A-CAMERA: JOB CONTACT INFORMATION FORM

- PRODUCTION COMPANY/INDIVIDUAL LISTED ON INSURANCE POLICY:

- PHYSICAL ADDRESS:
- MAILING ADDRESS:
- EMAIL ADDRESS:
- PHONE:
- CONTACT 1:

- TITLE:
- PHONE:
- EMAIL:

- CONTACT 2:

- TITLE:
- PHONE:
- EMAIL:

- PRODUCTION COMPANY’S CLIENT:

- JOB NAME:
- JOB NUMBER:

- DATES

- PREP BAY BOOKING:
- PICK UP:
- START DATE:
- STOP DATE:
- RETURN DATE:

- BILLING/ACCOUNTING CONTACT NAME (IF DIFFERENT FROM CCA & INSURANCE FORM):

- NAME: PHONE:

- EXECUTIVE PRODUCER: PHONE:
- PRODUCER: PHONE:
- UPM/COORDINATOR: PHONE:
- DIRECTOR: PHONE:
- DP: PHONE:
- 1ST AC: PHONE:
- 2ND AC: PHONE:
- OTHER CONTACT: PHONE:

A-Camera Cinema Rentals, LLC

NEW ACCOUNT APPLICATION

All New Account Applications take up to 3 business days from submission for approval before a Quote or Order can be confirmed and/or the gear can leave the facility.

HIGHLIGHTED SPACES BELOW MUST BE COMPLETED AND RETURNED TO A-CAMERA PRIOR TO RENTAL APPROVAL

Company Name: _________________________________ Website: ______________________________ Phone: _____________________

Physical Address: ____________________________________ City: __________________________ State: ___________ Zip: ___________

Contact Name: ___________________________________ Title: _________________________ Email: ______________________________

If the Insurance policy affiliated with this Company is under a different name/address, please provide those details below:

Company Name: _________________________________ Website: ______________________________ Phone: _____________________

Physical Address: ____________________________________ City: __________________________ State: ___________ Zip: ___________

Contact Name: ___________________________________ Title: _________________________ Email: ______________________________

Type of Business:

Corporation: ________ Partnership: _________ Sole Proprietor: _______ Year Est: _______

Fed Tax ID __________________________________________________________________

Officers of Corporation:

Name: _______________________________________________ Title: _________________________________________________

Name: _______________________________________________ Title: _________________________________________________

Trade References you frequent:

Name: ______________________________________________ Phone: ________________________________________________

Name: ______________________________________________ Phone: ________________________________________________

Name: ______________________________________________ Phone: ________________________________________________

Bank Reference:

Name: __________________________________ Email: ______________________________ Phone: ________________________

Physical Address: ____________________________________________________________________________________________

Billing Contact Name:

Print: __________________________________________ Title: __________________________________________

Signature:_______________________________________________________________ Date:______________________________

A-Camera Cinema Rentals, LLC

CREDIT CARD AUTHORIZATION FORM

A-Camera Cinema Rentals, LLC requires:

HIGHLIGHTED SPACES BELOW MUST BE COMPLETED AND RETURNED TO A-CAMERA PRIOR TO RENTAL APPROVAL

Production Company Name: __________________________________________ D.B.A.: ___________________________ Website: ___________________________________________ Physical address: _____________________________________

Customer’s Name: ____________________________________ Project Name: __________________________________ Producer’s Name: ___________________________ Email: ____________________________ Phone: ________________ Coordinator’s Name: __________________________ Email: ___________________________ Phone: ____________________

PLEASE NOTE THAT WE DO NOT TAKE DEBIT CARDS, CHECK CARDS OR CREDIT CARD COMPANY GIFT CARDS

Name on Credit Card (PleasePrint): _______________________________________ Title: __________________________

Bank this Card is affiliated with: _________________________________________________________________________

Credit Card #: _______________________________________________ Visa ________ MC ________ Amex __________

Expiration Date of Card: Month _______ Year _______ Security Code _________

** CC Convenience fee of 3.75% added to total **

Address affiliated with the card (please include zip code):

Street: __________________________________________ City: _____________________ State: ______ Zip: __________

Address where bills are sent (please include zip code):

Street: __________________________________________ City: _____________________ State: ______ Zip: __________

By signing below, you as credit card holder have authorized A-Camera Cinema Rentals, LLC to charge

your credit card for all invoices and insurance deductibles.

Cardholder Signature: ____________________________________ Print: ______________________ Date: ___ /___ /___

Please provide legible images/copies of the front + back of this credit card AND the cardholders driver’s license.

AICP Approved Rental Agreement

A-Camera Cinema Rentals, LLC | 1958 W. New Hampshire St. | Orlando, FL 32804 | 407-297-1810

HIGHLIGHTED SPACES BELOW MUST BE COMPLETED AND RETURNED TO A-CAMERA PRIOR TO RENTAL APPROVAL

Customer: ______________________________________________________________________________

Contact:________________________________________________________________________________

Job Name: ______________________________________________________________________________

Job Number: ____________________________________________________________________________

Prep: ☐ Day: _____________ Date: ___________ Pick Up: ☐ Day: _____________ Date: ___________

Shoot Dates: _______________________________ through _____________________________________

Return Date (by 10:00AM): _________________________________________________________________

Initial __________ Date ____________

Terms and Conditions

1. Representations, Warranties and Agreements: Customer has selected the Equipment without relying upon any suggestion or recommendations of Rental Company and Customer understands and agrees that Rental Company assumes no responsibility for the Equipment as being fit for any particular purpose. Customer agrees that the Equipment was selected by it. Rental Company represents and warrants as follows: (1) the Equipment is free from known defects and is in good working order to the best of their knowledge at the inception of the rental; (2) Rental Company is responsible for routine repair and maintenance of the Equipment prior to rental; (3) (if applicable) all services provided by Rental Company will be performed in a professional and competent manner; (4) Rental Company has the right to enter into the rental of the Equipment and (5) Rental Company has complied and will continue to comply with all applicable manufacturer’s specifications relating to the Equipment. Customer agrees as follows: (a) except as set forth in Rental Company’s representations and warranties above, the Equipment is rented to Customer without any warranty or guaranty of any kind, express or implied, and specifically, there is no warranty of merchantability or fitness for a particular purpose; (b) Rental Company shall not be held responsible

with respect to production downtime, loss of profits, extra expense, indirect damages, production delays; and (c) except as set forth in Rental Company’s representations and warranties above, Customer is responsible for all costs associated with any repair or replacement (without deduction for depreciation) of the Equipment necessitated as a result of Customer’s usage, possession, transportation or failure to return the Equipment for any reason, including, without limitation, as a result of the negligence or willful misconduct of Customer, its employees, agents, or contractors. Customer represents warrants and agrees that Customer has complied and will continue to comply with all manufacturer’s specifications as to the safe use of

the Equipment.

2. Testing: Customer acknowledges that its representative has inspected and tested all Equipment at the time of rental and that all Equipment is in good and working order and acceptable to Customer.

3. Non-Working Equipment: Customer shall notify Rental Company immediately of any malfunction and/or alleged damage of any Equipment. In the event Equipment is not functioning and/or damaged other than as a result of Customer’s negligence or willful acts, Customer shall have the option of accepting other like Equipment in exchange for such nonworking Equipment or returning all Equipment and canceling this agreement should Rental Company not be able to provide substitute Equipment in a timely fashion. The rental charges for all such non-working Equipment so returned to Rental

Company shall be abated from the time of acceptance and return to Rental Company. Likewise, rental charges shall accrue and be owed for any replacement Equipment.

4. Technician/Operation: Customer shall only allow the Equipment to be used by qualified technicians and/or, if licensing is required by law for the use of any Equipment, duly licensed personnel, and only in strict accordance with the instructions of the Equipment manufacturer. Such qualified or licensed technicians and personnel should know all the proper protocols to safeguard the public, data and Equipment, and should be competent with regard to the normal operation of the Equipment. Customer shall keep the Equipment in their sole custody and shall not permit the Equipment to be used in violation of law. Customer shall process and or view their footage and back-up their content or data in a timely manner.

5. Risk of Loss: Customer assumes all risk of loss whether or not covered by Customer’s insurance coverage, except to the extent of any loss arising from the negligence or willful misconduct of Rental Company, its employees, agents, or contractors. Customer is deemed to have taken possession of the Equipment the moment Equipment is in Customer’s custody and control. In addition, if Rental Company ships the Equipment at Customer’s request, Customer shall be responsible for both the risk of loss in transit and the transportation costs. Customer’s responsibility shall include, but not be limited to,

risks while in transit by any means (other than transit supplied by Rental Company), at all locations named and unnamed, at all studios, while on Customer’s premises, and while in Customer’s use. Customer is responsible for picking up and returning the Equipment to/from the rental facility during normal business hours. If Rental Company delivers and/or picks up the Equipment, Rental Company will be responsible for the risk of loss in transit while the Equipment is in the custody of Rental Company and Customer will be responsible for transportation costs.

6. Storage: Customer bears the risk of loss for all property not provided by Rental Company (including but not limited to camera(s), props, sets, and wardrobe) stored and/or transported by Rental Company for Customer’s ultimate use. Rental Company shall be acting as the agent of Customer in storing and/or transporting property which belongs to third parties.

7. Insurance: Customer shall at its expense, and at all times during the rental, maintain in full force and effect a limit of insurance covering all Equipment and/or Vehicles rented hereunder, from all sources, as herein provided. All Equipment shall be insured for the full replacement cost without deduction for depreciation. All Vehicles shall be insured at actual cash value. In addition, all Equipment and Vehicles shall be insured for actual verifiable loss of use of the Equipment or Vehicles (i.e. rental charges based on the greater of either the actual verifiable loss of business or the average rental history of the

Equipment or Vehicles, as computed for the period of time the Equipment or Vehicle(s) is being repaired and/ or replaced not to exceed 90 days). Customer shall deliver to Rental Company evidence of Customer’s insurance coverage prior to Customer taking either constructive or actual possession of the Equipment and/or Vehicle(s). Customer will forward a Certificate of Insurance evidencing Customer’s liability, automobile, property and worker’s compensation insurance with a reputable insurance carrier acceptable to Rental Company that complies with coverage requirements as enumerated within this rental agreement. Customer shall be liable for the (a) full replacement cost of Equipment without deduction for depreciation, (b) actual cash value for Vehicles, and (c) loss of use of the Equipment and Vehicles (i.e. rental charges based on the greater of either the actual verifiable loss of business or the average rental history of the Equipment or Vehicles, as computed for the period of time the Equipment or Vehicle(s) is being repaired and/ or replaced not to exceed 90 days), arising or resulting from any failure by Customer to maintain the policies and limits of insurance set forth above and for any and all claims, losses, liabilities, damages and expenses (including, without limitation, attorneys’ fees and court costs) which, for any reason (other than a final, nonappealable judicial determination that same arose or resulted from the negligence or willful misconduct of Rental Company) shall not be covered or paid by Customer’s insurance, including, without limitation, deductibles and any of same exceeding the coverage and limits of insurance set forth above. a. Property Insurance: Customer’s insurance shall be on a worldwide, replacement cost basis without deduction for depreciation, shall name Rental Company as Loss Payee for loss or damage to the property rented; shall cover “All Risk” of loss or damage to Equipment; shall include the perils “Comprehensive” and “Collision” for Vehicle physical damage coverage; and shall provide for 10 days written notice to Rental Company before any policy shall be modified or cancelled. In determining whether the Equipment (not including Vehicles) shall be repaired or replaced, the manufacturer’s judgment shall be conclusive upon both parties. Limits shall be sufficient to encompass all property at risk, regardless of

source. Rental Company will not accept insurance covering the Equipment that contains a theft exclusion from unattended vehicle(s).

b. Liability Insurance: Customer shall name Rental Company as an additional insured on their liability insurance. Customer’s liability insurance shall meet the following minimum limits: Commercial General Liability $1,000,000 per occurrence and annual aggregate; Automobile Liability (including non-owned and hired automobiles) $1,000,000 combined single limit; Umbrella Liability in the amount $2,000,000 per occurrence and annual aggregate; Foreign Liability, if filming outside of the United States and Canada, $1,000,000 per occurrence; Aircraft Liability, if filming from any aircraft, $5,000,000; Watercraft Liability, if filming from any watercraft, $5,000,000 (Note rented Vehicle(s) will only be driven by licensed driver(s) employed by Customer). IF VEHICLE IS PROVIDED WITH A DRIVER EMPLOYED BY THE RENTAL COMPANY THE RENTAL COMPANY WILL PROVIDE THE PRIMARY AUTOMOBILE LIABILITY INSURANCE ON THE VEHICLE AND PROOF OF WORKER’S COMPENSATION INSURANCE.

c. Rental Company Insurance: Rental Company will maintain their own insurance program consisting of not less than: Commercial General Liability $1,000,000 per occurrence and annual aggregate; Automobile Liability (including owned, non-owned and hired vehicles) $1,000,000 combined single limit; Umbrella Liability in the amount $2,000,000 per occurrence and annual aggregate, Miscellaneous Equipment and Worker’s Compensation and Employer’s Liability in an amount not less than $1,000,000 Covering Claims arising out of the operations of Rental Company. Rental Company will provide Customer evidence of the Coverage enumerated herein upon their request with an insurance carrier acceptable to the Customer.

d. Primary Coverage: Customer’s property, automobile and liability coverage is the primary coverage for Equipment and/or Vehicle(s) and said coverage must be issued on a non-contributory basis. Furthermore, Customer’s insurance carrier shall agree that the rights of Rental Company under Customer’s insurance policy shall not be affected by any unintentional act, neglect or breach of condition by Customer, other than non-payment of premium. Customer shall remain primarily liable to Rental Company for full performance under the terms and conditions of this rental agreement in the event of a dispute with their insurance carrier and for uninsured losses. Lapse or cancellation of Customer’s insurance, as required by this agreement, shall allow Rental Company to immediately and automatically terminate this agreement, at its option unless Customer provides Rental Company with written confirmation that such insurance is in full force and effect.

8. Missing and Damage: Rental Company shall provide Customer (with a copy to the accounting department of Customer and another department or person if otherwise designated) with a list of missing and damaged Equipment, if any within three business days after the Equipment has been returned to Rental Company. Rental Company upon receipt of the compilation of the repair or replacement cost estimates will forward these estimates to Customer. Customer shall have the option of making arrangements with Rental Company to have their crew member(s) verify the Equipment physically

returned to Rental Company at a time that is mutually agreeable within the first day of return.

9. Clearing of Data: Customer is responsible for clearing any and all images (in any form) prior to the return of the Equipment to Rental Company, and Customer authorizes Rental Company to clear the Equipment of any and all images, content or data immediately upon return of the Equipment to Rental Company. It shall be the sole responsibility and obligation of Customer to arrange for the safeguarding and storage of Customer’s images, content or data prior to the return of the Equipment to Rental Company.

10. Title: Customer specifically acknowledges Rental Company’s superior title and ownership of the Equipment and must keep the Equipment free of all liens, levies and encumbrances except those caused by or resulting from Rental Company’s acts. Customer may not assign or pledge the Equipment.

11. Default: In the event that Customer (a) fails to make payment when due hereunder, (b) fails to obtain or maintain the insurance required under Section 7 above throughout the rental term, or (c) becomes insolvent, files a petition in bankruptcy, seeks the appointment of a receiver (or has a receiver appointed) for all or a substantial portion of its property, or has an involuntary petition in bankruptcy filed against it, Customer shall be in default hereunder. Upon such default, Rental Company may, in its sole discretion, terminate this rental agreement and, and to the extent permitted by law, immediately repossess the Equipment without any prior notice to Customer, the receiver, bankruptcy trustee, assignee for the benefit of the creditors, or levying officer. Customer hereby grants to Rental Company the right and permission to lawfully enter the Customer’s premises where the Equipment is kept following any such default for the purpose of repossessing the Equipment without liability of trespass or any liability for any damage that might occur as a result of such entry.

12. Indemnity: Customer agrees to indemnify, defend and hold harmless Rental Company and its officers, employees, agents and licensees against any and all claims, actions, damages, liabilities and expenses arising from the use, possession or operation of the Equipment and by whomsoever operated at the direction of the Customer, Customer’s breach of any representations or warranties made herein, or from the negligence or willful conduct of Customer, its employees, agents or contractors. This indemnification shall survive the term of the rental agreement. Rental Company agrees to indemnify, defend and hold harmless Customer and its officers, employees, agents and licensees solely as respects bodily injury and property

damage claims, actions, damages, liabilities and expenses arising from Rental Company’s negligence or willful misconduct of Rental Company, or that of Rental Company’s employees, agents, or contractors, Rental Company not having the right to rent the Equipment or Rental Company’s failure to maintain insurance enumerated in 7c above. This indemnification shall survive the term of the rental agreement.

13. Entire Agreement: Customer agrees that they have read and fully understand and accept all provisions of this agreement prior to executing this agreement. The signed Rental Contract together with these Terms and Conditions constitute the entire agreement between Rental Company and Customer. In the event of conflict between any terms or provisions of the Rental Contract and these Terms and Conditions, the terms and provisions of these Terms and Conditions shall govern and control. Any changes must be made in writing and signed by both parties. If Customer is a corporation or other entity, the person executing the Rental Contract represents and warrants that he/she has full power and authority to execute the Rental Contract on behalf of the entity and bind such entity to the agreements, terms and conditions hereof. Customer acknowledges that a photocopy or electronic version of this document shall constitute the same consent as an original.

14. Governing Law: This rental agreement has been entered into in the State of Florida and shall be governed by laws of the State of Florida, without reference to any conflicts of law principles. Customer and Rental Company agree to the State of FLORIDA having the sole jurisdiction to govern any and all disputes arising between Customer and Rental Company as respects the rental of Equipment. If any portion of this agreement is found to be invalid, unenforceable, waived or otherwise deficient, it shall be severable from the remaining provisions and all other

provisions shall remain in full force and effect.

15. Definitions As used in the Rental Contract and these Terms and Conditions, the following terms have the following meanings: “Customer” shall mean the entities and/or individuals so identified on page 1 of the Rental Contract; “Equipment” shall mean all equipment and/or vehicle(s) so listed in the Rental Contract; “Rental Company” shall mean the entities and/ or individuals so identified on page 1 of the Rental Contract; and, “Vehicle” shall mean those motorized and other means of conveyance so listed in the Rental Contract.

As an authorized representative of the organization listed above, I have read and hereby agree to the terms and conditions set forth in this agreement

________________________________________ | ________________________________________ | ________________________________________
Renter’s Signature | Print Name | Date

©2013 AICP and ESTA

A-CAMERA CINEMA RENTALS: CUSTOMER GEAR LIST FORM

JOB#: | JOB NAME: | CONTACT: |
CUSTOMER: |  | PHONE: |
PREP/ PICK-UP DATE: |  |  | EMAIL: |
START/STOP DATES: |  |  | D.P. NAME: |
RETURN DATE: |  | A.C. NAME: |
COI: ▢ | CC AUTHORIZATION: ▢ | TAX EX: ▢ | RENTAL AGREEMENT: ▢

A-CAMERA RENTALS
CAMERA ▢ | MEDIA ▢ | LENSES ▢ | LENS FIZ/SPT ▢ | FILTERS ▢ | MATTEBOX ▢
SUPPORT ▢ | HAND HELD ▢ | GIMBAL ▢ | WIRELESS ▢ | MONITORS ▢ | BATTERIES ▢

EXTRAS OR NOTES

A-Camera Cinema Rentals, LLC

2025 CLIENT INSURANCE REQUIREMENTS

Policy made to:

A-Camera Cinema Rentals, LLC

1958 W. New Hampshire Street

Orlando, FL 32804

407-297-1810

- A-Camera Cinema Rentals must be listed as “Loss Payee” and “Additional Insured”
- Liability and Rented Equipment coverage:

Liability coverage alone does not cover rented equipment, It MUST state the amounts and deductible listed for :

- Production Pkg
- Rented Equipment policy or Inland Marine policy
- Replacement Cost Basis
- Coverage is worldwide including transit

- Unattended vehicle exclusion is NOT ACCEPTED

There can be no exclusions of any kind - the gear must be covered the entire time it is checked out regardless if it’s being used/working or not and your policy must be active within the dates listed on your quote & order .

Policies from the following companies ARE NOT ACCEPTED:

- Thimble
- Insure My Gear

Policies (short term or yearly) from the following companies WE DO ACCEPT & RECOMMEND:

- Taylor & Taylor Associates Insurance

- Direct link to Taylor & Taylor short term insurance: Total Event Insurance
- Website: https://taylorinsurance.com/
- Phone: (212) 490-8511

- Athos Insurance:

- Website w/ “Quick Quote” option: https://www.athosinsurance.com/
- Email: service@athosinsurance.com
- Phone: (626)-716-9800

We can provide a sample of what a completed policy should look like; if you’d like to request a sample, please let us know via email:

rentals@acamorlando.com

Please find below, an example of what the insurance certificate should look like when turning it in.

Often your insurance representative will forward it to us for you or you can include your copy when returning your completed & signed copies of pages 1-7 above via email.

A-Camera Cinema Rentals LLC. | 1958 W. New Hampshire St. Orlando, FL 32804 | rentals@acamorlando.com | 407-297-1810