EXHIBIT A

Forms
Authorization to Record Video & Photograph Property

I, _______________________ , the authorized “Person in Charge” granted legal authority to authorize 

and permit permission to Triptych Construction, llc to record via unmanned systems, video and 

photograph the property commonly known as: 

_____________________________________________________________________________________

_____________________________________________________________________________________

The recorded media IE:) video and photography, is to be used in a manner consistent with the client’s 

interests, current real estate marketing strategies, advertising techniques, property development, 

investigation and observation and/or safety evaluations and inspections. 

Sincerely, 

Signature_____________________________ Date____-____-____ 

Signature_____________________________ Date____-____-____
 

CLIENT PERMISSION TO COLLECT AERIAL IMAGERY OVER PROPERTY

By signing this permission, the signer consents to aerial image collection by Triptych Construction, llc 

(Triptych) of the project site or facility which is being filmed and, to the extent necessary, areas adjacent 

to the site or facility. 

This permission allows Triptych staff to enter upon and around such property in order to collect aerial 

imagery over the project site or facility, without prior notice, between the hours of 7:00a.m. & 6:00p.m. 

Monday through Sunday. 

If Triptych staff should wish to collect imagery at any other times, Triptych staff will so notify the 

applicant and will obtain a separate consent for such a collection. Imagery collection may take place 

regardless of whether the signer or an agent is present. 

In the event that the project site or facility is posted with any form of "posted" Or "keep out" notices, or 

fenced in with an unlocked gate, this permission authorizes Triptych staff to disregard such notices or 

unlocked gates at the time of the collection. 

The signer further agrees that during imagery collection, Triptych staff may capture physical 

characteristics of the site including, but not limited to, taking measurements of the project site or 

facility. 

The following rules apply during the execution of all imagery collection done by Triptych staff under this 

permission: 

1. Flight Operations: A Pilot in Command (PIC) will be in control of all aerial imaging assets. All flights 

will occur within line of sight and include a trained Visual Observer (VO). All aerial imaging assets flown 

will be less than 55 lbs. 

2. Rights to data/imagery being collected: Data/imagery, and other information conceived, developed, 

or produced in the course of this permission shall remain the property of Triptych. The signer and agent 

maintain unlimited rights to modify and disseminate all data/imagery and information. 

3. Compliance with Laws: In the course of performance hereunder, the Parties shall comply with all 

applicable local, state, and federal laws and regulations. 

4. Costs/Liability Limitation: Except in the event of a Party's gross negligence or willful misconduct; the 

aggregate liability of a Party to the other Party for claims, damages, costs, actions, or liabilities arising 
from or related to this Agreement, regardless of the legal theory of recovery, shall in no event exceed 

the actual out-of-pocket costs of the injured Party incurred in the performance of this Agreement. 

Page 1 of 2 Pages

Permission is granted for aerial imagery collection of property located at the following address(es): 

_____________________________________________________________________________________

By signing this form, I affirm under penalty of perjury that I am authorized to give consent to entry by 

Triptych staff as described above.*

Print Name____________________________________Title____________________________________ 

Signature _____________________________________________________Date ___-___-___ 

*The signer of this form must be an individual or authorized representative of a legal entity that: 

• Owns fee title and/or is in possession of the property identified above; 

• Maintains possessory interest in the property through a lease, rental agreement or 

other legally binding document; or 

• Is provided permission to act on behalf of an individual or legal entity possessing fee 

title or other possessory interest in the property for the purpose of consenting to 

imagery collection of such property
Page 2 of 2 Pages

UAS Aerial Survey Check Sheet

Client / Flight Packet

Flight Request

Client / Contract Related

Company Contact Enquiry 

Date

Project 

Date

AP:___________

POC__________

Phone Phone TYPE >

(____) ____-___________

Fax: (____) _____-_______

(____) ____-______

X _____

RUSH >

Website Email RVCD 

by

_______________________

@__________._______

________________

_

@________._____

ASSIGN 

to
Address to be billed

Description of Project

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Sketch or attachments below:
INSERT AGREEMENT TO PROCEED CONTRACT 

AND 

LIABILITY RELEASE 

HERE
Operational Due Diligence

 All boxes to have entry, attachments are to be included relevant to box # when required.

 Box / Column marked ‘X’ to be used by ADMIN after all flights have been conducted. DO 

NOT USE

Box

#

Detail Date Comments and Notes By X

1 Client Call

Needs 

discussed

Rush? Payment Methods? Etc

2 Google Map 

of flight area 

reviewed

* Attach copied picture of flight ops area with

any notes drawn on the map.

3 Airspace 

Compliance

[ ] NOTAM: ________________________ 

[ ] TFR: ___________________________ 

[ ] COA:___________________________

[ ] Restricted Airspace: _______________

4 Equipment 

Load out

(Must comply 

with COA 333 

exempt as 

relevant)

Aircraft

[ ] ATOD Q4 [ ] S800 [ ] H920 [ ] Q500

[ ] IT1800 [ ] HAWK v2

Camera and Support details:

[ ] UAS System camera 1080p

[ ] Sony NEX7 

[ ] GoPro 

[ ] IR

[ ] Thermal

Transport

UPS FEDEX USPS DHL Other:_______

To:______________________ 

From: ____________________

[ ] Delivered in Person with UAS staff

5 Contact

Call to client to 

discuss 

concerns / 

plans

1. Contract Details

2. Weather

3. Restrictions

4. Plan of Action

5. Goals and Results expectations

6 Client 

Agree to 

Proceed

Once Box 5 has been conducted and the client 

agrees to proceed they MUST sign and fax or scan / 

Email a signed Aerial Survey agreement. 

WE WILL NOT FLY UNTIL THIS IS SIGNED AND 

RETURNED

7 Contracts

Client signed 

1. Liability Waiver

2. Aerial Survey Agreement

8 Additional 

Approvals

[ ] ATC: __________________________ 

[ ] FAA: ___________________________
(If needed)

Property owners 

not related to 

contract should 

sign and proof 

should be filed 

when able. Not 

required.

[ ] Property Owner(s):________________

[ ] A NOTAM has been posted for our UAS 

Operation

9 UAS 

Approvals

Once Approved 

with client and 

ITS, Flight 

authorized by 

UAS Planning 

Team

[ ] UAS Flight Ops Manager: __________

[ ] ITS Upper Management ___________

10 PROCEED

Approval by ITS 

Dir of UAS 

Operations

“ I have approved the operational use of UAS 

under the included elements listed within this 

document. Once approved, this contract and it’s 

parameters may not be changed without a 

resend to the Director of UAS operations for 

review and approval.”

This operation is approved with the following 

additional expectations as apply:

______________________________________

______________________________________

__________________________

Dave Skala / Dir of Unmanned Systems

Signed:___________________________

Date: ___-___-___

11 UAS Team 

Assigned

List members assigned this contract

PIC:_____________________________

VO:_____________________________

Other: ___________________________

12 Weather 

Verify for flight 

dates and 

relayed 

List expected weather in the operational Area:
PRE-Flight Evaluations

 Use UAS Specific pre/in-flight/post flight documents for actual flight recording and attach.

Box 

#

Detail Date Comments By X

13 UAS team 

On site

PIC:_______________________

VO: _______________________

ENG:______________________

14 Flight Ops 

Pre-walk 

A physical 

walk off of 

the flight ops 

area MUST

be conducted

Estimated operational area

AGL_____’ X Length_____’ X Width: _____’ 

Weather:

[ ] Optimal: Sunny / Clear, No Wind

[ ] Adequate: Partly Cloudy / Breezy

[ ] Other: ___________________________

Area Security / Safety

[ ] Perimeter Security / Safety

Notes:______________________________

[ ] Not Needed

If Not, Why?_________________________

Humans in area: X___ Animals: X____

Safety Briefing to all involved and nearby Y or N

PPE in place for operators and others? 

Y or N

Notes:_________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

______________________

15 Misc

16 Actual 

flight

detail

MAX AGL_____’ 

Max Dist from Pilot _____’

Comments:______________________________________

_______________________________________________

______________________________________________
UAS Team

Operational Score Card

 This matrix to document mission Hrs for offload to flight Ops Database and 

individual operator’s flight logs and training rosters.

 Routing of this page:

o (1) Original to Director of UAS for company archives

o (1) Copy to Company Training Log

o (1) Copy to EACH member listed below. Personal Flight Logbook

Assignment On Site Hrs/Mis IN 

AIR

Take Offs Landings Job Type

IE: EN/ST

Pilot

Observer

Engineer

Other

Total Time:

EN Engineering 

AG Agricultural 

FL Filming Only 

 

CT City 

ST State 

CY County 

FD Federal 

ML Military 

OT Other:

Notes: 

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Roster not valid without UAS team signature:

Name 

(Printed): ____________________________ 

(Signed): ____________________________ Date: ___-____-____

Accepted / Validated by: _________________________ Date: ___-___-____
Basic DJI Checklist

Multi-Rotor only

 This shall supplement each UAS operational procedure

Flight Operation Location: ________________________ Contract #_________________________

Pilot: ______________________________ Date:____-_____-____

UAS System#: ___________

Pre-Flight

( ) Conduct Walk Around of Flight Area 

( ) Identify Potential Hazards with Spotter 

( ) Locate Safe Launch & Landing Area 

( ) Set Spotter (Spotter May Change Location due to Filming Angle) Secure all Pets 

( ) Request on Non-Essential Personnel to Remain Behind Pilot 

( ) Unpack All Equipment from Transportation Case 

( ) Inspect UAS for damage, ware and proper flight setup according to the relevant UAS manual. If no 

damage or unusual ware is detected proceed to the next step. If damage is detected the flight will be 

aborted until proper repairs are completed. 

( ) If the UAS is deemed flight worthy - Power Up Remote pre-set IOC and GPS Mode functions to suit

( ) Power Up Video Systems 

( ) Initiate Video Recording 

( ) Power Up UAS 

( ) Launch UAS 
Active Flight

( ) Conduct Flight Operations 

( ) Announce Verbally and Loudly “Landing”

( ) Land UAS in Designated Landing Area 

Post Flight

( ) Power Down UAS

( ) Turn Off Video Recording 

( ) Power Down Peripherals (Monitors etc)

( ) Power Down Remote 

( ) Inspect UAS for damage and ware 

( ) Stow Equipment Back into Transportation Case

Pilot Signature___________________________________________ 
Checklist for Multirotor UAV Flight Operations

Using APM 2.5/2.6 or 3DR PixHawk Autopilot and Mission Planner Software

Updated 8-25-2015

This document assumes a multirotor UAV built around the 3DRobotics ArduPilot Mega 

autopilot version 2.5 or 2.6 (or equivalent) running version 3.1 or later firmware, or PixHawk 

autopilot, which has been flight tested, has had all calibration steps performed, and has had 

RC system failsafe configured.

Before leaving for flight location

( ) Ensure that autopilot is properly configured for desired operation – for example, for an imaging 

mission make sure CAMERA option is set in LOG_BITMASK or via the CLI.

( ) Pre-fetch base map imagery in Mission Planner. Note that this may take up to a few hours depending 

on area pre-fetched and internet access speed – leave enough time to complete this step.

( ) OPTIONAL – create flight plan (waypoint list) in Mission Planner. Use a dummy Home point – it will 

get reset at flight time to the UAV’s location when it is armed. If using distance-based camera triggering, 

make sure a waypoint exists at the same location, or very near, the first waypoint, but before the 

CAM_TRIG_DIST command that enables camera triggering, so that imaging doesn’t begin until the UAV 

reaches the area to be imaged.

( ) OPTIONAL – if using manual compass declination on UAV, and location sufficiently distant from 

previously flown location that compass declination will be different, determine declination for location 

where flying will take place and record it.

( ) Charge all flight batteries and RC transmitter battery.

Pre-flight Operations at Flight Location

( ) If airframe is folding or collapsing type, unfold or extend all arms and attach/tighten as necessary.

( ) Check airframe for any loose or missing screws and tighten or replace as necessary.

( ) Check all onboard electronics for tight connections and insert/reinsert plugs as necessary.

( ) Ensure that proper propeller (normal or reverse) is installed on each motor. Replace as necessary.

( ) Check that all propeller adapters are tight and tighten as necessary.

( ) Check UAV balance by hanging aircraft from each pair of opposite propellers.

( ) Connect ground station modem to computer’s USB port and insure that modem driver loads properly 

in operating system.
( ) If flying an imaging mission, set up camera as appropriate and attach to UAV if not already attached.

( ) Start computer and open Mission Planner software.

( ) On RC transmitter, set mode channel to STABILIZE, ALT HOLD, or LOITER. Set throttle stick to 

idle position, and switch on transmitter. Check that transmitter has sufficient charge for flight operations 

to be performed.

( ) Place UAV on a flat level surface, install battery(s) , and connect power. Wait for autopilot status 

LEDs to stabilize to blinking RED, steady or blinking BLUE, and no YELLOW. If status LEDs do not 

stabilize to these states, abort pre-flight until problem is diagnosed and solved.

( ) In Mission Planner software, select correct port ID and baud rate (default is 57600) for telemetry 

modem, and hit “Connect” button. Wait for connection to be established, and for handshaking to 

complete.

( ) Check that Mission Planner HUD shows proper level horizon. Pick up UAV and tilt in both roll and 

pitch axes, and insure that HUD shows correct response.

( ) Check for 3D Fix on GPS (map display should show current location).

( ) Check that battery voltage, compass heading, data packet percentage, and GPS time-of-day are 

correct in Mission Planner HUD.

( ) Check that Mission Planner HUD shows altitude within 1 distance unit (meters or feet) of zero. If 

not, go to lower left corner sub-window of Mission Planner, select Actions tab and press “Set Home Alt” 

button. Current altitude display in HUD should change to zero.

( ) If using “Quick” tab in Mission Planner, set desired display properties. Suggestions are ch3percent 

(amount of throttle applied), Climb Rate, Time in Air, 3DR Radio Estimated Distance. Remember that 

Altitude, Airspeed, Ground speed, Battery Voltage, Current, Battery Percent Remaining, Roll Angle, Pitch 

Angle, Yaw Angle, Waypoint Distance, Waypoint Number are displayed by default in the HUD, and thus 

are redundant to display in the Quick tab.

( ) In Mission Planner Configuration tab, Hardware section (or in full parameters list), check for or set 

correct battery mAh value. Consider setting value to only 90% or 95% of rated battery capacity for a 

safety margin.

( ) Check that geofence parameters are correctly set for the flight – if necessary, use Measure Distance 

tool in Mission Planner to measure distance from Home to farthest point, and make sure geofence radius 

is greater than this distance.

( ) Check or set Failsafe parameters as appropriate, including but not limited to FS_BATT_ENABLE, 

FS_BATT_VOLTAGE, FS_BATT_MAH, FS_GPS_ENABLE, and FS_GCS_ENABLE. If invoking failsafe 

in the event of RC link failure, set appropriate FS parameters for that condition [note that this requires 

prior configuration of RC receiver failsafe function].

( ) In Mission Planner Flight Planner tab, load or create flight plan. Check that all altitude values are 

nonzero and sufficiently high to clear any terrain or obstacles in flight path. Ensure that flight plan duration 

does not exceed normal flight duration of UAV with current battery in use. If using distance-based camera 

triggering, make sure a waypoint exists at the same location, or very near, the first waypoint, but before
the CAM_TRIG_DIST command that enables camera triggering, so that imaging doesn’t begin until the 

UAV reaches the area to be imaged.

( ) If desired, add TAKEOFF command at beginning of flight plan.

( ) If desired, add RTL or LAND command at end of flight plan. Set RTL parameters (RTL_ALT, 

RTL_ALT_FINAL) as appropriate for desired behavior.

( ) Press “Write WPs” to transfer flight plan to UAV.

( ) OPTIONAL – Disconnect and re-connect Mission Planner to autopilot to reset flight log (eliminates

long initial period of inactivity when later reviewing flight logs). Check that all HUD parameters return to 

appropriate levels.

( ) If flying an imaging mission, test RC and/or autopilot actuation of camera as appropriate.

Launch and Flight

( ) Set mode channel on RC transmitter to STABILIZE or ALT_HOLD.

( ) If using a PixHawk autopilot, press the red Safety button and listen for success tone.

( ) Make sure all ground crew and any bystanders are clear of UAV.

( ) Verbally announce “Arming!” loudly to ground crew and any bystanders. Arm UAV. 

( ) Check for solid BLUE and RED LEDs, and “ARMED” in red letters on HUD. If arming 

fails, abort flight operations and resolve reason for arming failure before continuing.

( ) If launching manually, apply throttle and fly UAV to desired altitude, then hold. If using 

programmed launch, actuate launch by switching to AUTO mode or invoking TAKEOFF 

from Mission Planner.

( ) If not already in AUTO mode, switch to AUTO mode and observe that UAV seeks 

location and altitude of first waypoint. Maintain visual contact with UAV at all times and be 

prepared to take over manual control if UAV exhibits odd behavior, or if another aircraft of 

any type enters the UAV’s airspace. Have a plan at all times for what to do in the event of 

something unexpected.
Mission Completion and Landing

( ) Ensure that UAV performs RTL at end of mission. If necessary, override mission and 

RTL from RC transmitter or Mission Planner.

( ) If flight plan includes a LAND command, or if automatic landing commences after RTL 

has been achieved, observe landing and be prepared to take over manual control of UAV 

using STABILIZE or ALT_HOLD modes to avoid a crash or hard landing. Disarm 

immediately when UAV has landed.

( ) Disconnect Mission Planner from autopilot, and physically disconnect or power down 

UAV.

( ) Power off RC transmitter if flight operations are finished or will be paused for more than 

a few minutes.