Media Shoot Request Form

MEDIA SHOOT REQUEST AND SERVICES AGREEMENT

Client Name:    Production Company:

Effective Date:

RECITALS

WHEREAS, Client desires to engage Production Company to provide media production services for the project described in this form; and

WHEREAS, Production Company represents that it has the personnel, equipment, licenses and insurance to perform the requested services in accordance with the Scope of Work and the terms set forth below; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein, Client and Production Company agree as follows.

SHOOT REQUEST DETAILS

Photography    Video    Live Broadcast    Other (specify):

Requested Shoot Start Date:    End Date:    Call Time:

Permit Required:    Permit Details / Agency:

Insurance Provided:    Policy Number:

SCOPE OF WORK

Production Company will provide the services described below. The description below constitutes the parties' agreed Scope of Work and shall govern deliverables, schedule and acceptance criteria.

DELIVERABLES

Specify expected deliverables, formats, resolution, number of revisions included, and delivery milestones.

PAYMENT TERMS

Total Project Fee: $

Late Fee: on overdue balances

Payments not received when due are subject to suspension of services and collection costs. Client remains responsible for fees for services performed prior to termination.

TERM AND TERMINATION

Term Start Date:    Term End Date:

Either party may terminate this Agreement for material breach if the breach is not cured within days after written notice. Termination by Client without cause shall not relieve Client of obligation to pay for services rendered and non-cancellable commitments incurred prior to termination.

CONFIDENTIALITY

Each party shall keep confidential any non-public information obtained from the other party in connection with this Agreement. Confidential information shall not include information that is public, independently developed, or obtained from a third party without breach. Confidential information shall be used solely for the performance of this Agreement.

Client acknowledges and agrees to the foregoing confidentiality obligations:

USAGE RIGHTS AND LICENSE

Upon full payment, Production Company grants Client a non-exclusive, non-transferable license to use the final deliverables for the purposes and term described below. Any additional uses, sublicensing, or transfers require prior written agreement and may be subject to additional fees.

Territory:    Term:    Exclusivity: Exclusive    Non-exclusive

INDEMNIFICATION AND INSURANCE

Each party shall indemnify and hold the other harmless from claims arising out of its negligence, willful misconduct, or breach of this Agreement. Production Company shall maintain liability insurance sufficient for the scope of work and name Client as additional insured when required by permit or contract.

HEALTH AND SAFETY

Production Company is responsible for implementing reasonable safety protocols on set. Client shall advise of any site-specific hazards in writing prior to shoot date. If additional safety personnel, testing, or protective equipment are required, costs will be borne by Client unless otherwise agreed in writing.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement, together with any exhibits, schedules and written attachments, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, proposals and agreements, whether written or oral. Amendments must be in writing and signed by authorized representatives of both parties.

CONTACT INFORMATION

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