using other sidewalks. A detailed drawing showing detour route and appropriate signage is to be provided. Travelling shot Moving vehicles are escorted by police for a travelling shot within a delineated section of the City or a specified route.

1. Location Information or Street: Closure Type (see list above): Street From: Street To:

or attach map showing grid boundaries Set-up: Date(s): Start Time: End Time:

Filming: Date(s): Start Time: End Time:

Take Down: Date(s): Start Time: End Time:

Will the sidewalk be closed? Will pedestrians be diverted to the roadway? Type of #s Vehicles/Equipment:

Number of Cast and Crew:

2. Location Information or Street: Closure Type (see list above): Street From: Street To:

or attach map showing grid boundaries Set-up: Date(s): Start Time: End Time:

Filming: Date(s): Start Time: End Time:

Take Down: Date(s): Start Time: End Time:

Will the sidewalk be closed? Will pedestrians be diverted to the roadway? Type of #s Vehicles/Equipment:

Number of Cast and Crew:

Filming Application - Appendix B: Traffic Information Sheet

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3. Location Information or Street: Closure Type (see list above): Street From: Street To:

or attach map showing grid boundaries Set-up: Date(s): Start Time: End Time:

Filming: Date(s): Start Time: End Time:

Take Down: Date(s): Start Time: End Time:

Will the sidewalk be closed? Will pedestrians be diverted to the roadway? Type of #s Vehicles/Equipment:

Number of Cast and Crew:

4. Location Information or Street: Closure Type (see list above): Street From: Street To:

or attach map showing grid boundaries Set-up: Date(s): Start Time: End Time:

Filming: Date(s): Start Time: End Time:

Take Down: Date(s): Start Time: End Time:

Will the sidewalk be closed? Will pedestrians be diverted to the roadway? Type of #s Vehicles/Equipment:

Number of Cast and Crew:

5. Location Information or Street: Closure Type (see list above): Street From: Street To:

or attach map showing grid boundaries Set-up: Date(s): Start Time: End Time:

Filming: Date(s): Start Time: End Time:

Take Down: Date(s): Start Time: End Time:

Will the sidewalk be closed? Will pedestrians be diverted to the roadway? Type of #s Vehicles/Equipment:

Number of Cast and Crew:

Filming Application - Appendix C: Fee Schedule

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Fee Schedule - Filming

Item

Fee

Administration Costs - $525 - A written estimate of administrative costs will be

provided for complex applications Barricade/Signage Costs - $70/hour Parking Fees-in-Lieu - $10/occupied space on weekdays

- No charge on Saturday, Sunday and statutory holidays Policing Fees - Onsite Officer - $65/hour

- Onsite Supervisor - $70/hour - Vehicle - $110/vehicle

Site Rental Fees - Fees for use of parks, public buildings or other City of Peterborough property will be provided by written estimate

Please Note: This is a basic fee schedule. Depending on the complexity of the filming event and barricade or policing requirements, additional fees may be applicable. Fees are listed at the time of printing and are subject to change.

Filming Application - Appendix D: Map of the City of Peterborough

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