Required Forms The two forms below must be received by Blayney Ranch management prior to access being approved. Filming Information Form Expected Filming Date(s)*Project Title*Production Company*Name of Contact Person*Contact Person's Phone*Contact Person's Email*Est. Number of Cast & Crew*Est. Number of Vehicles (Production & Private)*Will there be any Special Effects?*NoYes (specify types in next section)Special EffectsFireSmokeGunfireWaterflowExplosionsDronesOther (Explain in Comments)How did you hear about Blayney Ranch?*WebsiteAntelope Valley Film OfficeFilmed Here BeforeLinkedInFaceBookInternet SearchReferral (Put name of person referring in Comments)Other (Specify in Comments)Comments Hold Harmless / Rules & Regulations Agreement I agree with the Hold Harmless*The above signed agrees to indemnify the BLAYNEY RANCH, including its owners, agents and employees (hereafter referred to as “Owner”) from and against any damages or loses of any nature whatsoever, including actions by third parties, caused by omissions of acts of the undersigned, his servants, agents or employees (hereafter referred to as “Undersigned”) unless such damages or loses are caused by the negligence or willful misconduct of Owner. Further, the Undersigned agrees to defend, indemnify and keep and hold the BLAYNEY RANCH, including its Owners, harmless from any and all costs, liabilities, damages or expenses (including but not limited to, the costs of any legal suits, fees or expenses) claimed by anyone by reason of injury to, or death of persons, or damages to, or destruction of property, including property of the Undersigned, arising out of the Undersigned's activities on BLAYNEY RANCH property unless such costs, liability, damage or expenses (including but not limited to, the costs of any legal suits, fees or expenses) claimed by anyone by reason of injury, death, damage, or destruction of property is caused by the negligence or willful misconduct of Owner.I agree with the Rules & Regulations*1. Vehicles must remain on designated roads unless otherwise authorized by the on-site representative. 2. Removal or trimming of any vegetation without permission is prohibited. 3. Altering of the ground (i.e. digging holes, trenches, building mounds, etc.) requires authorization from the BLAYNEY RANCH representative. 4. Damage to the surface of the land caused by heavy equipment (cranes, trucks, etc.) may require tractor work to repair and will incur additional charges. 5. All materials brought onto BLAYNEY RANCH must be removed by the conclusion of the project. 6. The landscape must be returned to the condition it was in prior to filming. (i.e. holes filled in, fences restrung, etc.) 7. Smoking is NOT allowed on BLAYNEY RANCH property. 8. No alcohol or firearms (other than props) are allowed on BLAYNEY RANCH. 9. The owners or representatives of BLAYNEY RANCH reserve the right to require the presence of authorized FIRE/SAFETY personnel, at the production company's expense, whenever it is deemed necessary by the on-site representative. 10. All production company employees and their representatives or agents must remain in the vicinity of the filming and may not engage in recreational hiking on BLAYNEY RANCH. 11. The production company must provide proof of insurance before access to BLAYNEY RANCH is allowed, and RANDALL BLAYNEY must appear as a “Certificate Holder” on the policy. 12. Photos taken of production company activities by on-site representatives may be used for promotional purposes for BLAYNEY RANCH. In addition to the two forms above, we will also require a copy of your insurance showing "Randall Blayney / Blayney Ranch" as a Certificate Holder.