EmailMe Form - Bad Dog Pictures Account Application

In order to rent ANY equipment with Bad Dog Pictures, we will require the following:

1. New Business Account Application (This Form) a. It takes a minimum of 24hrs to process from the time we receive a completed application with all the necessary documents. b. Must be filled out completely and signed by an owner or partner for the company. c. Must have two industry related references (examples – other rental or lighting houses) d. Must be filled out by the production company that is providing the insurance.

2. Terms and Conditions a. Must be agreed to and signed by an owner or partner for your company.

3. Certificate of Insurance a. Must present a certificate of insurance naming Bad Dog Pictures. as additional insured and loss payee. You must have a Miscellaneous Rented Equipment Floater for at least the value of the equipment you plan to rent. ***Note: Please be sure that the new rental application matches the name and address in the “Insured” section of your insurance cert.*** Before ANY equipment can leave Bad Dog Pictures, we must receive a VALID Certificate of Insurance that contains the following provisions: A. Coverage for Rented Equipment: a. Commercial General Liability: Minimum limit of $1,000,000 per occurrence & annual aggregate b. Automotive Liability: $1,000,000 combined single limit c. Aircraft Liability (If shooting from an aircraft): $5,000,000 B. The Additional Insured / Loss Payee clause must read: Bad Dog Pictures is added as “Loss Payee” and “Additional Insured.” a. Coverage of Equipment Rented must include equipment from all sources, for full replacement cost, and cover "All Risks" of loss or damage on a worldwide basis with no locked car exclusions”.

4. Credit Cards A valid Credit Card (not a Debit Card) must be provided to secure all rentals. Fill out Credit Card Authorization Form Prepayment is required for any new accounts. Preferred method of payment is a check. We also accept bank wires and credit cards. Incase of a credit card, there will be a 3% non-refundable service fee on any credit card charges.

5. Photo ID Bad Dog Pictures requires a valid government ID (Drivers License or Passport) be presented at the time of rental.

6. Applicant agrees to follow Bad Dog Pictures Terms and Conditions. Please be sure to fill out ALL required information, as this will delay the release of the equipment.

Services Requested *

Equipment Rental

Studio Rental

Production Services

Gear Sales

Company Name *

Federal ID *

Name *

First Last

Company Website *

Title

Email *

Company Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

### - ### - ####

Office Phone

### - ### - ####

PO Required?

Yes

No

Fax Number

### - ### - ####

Owner or Authorized Officer

First Last

Owner or Authorized Officer Email

Accounts Payable Contact

First Last

Accounts Payable Email

File Uploads

Photo of Credit Card - Front and Back *

Upload a copy of your Credit Card front and back. This field is encrypted.

Submit .pdf, .jpg, . jpeg

Upload W9

Upload a copy of your Credit Card front and back. This field is encrypted.

Submit .pdf, .jpg, . jpeg

Photo of Driver's License *

Upload a copy of your Driver's license - front and back. This field is encrypted.

Submit .pdf, .jpg, . jpeg

Link to W9 Form

Copy web address and place in a new browser window.

Insurance

I agree to provide Bad Dog Pictures with a Current and Valid Certificate of insurance for Equipment and Studio Rentals.

Yes

The certificate of insurance must name Bad Dog Pictures as additional insured and loss payee.

You must have a Miscellaneous Rented Equipment Floater for at least the value of the equipment you plan to rent.

IMPORTANT - The new rental application must match the name and address in the “Insured” section of your insurance certificate.

The Certificate must be valid and current and will include the following coverages:
1. Coverage for Rented Equipment covering the value of equipment rented.

2. Commercial General Liability: Minimum limit of $1,000,000 per occurrence & annual aggregate

3. Automotive Liability: $1,000,000 combined single limit

4. Hired/Non-Hired Auto Coverage. Physical Damage, $50,000.

Certificate of Insurance Upload

Upload a copy of your Certificate of Insurance.

Submit .pdf, .jpg, . jpeg

COI Expiration Date

MM / DD / YYYY

Link to Sample Insurance Form

Copy Link and Paste in Browser

Tax Exempt Status

My Business is not Tax Exempt

I Will Provide a Missouri Sales Tax Exemption Certificate

Equipment, Supplies and Expendable Sales will be taxed at current rates for St. Louis City.

Bad Dog Pictures Rentals and Production Services are not subject to Missouri Sales Tax.

Tax Exempt Form Upload

Upload a copy of your tax exemption form.
Submit .pdf, .jpg, . jpeg

Download Missouri Tax Exempt Form

Copy web address and place in a new browser window.

References

Please provide 2 references from the video production industry.

Incomplete information will delay processing

Reference 1 Company Name

Reference 1 Web Site

Reference 1 Phone

### - ### - ####

Reference 1 Contact Name

First Last

Reference 1 Email Address

Reference 1 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Reference 2

Reference 2 Company Name

Reference 2 Web Site

Reference 2 Name

First Last

Reference 2 Phone

### - ### - ####

Reference 2 Email

Reference 2 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Banking Information

Bank Name

Account Number

Bank Contact Name

First Last

Bank Contact Email

Bank Contact Phone

### - ### - ####

Bank Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Signature and Date

By having the following button checked, I would like to be included in Bad Dog Pictures email list.

Yes

Signature *

Clear

The above information is for the purpose of establishing an account and/or credit terms with Bad Dog Pictures and is warranted to be true.

I /we authorize the firm to whom this application is made to investigate the references listed pertaining to my /our credit and financial responsibility.

I authorize Bad Dog Pictures to charge the credit card on file as needed to cover rental charges and fees including but not limited to any loss or damage of rental equipment.

Date Time *

MM / DD / YYYY