CITY OF BOZEMAN

PUBLIC RIGHT-OF-WAY/PUBLIC LANDS

REVOCABLE FILM PERMIT

Revised December 2013

NAME OF

APPLICANT:

NAME OF

BUSINESS:

MAILING

ADDRESS:

PRINCIPAL CONTACT TELEPHONE:

GENERAL CONDITIONS:

PERMITS CAN BE OBTAINED FROM THE ALFRED M. STIFF PROFESSIONAL BUILDING, 20 E. OLIVE, BOZEMAN, MT., mail P.O. Box 1230 59771-1230, PHONE 582-2273.

A PERMIT IS NEEDED TO FILM ON ANY SIDEWALK, STREET, ALLEYWAY, PARK, CEMETERY, OR OTHER PUBLICLY OWNED PROPERTY. IF THE SHOOT DOES NOT REQUIRE THE CLOSURE OF ANY SIDEWALK, ALLEY, OR STREET, THE PROCESS WILL TAKE A MINIMUM OF ONE WEEK FOR REVIEW. THE FEE FOR A NON- CLOSURE PERMIT IS $30.00.

IF THE FILING INCLUDES A REQUEST TO CLOSEANYSTREET OR SIDEWALKTWO WEEKS WILL BE NEEDED TO REVIEW THE PERMIT. THE FEE FOR A PROJECT REQUIRING A STREET OR SIDEWALK CLOSURE IS $60.00

A REVOCABLE FILM PERMIT IS INTENDED FOR A SHORT TERM ONE ORTWO DAY SHOOT. MULTIPLE DAY OR LONG TERM PROJECTS WILL BE CHARGED BASED ON THE AMOUNT OF STAFF TIME REQUIRED TO COORDINATE THE PROJECT.

THE CITY OF BOZEMAN IS UNDER NO OBLIGATION TO PROVIDE A PERMIT. IF THE TERMS OF THE AGREEMENT CHANGE, THE CITY MUST BE NOTIFIED IN WRITING. A PERMIT IS VALID ONLY FOR THE DATES AND TIMES SPECIFIED BELOW. THE CITY RESERVES THE RIGHT NOT TO RENEW PERMITS.

THIS PERMIT IS EXCLUSIVE TO PUBLICLY OWNED LANDS WITHIN THE CITY LIMITS OF BOZEMAN. IT IS NON-TRANSFERABLE AND GOOD ONLY FOR THE ACTIVITIES LISTED IN THIS PERMIT. THE APPLICANT SHALL OBEY ALLSTATE AND LOCAL STATUTES AND ORDINANCES THAT ARE APPLICABLE TO THE ENCROACHMENT.

PERMITTED USAGE IS SUBJECT TO REVIEW AT ANY TIME. THIS PERMIT MUST BE ON SITE AND AVAILABLE FOR INSPECTION AT ANY TIME.

PERMIT CATEGORIES

SIDEWALK OR PUBLIC LANDS SHOOT REQUIRING NO DETOURS OR CLOSURES, $30.00 FEE.

CHECKLIST:

WRITTEN PERMISSION FROM ADJACENT/CONTIGIOUS PROPERTY OWNER(S) TO UTILIZE THE SIDEWALK IN FRONT OF THAT BUSINESS OR RESIDENCE SHALL BE PROVIDED BY THE APPLICANT/OWNER AT THE TIME OF APPLICATION.

A SKETCH MUST BE PROVIDED SHOWING THE LOCATION OF THE REQUESTED SHOOTING SITE AND A NARRATIVE DESCRIPTION OF THE ACTIVITIES THAT WILL OCCUR AND THE PROPOSED DATES AND TIMES.

PROOF OF LIABILITY INSURANCE IN THE AMOUNT OF ONE AND ONEHALF MILLION DOLLARS, ($1,500.000.00) NAMING THE CITY OF BOZEMAN AS ADDITIONALLY INSURED MUST BE PROVIDED.

FOR PROJECTS ON STATEOWNED ROUTES IN THE CITY, THE STATE OF MONTANA MUST ALSO BE LISTED AS ADDITONALLY INSURED.

A STAGING/PARKING PLAN DESCRIBING THE PROPOSED LOCATION FOR ALL EQUIPMENT AND VEHICLES NEEDED FOR THE PROJECT.

A MINIMUM FIVE (5) FOOT OF SIDEWALK AISLE SHALL BEMAINTAINED FOR PEDESTRIAN TRAVEL AT ALL TIMES. ITEMS SHALL BE PLACED SO AS NOT TO IMPEDE PEDESTRIAN TRAFFICAND/OR THEIR SAFETY.

STREET OR SIDEWALK SHOOT REQUIRING DETOURS OR CLOSURES, $60.00FEE.

SIDEWALK CLOSURE:

IN ADDITION TO THE ABOVE INFORMATION YOU MUST PROVIDE A SIDEWALK CLOSURE PLAN IDENTIFYING THE PROPOSED AREA OF SIDEWALK TO BE CLOSED, THE PLAN MUST INCLUDE:

CHECKLIST:

A MAP SHOWING THE PEDESTRIAN ROUTING INFORMATION.

A PUBLIC NOTICE AND SIGNAGE PLAN.

AN ESTIMATED TIME FRAME OF THE CLOSURE.

THE PLAN WILL BE REVIEWED AND APPROVED BY THE CITY STREETDEPARTMENT.

STREET CLOSURE (CLOSURE OF MAJOR STREETS IS STRONGLY DISCOURAGED):

IN ADDITION TO THE ABOVE INFORMATIONA STREET CLOSURE PLAN IDENTIFYING THE PROPOSED AREA OF STREET OR STREETS TO BE CLOSED, THE PLAN MUST INCLUDE:

CHECKLIST:

A MAP SHOWING ROAD CLOSURES AND PROPOSALS FOR ALTERNATE ROUTING.

A PUBLIC NOTICE AND SIGNAGE PLAN SHOWING THE PLACEMENT, TEXT AND TYPES OF ALL SIGNS AND BARRICADES USED.

AN ESTIMATED TIME FRAME OF THE CLOSURE.

THE PLAN WILL BE REVIEWED AND APPROVED BY THE CITY STREET DEPARTMENT AND THE MONTANA DEPARTMENT OF TRANSPORTATION IF APPROPRIATE.

STREET AND SIDEWALK CLOSURES REQUIRE THE USE OF STANDARD CONSTRUCTION SIGNAGE. SIGNS MUST BE SIZED APPROPRIATELY AND PLACED ON HOLDER AT LEAST ONE (1) FOOT OFF THE GROUND. TRAFFIC CONES MUST BE A MINIMUM OF 28 INCHES HIGH WITH REFLECTIVE TAPE.

SPECIAL NOTIFICATION REQUIRED

ANY STREET CLOSURE REQUIRES THAT EMERGENCY SERVICE PROVIDERS BE NOTIFIED IN WRITING 24 HOURS IN ADVANCE OF CLOSURE SO THAT THEY CAN PLAN FOR ALTERNATIVE ROUTES.

BOZEMAN POLICE DEPARTMENT

BOZEMAN FIRE DEPARTMENT

PRIVATE AMBULANCE SERVICE

______NOTIFICATION WILL NEED TO BE MADE TO ANY BUSINESSES OR RESIDENTS IN THE AREA YOU ARE FILMING. INFORMATION MUST INCLUDE THE TIMES, DISRUPTIONS, AND ANY SPECIAL EQUIPMENT THAT WILL BE ON SITE.

______FOR FILMING IN THE DOWNTOWN BOZEMAN AREA, THE DOWNTOWN BOZEMAN

PARTNERSHIP MUST BE INFORMEND OF THE PLANNED FILMING.

THE BOZEMAN POLICE DEPARTMENT MUST ALSO BE NOTIFIED IF THE FILM CALLS FOR ANY DEPICTION OF PHYSICAL VIOLENCE, FIGHT SCENES, CHASE SCENES, ETC. USE OR DISPLAY OF ANY WEAPONS, OR OTHER SITUATIONS THAT MIGHT AROUSE CONCERN IN UNIFORMED BYSTANDERS.

FOR ALL PERMITS THE INDEMNIFICATION FORM MUST BE SIGNED BY THE APPLICANT AND THE SUPERINTENDENT OF FACILITIES AND PUBLIC LANDS OR HIS APPROVED DESIGNEE. PERMITS THAT INCLUDE STREET OR SIDEWALK CLOSURES OR FILMING IN PUBLIC RIGHTS OF WAY WILL BE SIGNED BY THE ENGINEERING DEPARTMENT. THE COMPLETED FORM WILL BE RETURNED AND WILL CONSTITUTE A VALID PERMIT.

The undersiGned will indemnify and hold harmless the City of Bozeman and the State of Montana, its officers, agents, and employees against and from any and all actions, suits, claims, and liabilities of any character whatsoever, brought or asserted for injuries TO, or death of any person or persons or damages to property arising out of, resulting from or occurring in connection with the above-described encroachment, or issuance of this permit.

permittee hereby agrees to cover any claim made by any person or entity for compensation due to damages which may include lost compensation or business revenue related to filming operations.

It is expressly understood and agreed to maintain and leave all facilities in a clean, safe, and sanitary manner, at no cost to the City of Bozeman, and shall comply with all ordinances, conditions, statutes and regulation applicable thereto. Failure to do so will result in the undersigned paying all costs incurred by the City of Bozeman to return the premises to its original condition.

THE CITY RESERVES THE RIGHT TO REVOKE OR TEMINATE THIS PERMIT AT ANY TIME IF THE OWNER FAILS TO COMPLY WITH OR ABIDE BY EACH AND ALL OF THE PROVISIONS OF THIS PERMIT.

Further, the undersigned acknowledges that this special permit is active for the specified dates and times noteD under the general conditions, and that the permit is nontransferable.

______

By ______

ACKNOWLEDGEMENT

STATE OF MONTANA)

) ss.

County of Gallatin)

On this ______day of ______, 20___, before me, a Notary Public for the State of Montana, personally appeared ______, known to me to be the person(s) whose name(s) are subject to the above instrument and acknowledge to me that they executed the same.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Notarial seal the day and year first above written.

Notary Public for the State of Montana

Residing at

My Commission Expires:

PERMIT APPROVED ON THIS DAY OF , 20

PERMIT EXPIRES ON THE DAY OF , 20

______

APPROVED DESIGNEE OF THE SUPERINTENDENT OF FACILITIES AND LANDS

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