SPECIALTY BOX RENTAL FORM

Production Company: ______

Production: `

Dept/Position: Construction Coordinator Sound Mixer Still Photographer

Special Effects Supervisor Steadicam Operator Video Assist Operator

Editing (Avids) Stunt Coordinator

Lessor Name: ______Soc. Sec. #:______

Company Name (if applicable): ______Fed. ID#: ______

Rental Item(s) ______

Box Rental Rates: $ ______per day Cap: $ ______Commenced on ______

Inventory attached, # of pages: ______Total Value of Box: $ ______

(Please note Invoices must be submitted weekly and payment will be made through Accounts Payable.)

PRODUCTION COMPANY BOX RENTAL POLICIES

1.  Box rental rates are on a daily basis.

2. Box rental agreements must be accompanied by a written Inventory of equipment or payment will not be made. Please include model numbers and/or serial numbers whenever applicable. Box rental payment(s) cannot be paid until the Production Manager and Production Administration have approved the Inventory list.

3. Lessor hereby represents and warrants that it is the a) sole owner or lessor of the equipment and that the equipment b) has been and c) will be properly maintained and it is and will be kept in good workable and safe operating condition. Lessor will indemnify and hold the Production Company harmless from any damages, loss, and liability, etc. (including reasonable attorney’s fees) due to Lessor’s negligence or willful misconduct or breach of any representations, warranties and agreements under a) through c).

4. The Production Company will provide commercial general liability and physical damage coverage per the written inventory list of equipment supplied. Lessor shall be added as an additional insured and/or loss payee as its interests may appear in accordance with this subparagraph. Such insurance does not extend beyond items listed, or for the personal effects or personal property of Lessor including (but not limited to) automobiles.

5. To the extent that Lessor removes the rented equipment from Production Company’s care, custody or control including but not limited to an overnight basis or during non-filming days, Lessor shall be responsible for insuring the rented equipment during such times.

6. Lessor attests that this agreement represents a true rental of the applicable Box rental item(s) for this production.

ACCEPTED AND AGREED TO:

Owner/Lessor: ______Date: ______

UPM: ______Production Accountant: ______

Production Administration Executive: ______