Production Package Application Instructions
1. Please complete and submit this application for a free, no-obligation quote.
2. Please be sure to provide all
required information in order to receive a quotation.
PDF Application (Fillable)
indicates required information)
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We will never rent, sell, or
share your email address.
Are there any planned activities involving any of the following special
hazards: Stunts, Pyrotechnics, Use of Aircraft, Interaction
with Wild Animals, Operation or Control of Watercraft?
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Community TV Interview
Demo Reel Shoot
Direct Sale Videos
Live Action Shot
Non Airing Pilot
Point of Sale Video
Public Access Program
Realty Based TV Show
SAG Limited Exhibition
SAG Modified Low Budget
Video Location Survey
Input a brief description of
to 1 Year
Music Video Details
Only if Shoot is
a Music Video
Prior Production With Any Losses of Any Kind?
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1,000,000 / 2,000,000
2,000,000 / 2,000,000
3,000,000 / 3,000,000
4,000,000 / 4,000,000
5,000,000 / 5,000,000
Occurrence / Aggregate
Waiver of Subrogation:
Non-Contributory Wording Occasionally Required by Locations
Auto Physical Damage:
Any One Accident / Policy Aggregate
Workers' Compensation for US Nationals
contact us for
Workers Compensation for Foreign Nationals.
Non-Guild Members, Aggregate Limit:
1mil Guild, 50k Non-Guild, 5mil Agg
1mil Guild, 50k Non-Guild, 10mil Agg
1mil Guild, 100k Non-Guild, 5mil Agg
1mil Guild, 100k Non-Guild, 10mil Agg
1mil Guild, 250k Non-Guild, 5mil Agg
1mil Guild, 250k Non-Guild, 10mil Agg
1mil Guild, 500k Non-Guild, 5mil Agg
1mil Guild, 500k Non-Guild, 10mil Agg
Guild refers to
employees who are part of a Guild, Trade Association or Labor
Union. The required Guild limit is $1,000,000. Non-Guild refers to
all other employees.
Please carefully review the
Terms and Conditions below:
read all exclusions indicated on quotation.
The quotation received is not
binding on the Insurer in any way.
clicking 'Submit Application' you are not
agreeing to purchase coverage. Via email, you will
receive a free, no-obligation insurance quotation.
that once coverage is bound, the policy cannot be cancelled.
quotation will be based solely on the coverages and limits selected
on this application.
Please ask your Supple-Merrill &
Driscoll, Inc. representative to explain coverage details,
exclusions, limits or other provisions of any insurance policy.
Type your name below, to indicate
that you have read
and accepted the Terms and Conditions above:
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