Carpinteria, CA · Santa Barbara County
Insurance And Indemnification Agreement
Film permit applicants use this agreement to accept insurance and indemnification requirements for filming activities in Carpinteria.
What this form is
Film permit applicants complete this agreement with the City of Carpinteria for a filming activity within city limits. It sets out insurance coverage and proof requirements, indemnification responsibilities, a waiver of subrogation rights, and a restriction on assigning the agreement. The agreement calls for insurance evidence to be filed with the Community Development Office before filming.
Who needs it
An applicant seeking a Carpinteria film permit for a filming activity needs to complete this agreement and provide the required insurance evidence.
How to submit it
File original insurance policies or an original certificate of insurance with the Community Development Office at 5775 Carpinteria Avenue, Carpinteria, CA 93013, not less than two days before filming. Filming may not begin until the City verifies adequate coverage.
About notarization
This agreement is signed and dated without a notary; it requires insurance evidence, but does not state that any attachment must be notarized or sworn.
How to submit this form
- 1
Download The Agreement
Download the Insurance and Indemnification Agreement PDF.
- 2
Complete The Agreement
Enter the agreement date and applicant information, then sign and provide a title.
- 3
Gather Insurance Evidence
Prepare original insurance policies or an original certificate of insurance showing the required coverage.
- 4
File With The City
File the insurance evidence with the Community Development Office at 5775 Carpinteria Avenue not less than two days before filming.
Frequently asked questions
- Do I need a notary for the Insurance and Indemnification Agreement?
- No. The agreement is signed and dated without a notary. It requires insurance evidence, but does not state that any attachment must be notarized or sworn.
- How do I submit the Insurance and Indemnification Agreement?
- The agreement directs applicants to file original insurance policies or an original certificate of insurance with the Community Development Office at 5775 Carpinteria Avenue, Carpinteria, CA 93013.
- When must I file proof of insurance?
- The agreement says insurance evidence must be filed with the Community Development Office not less than two days before filming. Filming cannot begin until the City verifies adequate coverage.
Need something notarized?
This Insurance And Indemnification Agreement doesn’t need a notary — but if you have another Carpinteria form that does, a commissioned online notary can help.