3. Title of Production Jobs of the Damned, Holliston Aftershow, Field Interviews at Comic-Con and red carpet events

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Ralph Fletcher
5 years ago
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1 Section I. General Information 1. Name of Production Company Horror Entertainment, LLC dba FEARnet Production Office Address 2700 Colorado Ave., Suite 200, Santa Monica, CA Phone # (310) Fax # Federal Employer ID Number Office Sq Ft: Officers Karla O Leary 2. Additional Named Insured Relationship Percentage Ownership Federal Employer ID. Section II. Production Information 3. Title of Production Jobs of the Damned, Holliston Aftershow, Field Interviews at Comic-Con and red carpet events 4. Type of Production Feature TV Pilot Documentary MOW Webisode Mobisode Reality TV Other Talk Show, Field Interviews for web and VOD TV Series # Episodes Running Time (per episode/ per clip, if applicable) 5. Storyline or Attach Synopsis Jobs of the Damned talk & interviews about special effects, make-up, props. 6. Is this a Union/ Guild Project Holliston After Show talk show with one host & 3 guests, different host each show. Each show 10 to 15 minutes. The set decor includes flats, couches, tables. 7. Producer Director 8. Source of Financing 9. Network/Distributor 10. Film Completion Bond Company 11. Production will be filmed using 12. Budget of Production Attached Gross Production Cost: Tax Incentive, if applicable Total Above-the-Line Total Below-the-Line If TV Series, Cost Per Episode Digital Videotape 35 mm 16 mm 70 mm Estimated $200,000 Annual Approx. $3,000 per day Ventura Blvd., Suite 1200 Sherman Oaks, CA

2 (webisodes) 13. Any optional items to be insured (e.g. story, scenario, music) Total value of optional items to be insured List of items to be insured 14. Estimated Dates of Principal Photography Start Wrap 15. Start Date of Pre-production 16. # Days Principal Est. Date of Protection Print 17. Filming Locations/Days at Each 3 rd party stages at various studios. Section III. Special & Hazardous Activity 18. Provide Details Please enter N/A as necessary Stunts/Hazardous Activities Aircraft Animals Watercraft Underwater Filming Pyrotechnics Special Vehicles Railroad Cars/Equipment Section IV. Negative Processing 19. Lab Location How often are negatives shipped to lab for processing How often are dailies viewed How are negatives/video transported to lab/post facility 20. Will cameras, lenses and equipment be tested prior to commencement of filming or taping? Section V. Cast 21. Artists to be declared for Accident Only coverage upon binding Please indicate age/ role Any artists with stop dates in their Ventura Blvd., Suite 1200 Sherman Oaks, CA

3 contracts 23. Any Essential Elements If, include name of artist Ventura Blvd., Suite 1200 Sherman Oaks, CA

4 Section VI. Insurance Coverages 24. Production Package All supplemental coverages to expire on policy expiration date Coverage Limits Deductible Cast (up to X artists) Family Bereavement Negative Film $500,000 Nil Library Stock Faulty Stock/Camera Processing $500,000 10% of loss subject to$2,500 min.$7,500 max Cameraman Error Props/Sets/Wardrobe $150,000 $1,500 Antiques, Fine Art $25,000 $1,500 Animal Mortality Miscellaneous Equipment $500,000 $2,500 Money & Security Office Contents $25,000 $1,000 Hired Auto Physical Damage Included 10% of loss subject to$1,000min $10,000max Third Party Property Damage $1,000,000 $1,500 Extra Expense $150,000 $2,500 Utility Failure to Supply $100,000 $2,500 Talent & n-budgeted Costs $50,000 $2,500 Mechanical Breakdown of Generators, Camera, Sound, Lighting Equipment Resumption of Operations Civil Authority (U.S. & Canada) Animal Extra Expense Electronic, Data, Processing Hardware Software Extra Expense Ventura Blvd., Suite 1200 Sherman Oaks, CA

5 25. Commercial General Liability Coverage Limits General Aggregate Products/ Completed Operations Personal/ Advertising Injury Each Occurrence Damage to Premises Rented to You Medical Expense Employee Benefits Liability Blanket Additional Insured Endorsement Include coverage for Cities, Municipalities, and payroll companies Remove Cross Liability Exclusion when required by contract Primary & n-contributory when required by contract Blanket Waiver of Subrogation Include Injury to Participants Coverage Limits to apply separately per project (if multiple projects to be declared to one policy): 26. n-owned & Hired Automobile Liability Coverage Limits Combined Single Limit Cost of Hired Vehicles Trailers/ Film Trucks (Honeywagons etc) All Others (Production Vans, Passenger Autos etc) Blanket Additional Insured Endorsement Include coverage for Cities, Municipalities, and payroll co *** Remove Cross Liability Exclusion when required by contract 27. Domestic Worker s Compensation Are you using a payroll company to provide Workers Compensation coverage If, please provide name of payroll service company **** Please provide a certificate of insurance from the payroll company evidencing Workers Compensation coverage. Executive Officers Included Excluded Names of Executive Officers Title Title Ventura Blvd., Suite 1200 Sherman Oaks, CA

6 Class Code State Payroll Production Clerical Outside Sales 28. Umbrella/Excess Liability Limit $ Deductible Nil Form: Umbrella Excess In excess of the following coverages Including Commercial General Liability Employee Benefits Liability Employers Liability n-owned/ Hired Auto Liability Third Party Property Damage 29. Prior Insurance Prior Loss Experience Or Loss Runs Attached 30. Signing this application does not bind the Applicant Company or Aon/ Albert G. Ruben to complete the insurance, but it is understood and agreed that the information contained herein shall be the basis of the contract should a policy be issued. If any of the above questions have been answered fraudulently, or in such a way as to conceal or misrepresent any material fact or circumstance concerning this insurance or the subject thereof, the entire policy shall be void. Any material change to the Company s exposure must be reported prior to coverage applying. I/We have read the above and agree that to the best of my/our knowledge and belief same fully represents the true statement of facts. Date: To Be Completed By Office Only Submitted by: Telephone: Applicant: Aon/ Albert G. Ruben Insurance Services, Inc Ventura Blvd., Suite 1200 Sherman Oaks, CA

Application. For Motion Picture Television Companie. Managed by: Scott Carroll, Director of Take1

Application. For Motion Picture Television Companie. Managed by: Scott Carroll, Director of Take1 Application For Motion Picture Television Companie Managed by: Scott Carroll, Director of Take1 1551 N. Tustin Ave., Suite 430 Santa Ana, CA 92705 Phone: (800)856-7035 Fax: (714) 542-7931 scott@lighthouseunderwriters.com