Commercial Film Permit Application
Date:
Name of Production Company :
Address, City, State, Zip Code: Phone:
Email:
Filming location(s), date(s)
and time(s) requested:
Village of Niles
1000 Civic Center Drive
Niles, Illinois 60714
Phone: 847-588-8010
www.vniles.com
Producers of a commercial film or tape production which take place within the Village of Niles
will be required to submit a written application to the Village Manager's Office no fewer than
thirty (30) days prior to the requested start time and date. No application is considered
"submitted" unless all the required documentation and a $100 non-refundable application fee
accompany it.
Film
TV
Commercial Other
Contact(s):
Type:
1.Complete production schedule including locations, dates,
and times:
2. Anticipated need of Village personnel, equipment,
property, security, and/or right-of-way:
3. A description of the film:
4. A diagram of the proposed location(s)
5. Certificate of insurance evidencing $1,000,000 of general
liability with the Village of Niles as an additional insured and
proof of workers compensation insurance
6. Hold Harmless Agreement
7. Copies of letters, statements and/or permits authorizing the
use of private property
8. Other information as deemed necessary by the Village of
Niles
The following materials must be provided by the Applicant when submitting a film permit application:
Film Permit Terms and Conditions
1. Permittee waives all claims against Village, its officers, agents and employees for loss or damage caused by, arising out of, or in any way connected with the
exercise of this permit
2. Permittee agrees to hold harmless, indemnify, and defend Village, its officers, agents and employees from any and all loss, damage, or liability which may be
suffered or incurred by Village, its officers, agents and employees caused by, arising out of, or in any way connected with the exercise by permittee of the rights
hereby permitted, except those arising out of the sole negligence of Village.
3. Village shall have the privilege of inspecting the premises covered by the permit at any or all times.
4. The permit shall not be assigned or transferred to any other party.
5. Village may revoke this permit at any time if permittee fails to perform any covenant herein contained at the time and in the manner herein provided.
6. Village agrees it will not unreasonably exercise this right of termination.
7. The parties hereto agree that the permittee, its officers, agents and employees in the performance of this permit shall act in an independent capacity and not as
officers, employees, or agents of the Village.
8. No alteration or variation of the permit shall be valid unless made in writing and signed by the parties hereto.
9. Permittee agrees to comply with the Village of Niles Filming Policies and Procedures attached hereto.
10. Permittee hereby agrees to comply with all the rules and regulations of the facility or institution subject to this permit.
11. Villages makes no representation or warranty as to the conditions of any property or facilities used by the permittee, and it is the responsibility of the
permittee to full inspect all such property or facilities to determine their condition prior to their use, and in going forward, assumes all risk with the condition of
property or facilities.
Applicant's Signature:
Date:
Applicant's Name:
Representative
of:
