Dover, NY · Dutchess County
Film Hold Harmless Agreement
This agreement sets out a production’s liability and insurance commitments for filming in the Town of Dover and is signed by the production representative.
What this form is
The Film Hold Harmless Agreement records a production’s commitments to defend, indemnify, and hold harmless the Town of Dover and property owners for claims related to filming. It also sets out insurance coverage requirements, including liability and workers’ compensation insurance, and calls for certificates of insurance. The agreement asks for the property address, production dates, printed name, signature, and date.
Who needs it
A production filming in the Town of Dover needs this agreement to document its liability and insurance commitments.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This agreement is signed without a notary; it calls for insurance certificates, but no notarized or sworn attachment, and the signer signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the Film Hold Harmless Agreement PDF.
- 2
Complete The Agreement
Enter the property address and production dates, then print the signer’s name, sign, and date.
- 3
Gather Insurance Certificates
Gather certificates of insurance showing the coverage described in the agreement.
- 4
Submit To The City
Submit the agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Film Hold Harmless Agreement cover?
- It records a production’s commitments to protect the Town of Dover and property owners from claims related to filming, and outlines required insurance coverage.
- Do I need a notary for the Film Hold Harmless Agreement?
- No. The agreement is signed and dated without a notary. It calls for insurance certificates, but does not identify a notarized or sworn attachment.
- How do I submit the Film Hold Harmless Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.