Film Permit Application

Required fields are marked with asterisks (*)

Declaration of Applicant – re Section 21 Guidelines*

The undersigned applicant declares the Production Company has reviewed, understood, has developed a plan to implement, and is committed to implement, and is committed to adhering to the film industry guidelines, related to the prevention of the spread of the COVID-19 virus, as published by the Section 21 Film and Television Health and Safety Advisory Committee of the Ontario Ministry of Labour and Skills Development on June 25, 2020 and the Durham Region Health Department, including any amendments that may be published to these guidelines at any time.

Further, the undersigned acknowledges that the Town of Ajax has the right to revoke an issued Film Location Permit and suspend any agreed upon filming activities without notice, should the production company fail to adhere to the guidelines as set out by the Section 21 Film and Television Health and Safety Advisory Committee or the Region of Durham Health Department.

*All sections must be completed before the film permit can be reviewed. Failure to do so will result in delays.

*A minimum of 10 business days is required to review your permit.

*The Film Location Permit fee is $255.50 plus HST ($288.72).

Date:

First Name:

Last Name:

Position/Title:

Production Company:

Production Title:

Street:

Unit:

City:

Province:

Postal Code:

Office Phone:

Cell Phone:

Email Address:

Description: Provide a brief scene description. Attach sketch when necessary:

Location Sites: (All public roads and properties)

Commencement of Filming:

Date:

Start Time:

End Time:

Add more dates:

Estimated hours set and strike:

Estimated hours filming:

Total Crew:

Total Talent:

Activity Description:

Check as appropriate:

Traveling Shots PDO Required

Road closure - 10 working days required

Intermittent traffic stoppages PDO required

Applicant's responsibilities before filming to commence:

PDO (Paid Duty Officers)/TSU (Technical Support Units)/ETS (Emergency Task Force) (on site)

Businesses and residences to be notified - a draft letter must accompany this application

Copy of insurance - naming Town of Ajax as additional insured in an amount not less than 5 million dollars must accompany this application

The production company must notify the Town of Ajax of any filming activity before 8:30 a.m. or after 8:00 p.m.

The production company must notify the Town of Ajax of the use of SPFX and gunfire - Fire personnel may be required.

Special Conditions - office use only

Film Permit Fee - $255.50 + HST

Security deposit may be required

I/we hereby agree to all terms and conditions set forth with this permit and agree to assume all costs for damages and /or restoration. Do not sign until special conditions applied and permit approved.

Clear

Permit Approved:

Date:

Authorization for Road Closure:

Date:

Acknowledged by Town of Ajax Film Liaison Office

Date:

Terms and Conditions of Filming in the Town of Ajax

The Applicant applying for a Film Location Permit Shall:

Provide a Liability Insurance Certificate for a minimum amount of $5,000,000.00 in a form approved by the Town of Ajax, naming the Town as an additional insured. Certificate must be supplied to the Economic Development Office with a completed film permit;
Not close, occupy, obstruct, encumber, injure or foul any highway, or any part thereof by without first applying for and obtaining a Road Occupancy Permit. Upon obtaining a Road Occupancy Permit, the applicant shall follow all terms and conditions outlined with respect to the Road Occupancy Permit;
Ensure through traffic is maintained at all times;
Not stop traffic in any direction for longer than three minute intervals;
Supply, erect and maintain adequate signage to guide the motorist or public around the site;
Provide all barricades, signs and signals to the satisfaction of the Town;
Ensure vehicular and pedestrian access to all properties is maintained;
Provide pay duty police officers on site when traffic is stopped for any length of time, in any direction;
Not cover, remove or alter any permanent or temporary fixtures, or road signs in any way without express written approval from the Town;
When refuse collection will be interrupted as a result of the filming activities, be responsible for making alternative arrangements which are satisfactory to the Town and the affected property owners;
Ensure police escort to and from the film location for all vehicles which are part of the production, which exceed the maximum width as per the Highway Traffic Act;
Be responsible for the removal of litter and restoration of the filming location and any other site used for the filming activities; a security deposit may be required;
Notify in writing any resident, organization or business that may or will be affected during the process of the filming; Written notice must be sent to all affected area residents and businesses where the filming will occur at least five (5) business days before filming commences.
Be advised that the Municipality may be required to enforce the 3 hour parking By-law in certain residential areas;
At all times comply with the local regulations regarding parking, restricted areas, fire hydrants, etc. unless otherwise specified by the Town;
If the road is to be partially closed, or traffic restricted in any way, it is the responsibility of the applicant to contact the following agencies to inform them as to the dates of commencement and completion of filming.