MOTION PICTURE / TELEVISION DECLARATION APPLICATION
Named Insured: / Sony Pictures Entertainment Inc. / Policy No: / MPT 07109977Production Name/Title: / Fashion Queens 2 / Declaration Number:
(Insurance Company Use Only)
Production Entity: / Manhouse Productions LLCAddress: / 325 Hudson, Suite #601 / City: / New York / State: / New York / Zip: / 10013
Phone: / 212 507 9700 / Fax: / 212 507 9701
Director: / Co ExecProd: / Tammy Johnston / UPM: / Samantha Repp
Trans. Mgr. / Location Mgr. / AP, Production:
Stunt Coor: / Spc. F/X Coor: / POC:
Production is:
Motion Picture for Theatrical Release / Television Movie / Television Special / Television Mini-SeriesX / Television Series / Television Pilot
Other (Describe):
For Television, indicate production running time: / 30 min / Number of Episodes: / 28
Production Type (Drama, Comedy, Musical, Western, etc.): / Talk Show
Storyline: / Talk show addressing the fashion choices of the Bravo Real Housewives
Principal Photography: / Starts on: / 11-3-13 / Ends on: / 4-18-2014 / Total Filming WKS / 22 (not consecutive)
At following locations: / ER Studio
Any hiatus periods contemplated (describe): / none
Describe all planned scenes with: animals, stunts, underwater filming, aircraft, RR cars or equipment, motorcycles, racing/chase scenes, fire sequences, explosives, watercraft or other hazardous activities:
Post Production Lab: / none / Location: / noneEstimated Date of Protection Print: / n/a
For Cast, any: / Tie-in deals between two or more artists / Pay-or-Play contract deals / Salary deferments
If yes, provide a copy of the contract(s)
Will any declared artists be involved in any stunt or hazardous activities: / yes / no / If yes, provide details:Foreign currency rate of exchange declared at inception: / Country: / Exchange Rate:
Any special film processes, special effects, equipment / yes / no / If yes, details:
Describe any special locations, sets, props, wardrobe: / n/a
Alternate locations available:
Est. time to reconstruct or obtain alt. loc.:
Other information or comments concerning production:
This Declaration Application completed by: / Britianey Barnes / Date: / February 3, 2014
Title: / Sr. Analyst / Phone Number: / (310) 244-4241 / Email: /
Audit/Accountant Contact: / AC Caraballo - Acct / Phone Number: / 212 507 9700 / Email: /
Fireman's Fund Insurance Companies Allianz Group
Entertainment Division
Revision Date: 2/3/14 4:56 PM
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