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AllendaleRed Risk

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Application for Filming Permit

BID #: N/A

DUE: TBD

VALUE: TBD

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Executive Summary

The Borough of Allendale is soliciting applications for filming permits. This application process requires detailed information about the proposed filming activities, including dates, times, locations, and nature of the filming. Applicants must also submit a Hold Harmless Agreement and a Certificate of Insurance demonstrating at least $1,000,000 in general liability coverage, with the Borough named as an additional insured. Various fees apply based on the type and duration of filming, with specific rates for basic permits, daily filming, major motion pictures, and special use of facilities like parks or buildings. The application also includes a checklist to ensure all necessary documentation and requirements are met.

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To film in the Borough, please fill out the
Film Permit Application
.
For questions regarding filming in Allendale, please reach out to the Borough Clerk's office at 201-818-4400, ext. 218.
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Contact Us
Borough of Allendale
500 W Crescent Ave
Allendale, NJ 07401
Phone
(201) 818-4400

Document Text

--- Document: Film Permit Application ---
BOROUGH OF ALLENDALE 
 
APPLICATION FOR FILMING PERMIT 
 
Agency/Applicant: 
      
Business Address: 
      
 
Contact #1: 
      
Email:       
 
 
Contact #2: 
      
Email:       
 
 
Date(s) of Filming: 
      
Hours of Filming: 
      
Location of Filming: 
      
Nature of Filming: (Describe in detail; interior or exterior; day or night; etc.…) 
       
       
  
Please Provide the Following: 
  Hold Harmless Agreement (attached) 
  Certificate of Insurance 
 
*****CHECK LIST**** 
Will residents or businesses be affected by ﬁlming? 
(A copy of letter(s) to be sent to any affected entities and addresses must accompany this application? 
 Yes  
 No 
Will you be ﬁlming on private property?  
(A letter from property owner must be attached granting permission to ﬁlm). 
 Yes  
 No 
Do you have a licensed electrician on staff? 
 Yes  
 No 
Are existing power lines to be utilized? 
 Yes  
 No 
(If yes, a police ofﬁcer is required) 
 Yes  
 No 
Have you ever been denied a ﬁlming permit?  (If yes, provide the reasons) 
 Yes  
 No 
Will you need to block off a lot? 
 Yes  
 No 
 


Please ﬁll out:    
Fees (per Ordinance #25-16): 
 Security Deposit $1,000  (refundable upon inspection) 
$ 
      
 Basic Filming Permit/Application Fee: $500 or ($600 expedited) 
$ 
      
 Daily Filming Fee: $750 per day 
 
$ 
      
 Major Motion Picture/Television Series Daily Fee: $2,500 per day 
$ 
      
 Nonproﬁt /Educational / Student Film Permit: $50 (no daily fee) 
$ 
      
 Use of Public Building: additional $500 per day     
 
$ 
      
 Use of Park or Beach: additional $500 per day 
$ 
      
 Field Rental Fee: additional $300.00 per ﬁeld: 
$ 
      
 Private Property Filming: additional $100 (no daily fee) 
$ 
      
Film Total, less Security Deposit: 
$ 
      
 
 
 
I HEREBY APPLY FOR A PERMIT AND AGREE TO TENDER THE FEES AND 
FURTHER AGREE TO BE BOUND BY CHAPTER 123 OF THE CODE OF THE BOROUGH 
OF ALLENDALE. 
 
 
Signature of Applicant or Authorized Representative 
 
 
FOR INTERNAL USE ONLY 
 Fees Paid 
 Hold Harmless Agreement 
 Security Deposit 
 Certiﬁcate of Insurance 
 
 
 
 
Linda Louise Cervino, RMC 
 
Michael Dillon 
Municipal Clerk 
 
Police Chief 
 


     
 
Between the Borough of Allendale and 
Name of Organization: _______________________________________________________________ 
Address (cannot use PO Box): ________________________________________________________ 
Phone: _____________________________ Email: __________________________________________ 
Type of Organization: ___________________________________________________ 
Individual, Partnership, Non-Proﬁt Corporation, Public Entity 
 
In consideration of the use of________________________________, on the following date/s:______________________, 
for the purpose of______________________________________, the undersigned agrees to indemnify and hold the 
Borough of Allendale and its officers, agents and employees harmless from any and all liability, claims, costs and 
attorney’s fees arising out of the use of the property referred to above. 
 
I understand that this Hold Harmless Agreement also requires that the Borough of Allendale is indemniﬁed from 
any losses or damages resulting from the acts or omissions from any guest, participant, visitor or other person 
attending the event herein referred to.  I further understand that serving alcoholic beverages without the proper 
insurances/permits is prohibited on municipal property. 
 
Unless waived in writing by the Borough, I agree to furnish a Certiﬁcate of Liability Insurance speciﬁcally naming 
the Borough of Allendale as an additional insured providing general liability coverage including bodily injury and 
property damage with minimum limits not less than $1,000,000.000. In order to induce the Borough to accept this 
Hold Harmless Agreement, the following information concerning the intended use of the premises is furnished: 
 
 
A. Total number of persons anticipated is ______________ 
B. Live entertainment ____will or ____ will not be provided. 
C. Other: ____________________________________________. 
 
This Agreement shall remain in full force and effect for any continued, additional or postponed date for the event 
indicated.  The Borough reserves the right to cancel or interrupt the event if the representations set forth therein are 
not adhered to or if the municipality determines that a situation might lead to personal injury, property damage or 
violation of law exists. 
 
Signed this_______________ day of ___________________________20______as the binding act in deed of 
______________________________________ (name of organization). 
 
Authorized Signature:___________________________________________________________________________ 
Print Authorized Name and Title:_________________________________________________________________ 
 
Borough of Allendale 
Hold Harmless Agreement 












Borough of Allendale Insurance Requirements 
• Company’s Certificate of Insurance showing $1,000,000 minimum of 
general liability coverage as well as automobile and worker’s 
compensation coverage
• The Borough of Allendale, 500 West Crescent Avenue, Allendale, New 
Jersey 07401 must be named as the Certificate Holder and an 
Additional Insured
• Signed Hold Harmless Agreement
• Documents may be emailed to AmandaRichards@AllendaleNJ.gov
Please feel free to contact Amanda Richards at 201-818-4400 x218 with 
any questions.

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"...eposit $1,000 (refundable upon inspection) $ Basic Filming Permit/Application Fee: $500 or ($600 expedited) $ Daily Filming Fee: $750 per day $ Major Motion Picture/Television Series Daily Fee: $2,500 per day $ Nonproﬁt /Educational / Student Film Permit: $50 (no daily..."

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