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Short Term productions - Help

  • Durations upto 60 days.
  • Gross production cost of $1,000,000 or less.
  • Coverage only for shoots in the US or Canada.
  • Optional coverage for Stunts, Animals, Precision Driving, Pyrotechnics, Cast Extra Expense.
Shorttermteamsml

  • Qualification Questions

      Read each question and check 'YES' for any question that is true for your production.

      YES  Will the production include any of the following? Stunts, Pyrotechnics, Aircraft, Boats, Animals, Race Tracks, Race Courses, Helicopters, Motorbikes, Snowmobiles, Blanks, Squibs, Guns, Live Gangster Rap Music or Hard-Core/Soft-Core Porn?
      YES  Any unprotected or open heights above 15 feet?
      YES  Any employees supplied to or from an employee leasing operation (i.e. PEO)?
      YES  Is coverage required outside of the U.S. and Canada?
      YES  Any prior production with any losses of any kind?

      Read and confirm the following statements

      YES  Only one production can be covered by the policies issued.
      YES  A policy cannot be canceled once it has been bound. Please be sure of everything before you ask that a short term policy be bound. There are NO refunds.
      Square_down_24

      Click on the sections below to continue.

  • Applicant Information

         = required

      Name of Company
      Email
      Phone #
      Phone Type
      Entity
      Full Name Contact
      Address 1
      Address 2
      City
      State/Province
      Zip/Postal Code
      Website

  • Production Details

         = required

      Production Type
      Production State
      Starting
      Ending
      Number of Shoot Days
      Locations
       Help2 Attach
      Synopsis
       Help2 Attach

  • Key Production Contact

         = required

      Foreign entities and/or foreign individuals shooting in the U.S. must have a permanent location in the U.S. or hire the services of a U.S. based producer or executive producer. At least 1 producer or executive producer must be declared.

      First Name
      Last Name
      Role
      Drivers License State
      Drivers License Number
      Country of Residence

  • Music Video Details

      Only if Shoot is a Music Video
      Music Category
      Music Decade
      Artist Name(s)

  • Stunts

      • Aerial Scenes

          Scenic shots from private or commercial airplanes, private or commercial helicopters, or aircraft other than airplanes or helicopters, that do not involve aerial acrobatics or other hazardous maneuvers.

          Exclusions: Aircraft Liability, Workers' Compensation, aerial acrobatics or other hazardous maneuvers

          no. of scenes
          Commercial Aircraft Shoot Shoot from an airplane used in commercial aviation, powered either by jet or propeller.
          Shoot from Other Jet Aircraft Shoot from a jet airplane other than one used in commercial aviation, such as military aircraft, courier, or other non-commercial large plane.
          Private Plane Shoot Shoot from a private airplane powered either by jet or propeller.
          Propeller Plane Shoot Shoot from a propeller driven plane, not otherwise classified (such as a research plane, prototype plane,etc.)
          Helicopter Shoot
          (<500,000)           		Shoot from a helicopter where the value of the equipment taken aboard the helicopter is less than $500,000.
          Helicopter Shoot
          (500,000 to 1,000,000)           		Shoot from a helicopter where the value of equipment taken aboard the helicopter is between $500,000 and $1,000,000.
          Helicopter Shoot (>1,000,000) Shoot from a helicopter where the value of equipment taken aboard the helicopter is greater than $1,000,000.
          Hanglider Shoot Scenic shots from a hanglider.
          Parachute Shoot Scenic shots from a plane of parachuting person or of a parachuting person from the ground.
          Hot Air Balloon Shoot Scenic shots from a hot air balloon.
          Aerial Scenes
           Help2 Attach

      • Choreographed Falls

          Exclusions:Workers' Compensation for falls above 3ft.

          no. of scenes
          Falls (above 3ft) Choreographed falls from heights above 3 feet.
          Falls (3ft or less) Choreographed falls from heights of 3 feet or less.
          Fall Stunt Detail
           Help2 Attach

      • Fight Scenes - Choreographed

          Fight scenes that are choreographed, structured, and sequenced.

          Exclusions:Workers' Compensation

          no. of scenes
          No Physical Contact Fight scenes that do not involve physical contact between actors.
          Physical Contact
          (no weapons)           		Fight scenes that involve physical contact between actors but do not involve any weapons.
          Physical Contact
          (weapons)           		Fight scenes that involve physical contact between actors and involve weapons.
          Fight Stunt Detail
           Help2 Attach

      • Recreational Vehicles

          The use of recreational vehicles such as ATV's, Go Carts, mopeds, motorcycles, scooters, Segways, snowmobiles, and similar type vehicles.

          Exclusions:Workers' Compensation

          no. of scenes
          ATV's Scenes involving the use of ATV's.
          Go Cart Scenes involving the use of Go Carts.
          Go Cart Scenes involving the use of mopeds.
          Motorcycle Scenes involving the use of motorcycles.
          Scooter Scenes involving the use of scooters.
          Segway Scenes involving the use of Segways.
          Snowmobile Scenes involving the use of snowmobiles.
          Recreational Vehicle Stunt Detail
           Help2 Attach

      • Water Scenes

          Scenes that occur on water (other than scenes on boats - Use MovieBoat Program)

          Exclusions: Workers' Compensation (except swimming pools)

          no. of scenes
          Canoes Scenes taking place on canoes in a body of water.
          Close to Shore Shot Scenes that take place in a body of water but relatively close to shore.
          Inland Lakes Scenes that take place on or in an inland lake. Workers' Compensation Ineligible.
          Kayaks Scenes taking place on kayaks in a body of water.
          Surfing Scenes that involve surfing.
          Swimming Pools Scenes taking place in swimming pools.
          Water Stunt Detail 
           Help2 Attach

      • Weapons Scenes

          Scenes that involve prop guns, squibs, blanks, knives or other similar weapons.

          Exclusions:Workers' Compensation

          no. of scenes
          Blanks Scenes that involve the firing of blanks from guns. A blank is a cartridge for a firearm that contains gunpowder but no bullet or shot. When fired, the blank makes a flash and an explosive sound.
          Knives Scenes involving the use of knives.
          Prop Guns Scenes involving the use of guns that are unable to fire.
          Squibs Scenes that involve the use of squibs (small explosive devices).
          Various use of Squibs Blanks, Knives, Prop Guns - Scenes involving a combination use of squibs, blanks, knives and/or prop guns.
          Describe Weapon Stunt Scenes and Dates
           Help2 Attach

  • Pyrotechnics, Demolitions & Explosions

    • Fireworks (Certificates Not Obtained)

        These firework activities are to be utilized when a certificate of insurance is not obtained from the pyrotechnician.

        Exclusions:Workers' Compensation

        no. of scenes
        Minimal Risk Effect Minimal risk effect will be 100% controlled, at least 500 feet away from the public and property. A permit from the fire department is not required. Actors and crew will not be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect.
        Moderate Risk Effect Moderate risk effect will be 100% controlled, at least 250 feet away from the public and property. A permit from the fire department is not required. Actors and/or crew may be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Medium Risk Effect Medium risk effect will be 100% controlled, at least 100 feet away from the public and property. A permit is obtained from the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        High Risk Effect High risk effect is 100% controlled and takes place close to the public and/or property. A permit must be obtained and the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Fireworks Scenes
         Help2 Attach

    • Fireworks (Certificates Obtained)

        These firework activities are to be utilized when a certificate of insurance is obtained from the pyrotechnician.

        Exclusions:Workers' Compensation

        no. of scenes
        Minimal Risk Effect A certificate of insurance is obtained from the pyrotechnician naming the production company as additional insured and loss payee.
        Describe Fireworks Scenes
         Help2 Attach

    • Flashboxes

        Exclusions:Workers' Compensation

        no. of scenes
        Flashboxes Scene involving the use of a flashbox or similar device. A flashbox is a small box containing the socket into which a pyrotechnic cartridge is plugged. Also known as a flash pod.
        Describe Flashbox Scenes
         Help2 Attach

    • Miscellaneous Pyrotechnic Effects (Certificates Not Obtained)

        These pyrotechnic activities are to be utilized when a certificate of insurance is not obtained from the pyrotechnician.

        Exclusions:Workers' Compensation

        no. of scenes
        Minimal Risk Effect Minimal risk effect will be 100% controlled, at least 500 feet away from the public and property. A permit from the fire department is not required. Actors and crew will not be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect.
        Moderate Risk Effect Moderate risk effect will be 100% controlled, at least 250 feet away from the public and property. A permit from the fire department is not required. Actors and/or crew may be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Medium Risk Effect Medium risk effect will be 100% controlled, at least 100 feet away from the public and property. A permit is obtained from the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        High Risk Effect High risk effect is 100% controlled and takes place close to the public and/or property. A permit must be obtained and the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Describe Miscellaneous Pyrotechnic Scenes
         Help2 Attach

    • Miscellaneous Pyrotechnic Effects (Certificates Obtained)

        These firework activities are to be utilized when a certificate of insurance is obtained from the pyrotechnician.

        Exclusions:Workers' Compensation

        no. of scenes
        Minimal Risk Effect A certificate of insurance is obtained from the pyrotechnician naming the production company as additional insured and loss payee.
        Describe Miscellaneous Pyrotechnic Scenes
         Help2 Attach

    • Demolitions/Explosions (Certificates Not Obtained)

        These demolition/explosion activities are to be utilized when a certificate of insurance is not obtained from the stunt coordinator.

        no. of scenes
        Minimal Risk Effect Minimal risk effect will be 100% controlled, at least 500 feet away from the public and property. A permit from the fire department is not required. Actors and crew will not be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect.
        Moderate Risk Effect Moderate risk effect will be 100% controlled, at least 250 feet away from the public and property. A permit from the fire department is not required. Actors and/or crew may be near the effect. Licensed pyrotechnician is not required. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Medium Risk Effect Medium risk effect will be 100% controlled, at least 100 feet away from the public and property. A permit is obtained from the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        High Risk Effect High risk effect is 100% controlled and takes place close to the public and/or property. A permit must be obtained and the fire department and the fire department will be present. Actors and/or crew may be near the effect. Licensed pyrotechnician is required to be present. Equipment cannot be in close proximity to the effect. Loss control and safety features must be provided.
        Describe Demo/Explosion
         Help2 Attach

    • Demolitions/Explosions (Certificates Obtained)

        These demolition/explosion activities are to be utilized when a certificate of insurance is obtained from the stunt coordinator.

        Exclusions:Workers' Compensation

        no. of scenes
        Minimal Risk Effect A certificate of insurance is obtained from the pyrotechnician naming the production company as additional insured and loss payee.
        Describe Demo/Explosion
         Help2 Attach

  • Driving & Vehicle Effects

    • Precision Driving Scenes

        Scripted driving scenes that do not involve racing, chasing, skidding or collisions.

        Exclusions:Workers' Compensation, stunts, racing, chasing, skidding or collisions.

        no. of scenes
        Public Roads Shoots occurring on public roads, not exceeding 80 MPH. No chase scenes, no speeding, no skidding.Driving - Shoots occurring on public roads, not exceeding 80 MPH. No chase scenes, no speeding, no skidding.
        Race Track Driving Driving around a race track, not exceeding 80 MPH. No skidding or chasing. Single vehicles only.
        Off-Road Driving Driving on surfaces other than paved roads, not exceeding 80 MPH.  No skidding, racing or collisions.
        Precision Driving Scenes
         Help2 Attach

    • Motorcycles

        Exclusions:Workers' Compensation, stunts, racing, chasing, skidding or collisions.

        no. of scenes
        Public Roads Shoots occurring on public roads, not exceeding 65 MPH. No chase scenes, no speeding, no skidding.
        Race Track Driving around a race track, not exceeding 65 MPH. No skidding or chasing. Single vehicles only.
        Off-Road Driving Driving on surfaces other than paved roads, not exceeding 65 MPH.  No skidding, racing or collisions.
        Describe Motorcycle Scenes
         Help2 Attach

    • Chase Scenes

        Exclusions:Workers' Compensation

        no. of scenes
        Vehicle Chase Scripted use of vehicles involved in racing or chase scenes.
        Motorcycle Scripted use of motorcycles involved in racing or chase scenes.
        Describe Chase Scenes
         Help2 Attach

    • Vehicle Collisions

        Exclusions:Workers' Compensation

        no. of scenes
        Vehicle Collision Choreographed, structured and sequenced collision of vehicle(s) and/or motorcycles.  No camera equipment mounted in vehicle or motorcycle.
        Describe Vehicle Collision Scenes
         Help2 Attach

    • Vehicle Explosions

        Exclusions:Workers' Compensation

        no. of scenes
        Vehicle Explosion
        (minimal risk)         		Minimal risk effect will be 100% controlled, at least 1000 feet away from the public and property. A permit must be obtained and the fire department will be present. Actors will not be in the vehicle and crew will be at least 100 feet away.
        Vehicle Explosion
        (moderate risk)         		Minimal risk effect will be 100% controlled, at least 1000 feet away from the public and property. A permit must be obtained and the fire department will be present. Actors will not be in the vehicle and crew will be at least 100 feet away.
        Vehicle Explosion
        (medium risk)         		Medium risk effect will be 100% controlled, at least 100 feet away from the public and property. A permit must be obtained and the fire department will be present. Actors will not be in the vehicle and crew will be at least 25 feet away.
        Vehicle Explosion
        (high risk)         		High risk effect will be 100% controlled, in close proximity to the to public property. A permit must be obtained and the fire department will be present. Actors may be in the vehicle and crew will may be close to the vehicle.
        Describe Vehicle Explosion
         Help2 Attach

  • Animals

      Scenes that involve Dogs, Farm Animals, Fish, Household Pets (Cats, Birds,Mammals, Reptiles), Water Mammals, Wild Animals, Wild Cats, Wild Birds, and Zoo Animals (Caged & No Contact).

      Exclusions: Workers' Compensation

      no. of scenes
      Household Pets Shoots that involve dogs, cats, birds, mammals, reptiles.
      Farm Animals Shoots that involve farm animals such as chickens, cows, goats, horses, lambs, pigs.
      Fish Scenes Shoots that involve domestic/pet fish, jelly fish, piranha, sharks.
      Water Mammals Shots from land of whales, dolphins and other water mammals.
      Wild Animals Wild animals not caged and/or for which there is contact with the animal.
      Wild Birds Scenes with wild birds such as ducks, flamingos, geese, swans.
      Wild Cats Wild cats not caged are ineligible.  If caged, see the category for Zoo Animals (Caged & No Contact).
      Zoo Animals
      (Caged & No Contact)       		Scenes of zoo animals.  Animals must be caged and there cannot be contact with the animals.
      Describe Animal(s), Scenes
       Help2 Attach

  • Inland Marine (Equipment & Property Coverage)

      Rented Equipment
      Owned Equipment
      Rented Props, Sets, Wardrobe
      Help2
      Rented Furs, Jewelry, Art & Antiques
      Negative Film, Videotape & Digital
      Extra Expense
      Third Party Property Damage
      Office Contents
      Animal Extra Expense
      Rental Cost Reimbursement
      Help2
      Civil Authority
      Help2
      Waiver of Subrogation

  • Cast

      Cast Extra Expense
      Help2
      Covered Person Extension (without sickness)
      Help2
      Covered Person Extension (with sickness)
      Help2
      Family Bereavement
      Help2

  • Equipment Floater

      Owned Equipment (Unscheduled)

  • General Liability (required)

      Occurrence / Aggregate Limit
      Fire Legal
      Medical Payments
      Blanket Additional Insured / Certificates of Insurance
      Help2
      Waiver of Subrogation
      Help2

  • Automobile - Hired & Non-Owned

      Physical Damage Limits
      Liability Limits
      Waiver of Subrogation
      Help2
      Number of Loaned or Donated Vehicles / Days  Days
       Vehicles
      Cost of Hire (mobile studios and film trucks)
      Cost of Hire (other than mobile studios and film trucks)

  • Excess Liability

      Occurrence / Aggregate Limit
      Help2

  • Workers' Compensation

         = required if limits are NOT excluded.

      Available only in AZ, CA, CO, CT, FL, IL, MI, NC, NV, NY, PA, TN, TX

      Limits
      Waiver of Subrogation
      All States Endorsement
      Payroll by Class Codes(if any)# Part Time# Full TimeTotal Payroll
      4360 - Subsequent Production Operations
      9610 - Motion Picture Production
      8742 - Salespersons - Outside
      8810 - Clerical Office Persons - NOC
      4361 - Photography
      7607 - Video Post Production
      8803 - Computer System Designers or Programmers
      Payroll Company (if any)
      Officers Names
      Workers compensation coverage is not provided for officers & owners. Enter the first name, last name and title for each officer/owner. Exclusions of coverage for stunts and hazardous activities will apply.
      Full NameTitle
      Identification Number
      An identification number  is required when binding Workers' Compensation coverage.
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