Film or Video Production Location Agreement Application

2. APPLICATION TO FILM IN THE CITY OF MURFREESBORO
   Welcome to the City of Murfreesboro! We are glad you have chosen our City to film your production. In order to accommodate your needs while you are filming, as well as to ensure that City services for residents continue with minimal interruption, please complete the below application. A signed location agreement and certificate of insurance naming the City of Murfreesboro as an additional insured is required prior to filming on any City-owned property. Questions may be directed to Kelley Baker, Assistant City Attorney at kbaker@murfreesborotn.gov

   Welcome to the City of Murfreesboro! We are glad you have chosen our City to film your production. In order to accommodate your needs while you are filming, as well as to ensure that City services for residents continue with minimal interruption, please complete the below application. A signed location agreement and certificate of insurance naming the City of Murfreesboro as an additional insured is required prior to filming on any City-owned property. Questions may be directed to Kelley Baker, Assistant City Attorney at kbaker@murfreesborotn.gov

4. Application Request Timeline*

   I understand that this request must be submitted at least 7 business days (Monday-Friday 8:00 am -4:30 pm CST) prior to the requested filming date. If outside of this timeframe, there is less possibility your request will be approved or accommodated by the requested date.

   1. I have read and understand this timeline.
6. Certificate of Insurance*

   Licensee agrees to obtain a single limit commercial general liability insurance policy in the amount of $1,000,000.00 covering bodily injury, including death and property damage, and including coverage for contractual liability. Licensee shall provide City a copy of a certificate of insurance for such policy and an endorsement specifying that the City of Murfreesboro is named as an additional insured for the purposes of this project before beginning its use of the scheduled lands and facilities. The procuring of insurance is for Licensee’s protection as well as the City’s and does not limit the amount of damages which the City may be legally entitled to pursue.

   1. I have read and understand the insurance requirements.
8. Name of Applicant/Licensee*

   Name of production company or individual requesting filming permission (this name should match the name on the insurance certificate and will be used to create a location agreement).

10. Type of Entity/Business*
    -- Select One --CorporationLLCIndividualPartnershipStudent (school project)Other

    Select type of entity

12. State of Incorporation or Name of School *

    For Corporation or LLC, list state of incorporation. For Students, list name of school. If none apply, type None.

14. Contact Person - First Name*

15. Contact Person - Last Name*

17. Email Address*

18. Phone Number*

20. Primary Office Address*

22. City*

23. State*

24. Zip*

26. Title of Production*

28. Description of Production*

    Describe your production. Please include an estimate of total cast, crew, vehicles and equipment.

30. Term of Agreement: Beginning Date*
    Term of Agreement: Beginning Date

    Term of Agreement: Beginning Date

    The beginning date and time location is requested.

31. Term of Agreement: Ending Date*
    Term of Agreement: Ending Date

    Term of Agreement: Ending Date

    The last date and time location is requested.

33. Sites and Facilities Requested*

    Select all areas included in film request. If "Other" is selected, include area requested in next field. Depending on the location desired for filming, additional coordination, reservation and/or fees may apply. Applicant must reserve and pay all fees in addition to this application and location agreement. Certain applications will also require Special Event Application and Permit (http://www.murfreesborotn.gov/DocumentCenter/View/8/Special-Events-Permit?bidId).

    1. Airport
    2. City Hall
    3. Civic Plaza
    4. Park, Park Facility, Greenway or Cannonsburgh
    5. St. Clair Senior Center
    6. Streets or Sidewalks
    7. Other
35. Other Site or Facility Requested

    If the site or facility requested for filming is not included in the previous list, please describe it here. Please also use this space to describe specific parks and recreation facilities or street locations/addresses.

37. Filming Needs*

    Check all that apply

    1. Carnival rides or mechanical equipment will be used
    2. City personnel or equipment will be needed
    3. Fireworks or pyrotechnics will be used
    4. Parking is needed
    5. Police officers are needed to direct traffic or security purposes
    6. Streets or sidewalks will be blocked or shut down
    7. Other – (Please explain in next field.)
    8. None of the above
39. Other Filming Needs (not previously listed)

    If you have filming needs/requests not included in the previous list or checked a filming need, please describe here.

41. Will you use a drone?*

    1. Yes
    2. No

42. Drone Usage
    If you plan to use a drone, the applicant must, as required by FAA regulations, contact the Murfreesboro Airport at 615-848-3254 prior to flying a drone and provide the required information about the location, time, and altitude of the flight.

    If you plan to use a drone, the applicant must, as required by FAA regulations, contact the Murfreesboro Airport at 615-848-3254 prior to flying a drone and provide the required information about the location, time, and altitude of the flight.

44. Will you need a noise ordinance variance?*

    1. Yes
    2. No

45. Noise Ordinance
    Please click here to review the Noise Ordinance.

47. Additional Uploads for Consideration

    Upload copies of maps or additional information that may be used in consideration of your request.

49. Additional Information

    Please list any additional information to be considered regarding your filming request.

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field