APPLICATION FORM FOR FILMING IN THE PUBLIC DOMAIN IN THE ADMINISTRATIVE AREA OF DUBLIN CITY COUNCIL

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APPLICATION FORM FOR FILMING IN THE PUBLIC DOMAIN IN THE ADMINISTRATIVE AREA OF DUBLIN CITY COUNCIL APPLICATIONS MUST BE RECEIVED AT LEAST 10 WORKING DAYS IN ADVANCE OF THE DATE PERMISSION IS REQUIRED FOR; Small - Feature Film Production Spend in ROI greater than 1m and less than 1.5m TV Series with a Production Spend in ROI per hour greater than 300,000 and less than 500,000 Micro - Feature Film Production spend in Republic of Ireland less than 1m TV Series with a Production Spend in ROI per hour less than 300,000. CONTACT AND FINANCE Location Manager or Production Manager Mobile number; E-mail address; Name of Production; Address of Production Company Email Address for invoices and financial statements; Confirm Irish production budget Confirm overall production budget Please supply VAT56B form if VAT exempt VAT exempt? Yes No FILM DETAILS Location(s) required;

Dates of filming; (incl. set up and de-rig) Start time/end time; No. of Crew/Cast on location; Name of Health and Safety Consultant/Officer. Please give brief Production Synopsis Please give a brief synopsis of your required shots; Please indicate if any of the scenes require any of the following Suspension of Parking Bays (number of meter and location) Stunt/Action Scenes (details) Road Closure Required? (Name of Road) Applications for road closure must be received 5 weeks prior to filming date Traffic/Pedestrian Traffic Management Plan (If affected) attached? Yes No n/a Non Public Duty Garda required? (Name of DMR) Street Dressing (describe) Disguising street markings (location) Cherry pickers or lighting towers (location) Camera crane, (size and spec)

Camera track (location) Replica firearms/gunfire (times), Name of armourer; Smoke effects (times, methods of release) Fire effects (details, times) Animals on location (list animals) Children on set (details) Yes No Reconstruction of crime/emergency scenes (details) Cast dresses as Garda/emergency services (details) Crowd control or barriers (location) Turning off street lights (details, lamp number) Removal of street furniture (details and location) Wet down (times) (standpipe number if applicable) Fake snow (details and method) Building blackout (details) Car chases/driving sequences (start point/end point) Low loaders (specifications and locations) Catering facilities (location) Security (company name) Generators, (details, size/weight) Scaffolding (details) Green screens/blue screens (size, weight, locations) Temporary structures (details)

Set dressing/props (details) PLEASE LIST ANY OTHER DETAILS IF NOT LISTED ABOVE CHECK LIST Please ensure that the following (if required) is enclosed with this Application Form: Location Pictures (if applicable) Risk assessment Public liability insurance (with indemnity to Dublin City Council) Medical plan/first aid provision Waste management plan (If applicable) Production schedule Other application forms such as parking requests/positioning of equipment Residents notification letter If you using any of the above please give details and provide additional information in your risk assessment.

We confirm that our organisation has a Health & Safety Management Plan in place for the production. This Plan complies with the requirements of the Health & Safety Act 2005 and all subsequent acts and amendments. This Plan will remain in force for the duration of our filming and will not be amended or cancelled for the duration of the filming. The Safety, Health and Welfare at Work Act 2005 places a duty on employers to ensure the safety, health and welfare at work of employees, so far as is reasonably practicable. In addition, the Act also requires that the employer does not endanger anyone else (e.g. contractors, members of public) by ensuring that they manage and conduct work in a safe manner. If any details, relating to this permit application, are altered after the form has been submitted, please advise Dublin City Council immediately at the Events Unit, Dublin City Council, Ground Floor, Block 4, Civic Offices, Wood Quay, Dublin 8. I, the undersigned confirm that the above information is true and factual. I confirm that I am the authorised person for this production. I have read the general conditions overleaf and agree to abide by same: Signature of Location Manager/Producer/Drone operator: Date: Please forward the completed Application Form to events@dublincity.ie Fees/Charges Non commercial Filming Category Film Drama Productions on Public Domain (excluding filming in Dublin City Parks see commercial/tv charges below) Small - Feature Film Production Spend in ROI greater than 1m and less than 1.5m TV Series with a Production Spend in ROI per hour greater than 300,000 and less than 500,000 Micro - Feature Film Production spend in Republic of Ireland less than 1m TV Series with a Production Spend in ROI per hour less than 300,000 Factual/ Documentary/Reality T.V./News and Current Affairs Student Film/Charity Henrietta Street Location Fee an additional 25% per day for all production sizes. Fee + Vat @ current rate applies Fee Per Production 200 75 50 No Fee 25%

Terms and Conditions of Filming in Dublin Additional Terms and Conditions may be added to your production once full details of the filming request is received. Filmmakers must ensure that Dublin City Council is kept fully informed of the intentions of the production company. Productions should nominate a member of crew to liaise with the relevant agencies and services. That person should be an experienced Location Manager or Unit Production Manager, where possible. It is recognised that audiovisual production companies must act in a responsible and professional manner. However, all producers need to take their surroundings into consideration and must not; o Obstruct others from carrying out their business; o Cause a disturbance or safety hazard or impede the mobility of pedestrians, goods or services without adequate prior consultation. o Dublin City Council has a duty of care towards residents and businesses and will exercise control if a particular production is causing an unreasonable nuisance. o The selection of film locations that may have the potential to affect normal traffic flow should only be done in consultation with An Garda Síochána and Dublin City Council s Roads and Traffic Department. Notify relevant Garda station/s. a) An Garda Síochána and Dublin City Council have the right to terminate any permits granted, should prior agreements not be adhered to. b) Any filming undertaken is the responsibility of the applicant. Adequate notice must be given to An Garda Síochána and Dublin City Council when making any arrangements. must be submitted to buildingcontrol@dublincity.ie prior to commencement of the event. Dublin City Council must be credited in the production titles for their assistance in the making of the programme/film/series and the DCC logo included where possible. Please contact Dublin City Council s Events Team for the Council Logo in various formats. Any additional requirements of the statutory agencies must be resolved directly with them prior to holding of the filming. The requirements DCC s Building Control Section, must be complied with in full and the certificate the event structural engineer, in relation to the erection of temporary structures Filming to take place at the stated locations, dates and times only. There must be no obstruction of access or egress to retail or other premises Noise levels should not be considered a nuisance and consideration must be given any noise sensitive premises in the area. No litter to be created as a result of the filming Noise should be kept to a minimum and generators should be baffled or integrated with the location vehicle. Crew members should aim to dress professionally at all times, in all weathers. Dress codes imposed at particular locations for religious or other reasons must be adhered to. Crew and cast should refrain from using lewd or offensive language. Crew members should keep access to surrounding homes and businesses clear at all times If required all road closures must be applied for and agreed in advance of event. Parking permits and suspension of parking if required must be applied for and permits granted prior to commencement of filming. Positioning of vehicle applications if required, must be made and granted prior to commencement of filming.

There must be no interference with vehicular or pedestrian traffic unless specifically applied for and a Traffic Management Plan is received and approved by An Garda Siochana and Dublin City Council. Only essential services and prop vehicles to be parked at location. Cast, crew and talent parking should be arranged off site. All consultation with businesses/residents and other premises to be complete prior to commencement of filming. The applicant must satisfy themselves that the person responsible for drawing up and implementing the Health and Safety Statement and Risk Assessment Plan for their filming is competent to do so. Sole responsibility lies with the applicant to ensure that all elements of plans are carried out as stated in the documentation submitted to Dublin City Council for the duration of the event. Dublin City Council bears no responsibility for the management of safety for the duration of the filming The applicant must comply with all Health and Safety Legislation, the Safety, Health and Welfare at work Act 2005, Health and Welfare at work Act (Construction) 2013, Health and Welfare at work Act (General) 2007, Fire Services Act 1981 and 2003. All regulations made there under, and all other relevant legislation, regulations and approved Codes of Practice, to ensure the safe running of this event. This decision notice does not apply to Grand Canal Square or Henrietta Street or Council owned Parkland. This decision notice does not permit you to film outside Department of Justice properties, Department of Defence properties, any national embassies, any national consulate offices, or airports. Insurance All productions should provide Dublin City Council evidence of insurance we will require; Submission of Public Liability Insurance indemnifying Dublin City Council up to 6.4million will be required. Proof of Employers Liability of 13 million may be requested for some productions. The applicant is responsible for all and any claims that may arise directly from their application to film. The production company will be expected to indemnify any third party property owners, whose property is intended for use as a film location, against any claims or proceedings arising directly from any injury to persons or damage to property as a result of the activities of the production company or its agents.