Film/Photography Permit Checklist

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1 Film/Photography Permit Checklist Who needs to obtain a Film Permit? If you are organizing an activity in which a group of ten or more people engage in the production of photographic, video, or audio recordings within the boundaries of Vineyard (see attached map), with the exception of news reporting and of small groups involved in the production of recordings for strictly personal use, then you will need a Vineyard Film Permit. Complete applications must be submitted to the town no later than twenty-one (21) days prior to filming. Please submit the following: 1. Film/Photography Permit Application. 2. Detailed Site Plan for each location. Must include: Street names, placement of barricades, road/sidewalk closures Placement of equipment, cast and crew Parking areas for all vehicles, cast, crew, and extras 3. A certificate of insurance evidencing general liability or general liability and umbrella insurance coverage for the applicant in the minimum amount of $1,000,000 per occurrence, and naming the Town of Vineyard as additional insured, in effect on the date of the event. (Please see the example insurance certificate.) 4. Written authorization from the property owner indicating dates and times filming will occur on private property. When several residents and/or businesses will be impacted, submit the Filming Permission Form. 5. Film Permit Fee - $ Additional fees may apply, based on Vineyard or Sheriff personnel that may be required for your shoot. For helpful information about filming in the state of Utah, go to the Utah Film Commission s website at The authority to regulate the production of motion pictures and still photography within the Town of Vineyard is provided in Article 13-8 of the Vineyard Municipal Code. Copies of the Code are available online at

2 Special Events Department 240 E Gammon Road (801) kellyk@vineyardtown.com Film/ Photography Permit Application Please submit a completed application with all required documents (see Checklist) and Film Permit Fee to the Town of Vineyard no less than 21 days prior to filming. This application DOES NOT constitute a valid Film Permit until approved by the Town. COMPANY INFORMATION Project Name: FOR OFFICE USE ONLY Application Received Insurance Received Fee Paid Approvals: Sheriff Public Works Fire Production Company Name: Permanent Address: City: State: Zip Code: Phone: Local Production Office Address: City: State: Zip Code: Phone: CONTACT INFORMATION Producer: Cell Phone: Location Manager: Cell Phone: Type of Production (check all that apply) Feature Film Still Photography Student Film TV Movie TV Series Music Video Reality TV Documentary Commercial Infomercial Educational Industrial Corporate Short Film PSA Other: Will Vineyard streets be used? Yes No For filming? Yes No For Parking? Yes No Will streets need to be closed/blocked to traffic? Yes No Dates and times: LOCATION DETAILS please be as specific as possible. Location 1 Location Address: Type of Location (check one) Private Property Town Parks or Trails Town Street, Public Right-of-Way, or other Town Facilities Narrative of Activities (please attach additional information as necessary) Time(s):

3 Location 2 Location Address: Type of Location (check one) Private Property Town Parks or Trails Town Street, Public Right-of-Way, or other Town Facilities Narrative of Activities (please attach additional information as necessary) Time(s): Location 3 Location Address: Type of Location (check one) Private Property Town Parks or Trails Town Street, Public Right-of-Way, or other Town Facilities Narrative of Activities (please attach additional information as necessary) Time(s): Please list all vehicles (and their sizes) that will be parked in the vicinity of the shoot (equipment trucks, vans, catering vehicles, dressing rooms, buses, generators, crew cars, etc.) Will any of these scenes involve the use of explosives, aircraft, or firearms? Yes No If yes, please describe: Will the shoot involve night filming? Yes No Will this require turning off street lights? Yes No Will you be using portable toilet facilities? Yes No Have you made arrangements for trash disposal? Yes No We contract with the Utah County Sheriff s Department. If you are in need of any law enforcement services for your shoot, please contact them at (801) See the attached Agreement for Supplemental Law Enforcement Services. By submitting a signed application, the applicant certifies that falsifying any information on this application constitutes cause for rejection or revocation of the permit. The applicant agrees to pay additional fees as required for the use of Town services and facilities. Applicant s Name (please print): Applicant s Signature: Date: Created November 2016

4 Filming Permission Form It is the responsibility of the production company to notify all business and residential tenants who will be affected by filming. Permission to use private property must be granted in writing by property owners prior to filming. We, the undersigned, have been made aware that film at: Address film production company name, Vineyard, Utah on: Dates and Times is scheduled to The regular working hours (including setup and takedown) will be from: to. There will be equipment/vehicles necessary for the filming activity, parked. Number Location If traffic is to be held, it will be done intermittently for no more than 3-5 minutes. Special Conditions:. We hereby state that we raise no objections to the above referenced filming activity. Print Name Address Signature

5 What are the boundaries of Vineyard? All areas within the shaded area in the map below are in Vineyard. For film shoots taking place on the shoreline or on Utah Lake, contact the Utah Lake Commission. The authority to regulate the production of motion pictures and still photography within the Town of Vineyard is provided in Article 13-8 of the Vineyard Municipal Code. Copies of the Code are available online at

6 Agreement No AGREEMENT FOR SUPPLEMENTAL LAW ENFORCEMENT SERVICES Requesting Person or Entity: Address: Street address City State Zip Phone numbers: The above named party requests that Utah County provide POST certified Utah County Sheriff s deputies in uniform and in a marked Utah County Sheriff s Office vehicle for the purpose of regulating traffic flow and/or providing security. In all circumstances the primary function of deputies shall be public safety and the enforcement of applicable state and county laws. Type of event, function or service: Location: Number of deputies requested: Times: From To Based on this request Utah County agrees to provide deputies for the function described above on the terms contained herein. The Utah County Sheriff s Office will require three business days notice to schedule services and 48 hours notice to cancel said services. Any agreed upon service cancelled without 48 hours notice will be subject to a two (2) hour minimum charge per deputy. The party shall pay Utah County the following rates per deputy for deputies provided by this agreement: $53.00 per deputy per hour (four hour minimum) Mileage per vehicle at the current IRS rate Deputies will comply with reasonable and lawful requests from the party, its principals or employees. Deputies may deny requests of the party due to traffic or safety factors. Deputies may not unreasonably restrict the flow of traffic for extended periods of time. Deputies will also deny any illegal requests or requests that would be incompatible with their primary law enforcement mission. Party understands that County is an independent contractor, that Utah County will determine how and if requests of the party are to be enforced, that party has no control over the manner in which County provides the services contemplated by this agreement, and that an agent/principal or employer/employee relationship does not exist between County and the party. The party will be responsible for all state, county or local permits that may be required to secure right-of-ways and authorization to perform activities while in Utah County. BOARD OF COUNTY COMMISSIONERS UTAH COUNTY, UTAH Signed: Requesting Party Representative Date: Chair Date:

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