CERTIFICATE OF INSURANCE

Size: px

Start display at page:

Download "CERTIFICATE OF INSURANCE"

Malcolm Davis
6 years ago
Views:

CERTIFICATE OF INSURANCE PRODUCER HUB International HKMB Limited 595 Bay Street, Suite 900 Toronto, Ontario M5G 2E3 T: (416) 597-0008 F: (416) 597-2313 INSURED No Net Productions Ltd.

1 CERTIFICATE OF INSURANCE PRODUCER HUB International HKMB Limited 595 Bay Street, Suite 900 Toronto, Ontario M5G 2E3 T: (416) F: (416) INSURED No Net Productions Ltd Carrie-Derick, #311 Montreal, QC H3C 6G2 ISSUE DATE: (MM/DD/YY) 07/0714 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Company Letter A TOKIO MARINE & NICHIDO FIRE INSURANCE COMPANY Company Letter B Company Letter C Company Letter D Company Letter E COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Date (MM/DD/YY) POLICY EXPIRATION Date (MM/DD/YY) GENERAL LIABILITY General Aggregate $5,000,000 Comprehensive General Liability Products-Comp/Ops Aggregate $1,000,000 A Claims Made Occurrence CBC /01/13 11/01/14 Personal & Advertising Injury $1,000,000 Owners/Contractors Protective Each Occurrence $1,000,000 Non-Owned Auto 30 Days Only Fire Damage (any one fire) $1,000,000 Medical Expense (any one person) $10,000 AUTOMOBILE LIABILITY INCLUSIVE LIMIT $ Any Auto All Owned Autos Bodily Injury $ Scheduled Autos (Per Occurrence) Hired/Non-Owned Autos Property Damage $ (Per Accident) Garage Liability Property Damage $ A EXCESS LIABILITY Umbrella Form CBC /01/13 11/01/14 Each Occurrence $1,000,000 Aggregate $10,000,000 Other Than Umbrella Form EMPLOYER S LIABIILTY $ (Each Accident) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS WITH REGARDS TO THE COMMERCIAL GENERAL LIABILITY POLICY IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED IN CONNECTION WITH THE PRODUCTION The Walk. CROSS LIABILITY AND CONTRACTUAL LIABILITY IS INCLUDED UNDER THE COMMERCIAL GENERAL LIABILITY POLICY. LIMITS CERTIFICATE HOLDER STABLIMAGE Qc Inc. c/o François Archambault 985, 45e Avenue Lachine, Qc H8T 2M6 tel: merlinfilm@me.com CANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing Company will endeavor to mail 30 days written notice to the Certificate Holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the Company, its agents or representatives. AUTHORIZED REPRESENTATIVE Re: STEADICAM EQUIPMENT

2 Certificate of Insurance PRODUCER ISSUE DATE 07/07/14 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. Aon/Ruben-Winkler Entertainment Insurance Brokers 20 Bay Street, Toronto, Ontario M5J 2N9 Judith.buckley@aon.ca Phone: (416) Fax: (416) INSURED COMPANIES AFFORDING COVERAGE Company Allianz Global Risks US Insurance Company Letter A No Net Productions Ltd Carrie-Derick, #311 Montreal, QC H3C 6G2 COVERAGES This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. CO. LTR A TYPE OF INSURANCE MISCELLANEOUS EQUIPMENT INCLUDING HIRED/NON-OWNED AUTOMOBILE PHYSICAL DAMAGE PROPS, SETS, WARDROBE THIRD PARTY PROPERTY DAMAGE LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE (DD/MM/YY) POLICY EXPIRATION DATE (DD/MM/YY) ALL LIMITS IN US FUNDS MPT AUG AUG 2014 $ Certificate holder shown below is included as loss payee, as their interest may appear, but only with respect to the operations of the Named Insured for the production The Walk. CERTIFICATE HOLDER! STABLIMAGE! Qc Inc.! c/o François Archambault! 985, 45e Avenue, Lachine, Qc H8T 2M6! tel: / merlinfilm@me.com!! Re: STEADICAM EQUIPMENT! CANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. AUTHORIZED REPRESENTATIVE Judith Buckley, CRM THE POLICY CONTAINS A CLAUSE THAT MAY LIMIT THE AMOUNT PAYABLE OR, IN THE CASE OF AUTOMOBILE INSURANCE, THE POLICY CONTAINS A PARTIAL PAYMENT OF LOSS CLAUSE

5 Allen, Louise From: Sent: To: Cc: Subject: Helene Muller Wednesday, July 09, :20 PM Allen, Louise Francois Archambault; Hélène Ross; Risk Management Production; Barnes, Britianey; Katakos, Soto Re: The Walk - Insurance Certificate / Stablimage -Francois Archambault (Steadicam) I will send you shortly the required document. Regards, Hélène Muller Production Coordinator THE WALK No Net Productions LTD 1777 Carrie-Dérick, #311 Montréal, Qc, H3C 6G2 Tel: Fax: On Jul 9, 2014, at 15:17, Allen, Louise <Louise_Allen@spe.sony.com> wrote: We also need a copy of the employee box rental agreement that he signed please. Thanks, Louise Allen Sony Pictures Entertainment Risk Management T: (519) E: louise_allen@spe.sony.com From: Hélène Muller [mailto:mullerhelene@me.com] Sent: Wednesday, July 09, :21 PM To: Francois Archambault Cc: Hélène Ross; Risk Management Production; Michael Glees; Barnes, Britianey; Doris Jurado; Juliana Selfridge; Katakos, Soto Subject: The Walk - Insurance Certificate / Stablimage Please find attached the requested certificate of insurance. Best, Hélène Muller Production Coordinator THE WALK No Net Productions LTD 1777 Carrie-Dérick, #311 Montréal, Qc, H3C 6G2 Tel: Fax:

6 Allen, Louise From: Sent: To: Cc: Subject: Allen, Louise Wednesday, May 07, :59 PM 'Manon Bougie'; Hunter, Dennis Herrera, Terri; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Carole Vaillancourt; Cherylanne Martin; Leonetti, Matt RE: THE WALK: Francois Archambault camera operator, As he is an employee, we shouldn't sign this agreement. Rather, as Dennis noted, he should sign the applicable Sony agreement. Is this a box rental for a steadicam operator? If so, there is a specialty box rental form which should be used. Thanks, Louise Allen Risk Management T: (519) Original Message From: Manon Bougie [mailto:manonbougie@icloud.com] Sent: Wednesday, May 07, :37 PM To: Hunter, Dennis Cc: Herrera, Terri; Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Carole Vaillancourt; Cherylanne Martin; Leonetti, Matt Subject: Re: THE WALK: Francois Archambault camera operator, Oups so sorry here is the attachement. You re so right we will, of course, have him sign a related party rental agreement. Manon Bougie UPM THE WALK manonbougie@icloud.com 1

7 Allen, Louise From: Sent: To: Cc: Subject: Hunter, Dennis Wednesday, May 07, :34 PM Manon Bougie Herrera, Terri; Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Carole Vaillancourt; Cherylanne Martin; Leonetti, Matt RE: THE WALK: Francois Archambault camera operator, Hi Manon, Nothing is attached. Can you resend? I'm not an expert with these issues since I deal with locations and third party equipment rentals. I do know that if we rent equipment through a company owned by an employee, that rental is supposed to go onto a related party rental agreement form which should be with part of the production package. Thanks, Dennis Original Message From: Manon Bougie [mailto:manonbougie@icloud.com] Sent: Wednesday, May 07, :24 AM To: Hunter, Dennis Cc: Herrera, Terri; Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Carole Vaillancourt; Cherylanne Martin; Leonetti, Matt Subject: Re: THE WALK: Francois Archambault camera operator, Hi Dennis, Attached you will find deal memo for camera operator. It is mainly a risk management request to review. Do we have to address conflict of interest as he is not using same corporation for salary and for equipment? I advise the agent that I had not approve prep and that insurance would have to be approve by risk management. Merci Manon Bougie THE WALK manonbougie@icloud.com 1

8 ` SPECIALTY BOX RENTAL FORM Production Company: Production: Dept/Position: Construction Coordinator Sound Mixer Still Photographer Special Effects Supervisor Steadicam Operator Video Assist Operator Editing (Avids) Stunt Coordinator DIT Lessor Name: Soc. Sec. #: Company Name (if applicable): Fed. ID#: Rental Item(s) Box Rental Rates: $ per day Cap: $ Commenced on Inventory attached, # of pages: Total Value of Box: $ (Please note Invoices must be submitted weekly and payment will be made through Accounts Payable.) 1. Box rental rates are on a daily basis. PRODUCTION COMPANY BOX RENTAL POLICIES 2. Box rental agreements must be accompanied by a written Inventory of equipment or payment will not be made. Please include model numbers and/or serial numbers whenever applicable. Box rental payment(s) cannot be paid until the Production Manager and Production Administration have approved the Inventory list. 3. Lessor hereby represents and warrants that it is the a) sole owner or lessor of the equipment and that the equipment b) has been and c) will be properly maintained and it is and will be kept in good workable and safe operating condition. Lessor will indemnify and hold the Production Company harmless from any damages, loss, and liability, etc. (including reasonable attorney s fees) due to Lessor s negligence or willful misconduct or breach of any representations, warranties and agreements under a) through c). 4. The Production Company will provide commercial general liability and physical damage coverage per the written inventory list of equipment supplied. Lessor shall be added as an additional insured and/or loss payee as its interests may appear in accordance with this subparagraph. Such insurance does not extend beyond items listed, or for the personal effects or personal property of Lessor including (but not limited to) automobiles. 5. To the extent that Lessor removes the rented equipment from Production Company s care, custody or control including but not limited to an overnight basis or during non-filming days, Lessor shall be responsible for insuring the rented equipment during such times. 6. Lessor attests that this agreement represents a true rental of the applicable Box rental item(s) for this production. ACCEPTED AND AGREED TO: Owner/Lessor: Date: UPM: Production Accountant: Production Administration Executive:

9 Project Information Project: To Reach the Clouds Columbia Pictures/ TriStar Productions Date: May 7, 2014 Contact: Manon Bougie Deal Memo No.: 1061 Phone: (514) Artist Information Client: François Archambault Position: A Camera/Steadicam Operator Corp Details: Productions Merlin (Division of Quebec inc.) 985, 45th avenue Lachine, Quebec, Canada, H8T 2M6 Contact Numbers: Cell: (514) merlinfilm@me.com Equipment Rental: Stablimage (Division of Quebec inc.) 985, 45th avenue Lachine, Quebec, Canada, H8T 2M6 Agency Information Company: Schneider Entertainment Agency Mulholland Hwy. #210 Calabasas, CA Contact: Wendy Schneider wendy@schneiderentertainment.com Phone: (818) Fax: (818) Schedule. Prep: Shoot Dates: On or about May 7, 2014 for non-consecutive Prep. Minimum two (2) days guaranteed, does not include test or pre-principal shoot days. May 26, 2014 until completion of assignment 2. Compensation. Camera Operator Rate: Steadicam Rate: Camera Op. Overtime:: Steadicam Overtime Guarantee: Equipment Rental: $65.00 Per Hour $ Per Hour $97.50 Per Hour- 8 to 12 Hours (1.5x) $ Per Hour- After 12 Hours (2x) $ Per Hour- 8 to 12 Hours (1.5x) $ Per Hour- After 12 Hours (2x) Fifteen (15) days Steadicam minimum guaranteed. $1, Per Day when used. Minimum Fifteen (15) days guaranteed. 3. Miscellaneous. Insurance Certificate: Production Company will provide full insurance coverage for the Steadicam package provided to the production company. Insurance coverage shall be equal to and not less than any coverage and conditions afforded to any other camera rental organization used by the production company. Any loss will be covered at full replacement cost of equipment. Stablimage will be named as Loss Payee. Equipment rented from Stab is to be used by François Archambault in a capacity of Camera /Steadicam Operator exclusively and is not to be considered part of the general rental inventory. Coverage will begin when equipment is under supervision of the camera department. Please issue certificate prior to Prep: Stablimage 985, 45th avenue Lachine, Quebec, Canada, H8T 2M6

10 Archambault page 2 Credit (if granted): A Camera/Steadicam Operator- François Archambault Please review this Deal Memo, if the information contained herein is correct please sign and return. If I do not receive the signed document or a response of any kind, I will assume all is correct per our understanding of the material terms and our client will move forward rendering services accordingly. Sincerely, Wendy Schneider Schneider Entertainment Agency

Allen, Louise. Britianey Barnes Sr. Analyst P F approved

Allen, Louise. Britianey Barnes Sr. Analyst P F approved Allen, Louise From: To: Cc: Subject: Silverman, David Thursday, June 19, 2014 12:58 PM Sabine Graham; Barnes, Britianey Risk Management Production RE: Pixels - patent machine - READ THIS EMAIL approved