T (888) 309-7873

sales@rvrd.com

www.rvrd.com

6HFWLRQ([HPSWLRQ Application (Dec 21th 2014)

Request for )$$6HFWLRQ([HPSWLRQ

Insurance Binder: Page: 0-0

G/S Letter of completion: Page

UAV’s Info (Multiple UAV’s): Page

Operators info Image: Page 

Flight Precautions / Checklist: Page 

Rogue UAV Checklist: Page 

Emergency Response & Security Plan: Page 

Risk Assessment Flowchart

Jason Toth

8$93LORW 	(QJLQHHU

Revered Cinema “RVRD”

toll free: 1.888.309.RVRD (7873)

email: jason@rvrd.com

web: www.rvrd.com

RVRD

Box 223

320 Kelvin Grove Way

Lions Bay BC Canada

V0N 2E0

: Page 
602 – 1788 West Broadway, Vancouver, BC V6J 1Y1 P: 604 684 3411 F: 604 684 3437 Toll Free: 1 866 690 3456

BINDER NO. FRONT0154 

This binder provides evidence of insurance, that in consideration of payment to be made by the insured of 

premiums specified, the insurance stated below has been placed with the Insurer named. 

The term of this binder is as stated below or when replaced by delivery of the Insurers written contract. 

NAME OF INSURED: Revered Cinema Inc595'. 

ADDRESS OF THE INSURED: Box 223, 320 Kelvin Grove Way 

 Lions Bay, BC V0N 2E0)URQW6WUHHW/DKLQD+L 

EFFECTIVE DATE: September 18, 2014 

EXPIRY DATE: September 18, 2015 

COVERAGES: COMMERCIAL GENERAL LIABILITY 

LIMIT OF LIABILITY: $2,000,000 Per Occurrence 

 $2,000,000 Aggregate with Respect to Products and 

 Completed Operations. 

 Including UAV endorsement. 

INSURER: PREMIERE INSURANCE UNDERWRITING SERVICES/ 

EVEREST INSURANCE COMPANY OF CANADA 

TERRITORY: CANADA/US 

This Binder is Subject to the same terms and conditions as policy documentation issued by the 

insurer. All limits, premiums and deductibles in CDN dollars. 
602 – 1788 West Broadway, Vancouver, BC V6J 1Y1 P: 604 684 3411 F: 604 684 3437 Toll Free: 1 866 690 3456

SCHEDULE “A” ATTACHED TO AND FORMING PART OF BINDER NO. DC60112709

Coverages Limits of Liability Deductibles

Negative Film/ Videotape Protection $220,000 NIL 

Still Photography and Library Stock $25,000 NIL 

Faulty Stock, Camera & Processing Protection $220,000 $1,000 Tape

$5,000 Film 

Props, Sets, and Wardrobe $500,000 $1,000 

Increase Sub-limit for antiques objects of art, rugs, fur, 

jewellery 

$50,000 $1,000 

Sub-limit for Railroad Cars – in motion $50,000 $1,000 

Sub-limit for watercraft – in motion $50,000 $1,000 

Sub-limit for short circuit or other electric disturbances $50,000 $1,000 

Miscellaneous Equipment 

Owned Fixed Not Covered N/A 

Owned Mobile $100,000 sublimit $75,000 

while on UAV system 

$2,500 on UAV 

system, $1,500 

otherwise 

Rented $25,000 $1,500 

Sub-limit for short circuit or other electric disturbances $25,000 $1,500 

Sub-limit for watercrafts used as safety vessels or camera 

platforms – in motion 

$25,000 $1,500 

Third Party Property Damage Liability Protection $2,000,000 $1,500 

Living Quarters for Cast and Crew (Buildings) $250,000 $1,500 

Living Quarters for Cast and Crew (Contents) $100,000 $1,500 

Extra Expense $50,000 $1,000 

Mechanical Breakdown- if fully tested $50,000 $1,000 

Disruption of Power – Canada/US only $50,000 $1,000 

Civil Authority – Excl Terrorism – Canada/US only $50,000 $1,000 

Non Industry Strike $50,000 $1,000 

Sub-limit for short circuit or other electric disturbances $50,000 $1,000 

Business Personal Property Protection $75,000 $1,000 

$2,500 laptops 

Valuable Papers $50,000 $1,000 

EDP $50,000 $1,000 

Sub-limit for short circuit or other electric disturbances $50,000 $1,000 

Crime – Money & Securities $10,000 $1,000 

Employee Dishonesty $5,000 $1,000 

Animal Mortality Protection 

Unscheduled $10,000 $1,000 

Any One Animal $10,000 $1,000 

Aggregate $50,000 $1,000 

Vehicle Physical Damage Protection $250,000 per vehicle

$750,000 aggregate 

10% of loss, 

min $1,500, 

max $7,500 

**/*** No coverage applies under the above noted sections to Negative Film which is accumulated for shipping and 

processing for a period in excess of 5 shooting days or consecutive days whichever is less. Longer periods 

available. 

**/*** No coverage applies under the above noted sections unless ALL equipment is fully tested and proved to be 

sound at the commencement of filming/taping. 

Note: Higher limits may be available upon request
January 20, 2014

This letter is to confirm that Jason Toth has successfully completed the UAV 

ground school course in the following subject areas.

(i) UAV Operations and Regulations 

(ii) Pilot Decision Making and Human Factors 

(iii) Basic Meteorology 

(iv)Advanced Meteorology

(v) Weather Services

(vi) Flight Planning

(vii)Air Regulations 

Adam Penner

AA-376031

Class I Instructor 
UAV INFO - X8 Compact 01 & 02

- 2 UAVs (Main & Back -Up)

- 900mm width

- 40lbs weight

- DJI A2 Contorller

- Graupner 2.4ghz Rx/Tx

- Castle 75amp ESC

- Tiger Carbon Props 16 & 18in

- Tiger U7 Motors (8 motors)

- Dual Redundancy16,000mah 6S Batteries

- Multiple Failsafes (Auto Return Home)

- Retractable Legs

- Multiple Cameras 

X8 Extended and Heavy Lift 

Same as X8 Compact except

X8 Extended

- 1800mm width

- 45lbs weight

- Castle 120amp 12S ESC

- Tiger Carbon Props 26 & 28in

- Tiger U10 Motors (8 motors)

- Quad Redundancy16,000mah 6S Batteries

X8 Heavy Lift 

- 1800mm width

- 75lbs weight

- Castle 120amp 12S ESC

- Tiger Carbon Props 26 & 28in

- Tiger U11 Motors (8 motors)

- Quad Redundancy16,000mah 6S Batteries

X8 Waterproof 

- 500mm width

- 10lbs weight

- DJI Naza Contorller

- Graupner 2.4ghz Rx/Tx

- Castle 35amp ESC

- Tiger Carbon Props 9in

- Tiger Navigator Motors (8 motors)

- 5,000mah 4S Batteries

- Multiple Failsafes (Auto Return Home)
UAV INFO

UAV Details:

- Cine Star Octo

- 1100mm width

- 35lbs weight

- DJI MKM Controllers)

- Dual Redundancy16,000mah 6S Batteries

- Multiple Failsafes (Auto Return Home)

DJI S SERIES

S800

- 800mm width

- 20lbs weight

- Tiger Carbon Props 26 & 28in

- Quad Redundancy16,000mah 6S Batteries

S1000

- 1000mm width

- 25lbs weight

- Tiger Carbon Props 26 & 28in

- Quad Redundancy16,000mah 6S Batteries

S1200 (once release this summer)

- 1200mm width

- 35lbs weight

- Tiger Carbon Props 26 & 28in

DJI PHANTOM

- 400mm width

- 9lbs weight

- DJI Naza Contorller

- Tiger Carbon Props 9in

- 5,000mah 4S Batteries

- Multiple Failsafes (Auto Return Home)
Failsafes:

Using DJI WKM v02 GPS autopilot software/hardware to man our UAV’s electronics. Features include GPS Auto Pilot, On 

Screen Telemetry (flight statistics “battery voltage, altitude, longitude, velocity, rates, etc), Failsafe Go-Home (automatic on 

low power, can be invoked or canceled by pilot), Quad or Dual 6S Lipo flight batteries for voltage redundancy plus external low voltage alarms that sound off at pre defined voltage. Only use high discharge rate batteries 65C for constant voltage curve throughout flight (no drop in voltage discharge as battery power is used). 8 motors/props for redundancy (if 1 or 

2 fail the UAV will still fly). Besides these features we also do routine maintenance and preflight safety checks prior to all 

flights, systems checks between each battery exchange and replace props at the slightest sign of wear (chips/nicks/etc).

Operations / Ground Supervisor - Jason Toth 888-309-7873 / jason@rvrd.com / 1)URQW6WUHHW/DKDLQD+L

I (jason Toth) am owner, operator, supervisorZKLFK EXLOGV and operated heavy lift multi-rotors over the past  \HDUV

FRPPHULDOO\LQ&DQDGDSHURXU7UDQVSRUW&DQDGD6)2&3HUPLWV,
PDPFXUUHQOW\WKHRQO\6)2&KROGHUWREHJUDWHGDQ

2SHQ3HUPLWE\7UDQVSRUW&DQDGDIRUDOORI&DQDGDI have worked on many shows for clients such as ()R[Imax, A&E

3DUDPRXQWHWFKWWSZZZUYUGFRPFOLHQWV):HDUHILOPPDNHUVXVLQJWKLVYDOXDEOHWRROIRUILOPLQJDQGUHVHDFK



Camera Operator - Derek Heidt (604) 935-2045 / derek@rvrd.com 

Our camera operator has worked on 100’s of commercials, tv shows and feature films as 1st and 2nd camera op. There 

are not many in the industry who have more experience.

Ground Station Tech & Safty P.A. - Jesse Norsworthy (604) 720-6491 / jesse@rvrd.com 

Our ground station/safety assistant is also our 2nd camera operator. Again working in 

the industry as a camera op for many years. He has been trained to fully know the aerial rig and on making sure the flight 

area is secure at all times.

Jason Toth (3LORW	(QJLQHHU) X8 Compact
PREFLIGHT CHECKLIST

Environmental:

□ Check for people, animals, property in the flight vicinity.

□ Notify any bystanders or nearby property owner of your intentions.

□ If flying in controlled airspace, notify airspace authority of your intentions.

□ First Aid / Safety Kit on hand, stocked, readily accessible, and visible to anyone in the area

Equipment:

□ Cracks (especially in high stress areas like joints)

□ Loose or damaged screws / fasteners / bands / straps / ties

□ Loose or damaged wiring

□ Loose or damaged connections (solder, plugs, etc)

□ Inspect prop mounts & screws & apply slight counter pressure on arms to check for loosened construction

□ Battery/batteries fully charged, properly seated & secured

□ Remove props and test fail-safe behavior (if applicable)

□ Props are smooth and free of damage/defect (check blade, surface, & hub)

□ Tighten prop adapters (careful not to over tighten which may damage prop)

□ Ensure voltage alarm is connected

□ Ensure arming/idle timeout is properly configured (6-15 seconds is generally acceptable)

□ Check whether the right model is selected in the transmitter (if applicable)

□ Check your RC transmitter shows the right range and centering for all sticks

□ If desired, perform range test

Pre Flight:

□ View Canada Flight Suppliment / VFR Nav Charts and notify terminals

□ Secure Location

□ Set up boundries with cones/markers

□ Saftey meeting with all crew and production personnel

□ Have all none essential production personnel leave landing/take off zones

□ Batteries charged & secured

□ Position quad in a level, safe location for takeoff

□ If using onboard video recorder (i.e., Gopro), turn on camera

□ All transmitter controls move freely in all directions, Trims neutral, switches typically away

□ Transmitter throttle to zero

□ Radio transmitter on

□ Connect/power on battery to airframe

□ Ensure led indicators & audible tones are all correct

□ Scan for nearby people, animals or obstructions again

□ Stand clear - audibly, loudly announce the word "CLEAR, ARMING MOTORS!"

□ Arm flight controller

□ Increase throttle slightly listening for any abnormalities

□ Short 20-30 second hover at 3-5 feet (listen for any vibrations or anything that sounds abnormal)

Imposed Restrictions:

- We change props every 100hrs or any sign of wear

- We rebuild the UAV every 200hrs - checking wires, welds, connections, etc

- We do not fly within 3 meters of any obsticals

- We do not fly over an persons or moving object unless following are meet and approved by SFOC / Production.

- We fly only line of sight with a maximum distance & hight of 50m unless required in which we reassess the risk

- Since we fly for film/commercial our average velocity does not exceed 1.5m per sec

- We require a tech survey and rehearsal day on all productions

- We lock off the location to none production personnel (either by using productions assistants, police and tape)

- All production personal have to sign and liability/property release form to be allowed onset

- All personnel have to stand behind the UAV operator at no less than 10 meter distance

- We go though our safety/pre flight checklist and have safety meeting with production personnel

- Once the above have been meet we are then able to arm engines which is called out and count down begins

- We do a quick takeoff and landing checking all systems before we begin shooting - we only take off a Manual type mode 

since GPS is unreliable.

- Inflight we monitor the system with our OSD telemetry

- We land the UAV at no less than 22.5volts loaded (we use 6S batteries so this is 3.8 volts per cell loaded which relates 

to 20% life left in batteries loaded or 30% none loaded (we only fly with dual/parallel batteries for redundancy).
Rogue CHECKLIST

Notes:

1) Only fly GPS if location warrants it, otherwise fly Manual/ATT 

2) Make sure batteries are fully charged and have alarms are set to go off when below 30% or 3.9v loaded

3) Confirm failsafe activates with remote switch and loss of radio reception.

4) Refer and familiarizer ones self with “Risk Management” sheet

If Rogue UAV should happen follow the below:

1. Warn local spectators if any

2. If within controlled airspace, contact the local ATC (number will be taken from the CFS ahead of time and will be on 

hand) and give the following details:

a. Location

b. Issue – Rogue UAV

c. Description of situation and UAV

d. Heading/Altitude/Speed/Endurance

3. If within uncontrolled airspace, notify any aircraft within the vicinity on the frequency 126.7 or frequency taken from 

CFS ahead of time for specific area. Give the following details:

a. Location (use landmarks as aircraft may not be able to interpret latitude and longitude)

b. Issue – Rogue UAV

c. Description of situation and UAV

d. Heading/Altitude/Speed/Endurance

4. Contact 911 with the following information:

a. Location (use landmarks along with latitude and longitude)

b. Issue – Rogue UAV

c. Description of situation and UAV

d. Heading/Altitude/Speed/Endurance

5. Follow the Emergency Contingency Plan and Security Plan (Page 16-17)
1 of 2 

Emergency Response & Security Plan

The objective of this plan is to maintain the highest level of public safety by developing 

prevention and preparedness solutions to possible emergencies. 

A Special Operations Certificate was issued by Transport Canada to the Revered Cinema and 

will meet all the conditions of the certificate. 

The restricted area is off limits to all public vehicles and personnel during the UAV operations. 

Responsibilities: 

All participants of the closed set production, and Revered Cinema staff will receive a safety 

briefing describing the UAV operation. 

Site Supervisor 

The details of any major emergency that occurs are to be reported to the 1st AD. The Site 

Supervisor is to make the decision whether an incident is serious enough to suspend or end the 

UAV operation. The Site Supervisor will prepare and conduct a though investigating: informing 

the City, Work Safe, Transport Canada and Production the day of incident 

Safety Tech 

The Safety Tech has authority to notify and stop UAV operations if they feel the secured area 

has been breeched. They will be on radio with the 1st AD who will organize re-closing off the 

area to public. 

1st AD 

The 1st AD is responsible of passing on any information given by Revered Cinema to the rest of 

production. The 1st AD is on radio and will make an announcement of any required info from 

Revered Cinema. 

Emergency Services Coordinator (a.k.a. Crafty / First Aid) 

The Emergency Services Coordinator will have radio contact with all emergency services 

agencies and relay required information to responding agencies. 

The ESC will be the on-scene official of any serious emergency incident that occurs since they 

have First Aid training and are registered. All emergency medical personnel attending 

ambulances will be directed by the ESC.

Locations Manager 
2 of 2 

The Locations Manager is responsible for traffic control, parking control, site security and 

general operations, and is to coordinate with the Locations Manager in the event of an 

emergency. 

Command Post: 

In the event of a serious incident, the production trailer / truck will become the on-scene 

command post. All emergency service leaders will coordinate their efforts from this location. 

The location of the command post will be relayed to all traffic requested at the emergency scene. 

Communications: 

Two way radios and cell phones are to be used to establish communications between key 

personnel. The Production Coordinator will conduct a radio test prior to operations a list of key 

personnel and their contact cell phone numbers will form part of the daily call sheet. 

Major Emergencies 

In the event of a major emergency where emergency services become overwhelmed, the 

Production Manager will notify City and County’s Municipal Emergency Plans. 

Hospital 

The local hospital will be informed by the Production Manager is needed 

First Aid Stations 

The aid stations will be established at circus 

Security 

The general public will be isolated from the UAV operations by way of closed set (including but 

not limited too; police, locations, pa’s, etc. The Locations Manager will coordinate all security 

measures. Major roads will be closed via 3ROLFH or Locations. 

Briefings and Meetings:

All personnel are to be briefed on this emergency plan prior to the UAV operation. A special 

briefing of all emergency personnel will occur day of - special hazards, UAV familiarization and 

emergency considerations. 

Key phone numbers / contact: 

Will be available day of UAV operation via Call Sheets. 
Property Public Safety

Locations locked off to public by Police

and / or Production Crew

Time of Flight

LOCATION SITE SURVEY

Business within 50 meters to 

be notified (owners, property 

managers, security)

Dusk / Dawn / Night

Morning - 

Afternoon

PROCEED

NO FLY

Safety meeting with all 

production personnel

RVRD - UAV RISK ASSESSMENT

Onsite medic provided by 

production

Film permits obtained

Determine the Risk

Manage the Risk

Battery Transport

Batteries are in "Lipo Fire Safe 

Bags" & in Pelican Case. 

Privacy

Businesses / neighbours 

notified by production and/or 

locations. Issues are rectified 

otherwise no fly

ONLY FLY IF ALL IN FLOW CHART STATES "PROCEED)

Film Location Manager & 

Producer take care of this 

before we arrive on site

Security of Location

Film Location Managers & Producer make sure to: 

- notify all businesses about filming

- notify and secure buildings if being film for production 

- obtain all releases forms property owners 

- obtain proper film permits from city/parks/etc

- lock off locations to all non-essential personnel via PA or police

- have signage for closures and areas of interest

- obtain production insurance for personal/liability/property

- To lock off a location police are hired and the area is closed to all nonproduction personal/traffic/etc. Then "locations" would have a crew of 2-6 

people closing off the set to non-important personnel from entering the area. 

Public roads are closed by 

police or production so 

there is no risk to any noneproduction personnel since 

the streets are clears of 

people/cars. If the road can't 

be close, they would do 

controlled closure while 

filming.

Traffic

RISK ASSESSMENT - LOCATION SURVEY
Flight Area

PROCEED

15-50 meters

(15% of projected flights)

Between 50-100 meters

(4% of projected flights)

100 to 120 meters

(1% of projected flights)

Up to 15 meters

(80% of projected flights)

 Determine parties to notify: 

- terminal to notify

- frequency to notify

View VTA / VFR ChartV

Determine airspace

- areas and boundaries

- ceiling of indicated class of airspace

- class of airspace / agency / frequency

- floor of indicated class of airspace

 Determine airspace risk of the area:

- via map & manual

- visually on site

Notify terminal: 

- ask what restrictions are impose

- get approval on flight plan / dates / time

- state presence day of flying

- file QRWLFH if needed

- give permit number

Supplement Manual - review additional info

Above Approved

YES NO NO FLY

RISK ASSESSMENT - AREA AIRSPACE
Power-lines Trees Obstacles Buildings

+30 

-30m

NO FLY

PROCEED

 If failure would occur, could there be damage/impact

PROCEED w/ CAUTION NO FLY

NO YES

Has location been locked 

off to general public

Has all crewed been 

safety briefed and signed 

liability/property release 

waver

YES NO

Main Obstructions

-30m

Businesses / neighbours would 

be notified of flight

No personnel allowed on roofs, 

near windows or entrances

If there would be disturbance 

to the occupancy or working of 

the occupancy of building there 

would be "no fly" if production 

could not address 

compensation

NO FLY

Permission is granted

SFOC Permitting +30meter Flight

NO FLY

NO YES

RISK ASSESSMENT - OBSTRUCTIONS
WEATHER

Clear / High Clouds Wind Under 15knots Drizzle Wind Over 20knots Fog Heavy Rain

NO FLY

PROCEED

UVA VISIBILITY Obstructed "Line of Sight"

NO FLY

PROCEED

Clear "Line of Sight"

PROCEED w/ CAUTION

We DO NOT fly if we can not 

see the UVA 

(FULL LINE OF SIGHT)

RISK ASSESSMENT - WEATHER
Payload 

Loss* low** low

UAV RISK WHILE IN OPERATION

Proceed to Preflight Checklist 

"see section 01 in permit request submission

Loosing sight of UAV * low** low

Pilot medical emergency* low** low

Take off / landing operations* low** low

Radio Interference* low** low

Obstacle Strike* low** low

Identifying risk

Battery Failure* low** high

Propeller Failure* low** med

Motor Failure* low** med

Under 5 KG (rated 

for 13kg)

Multiple spotters 

used

First Aid 

Medic 

always on 

site

No less 

then 3 

landing 

sites

Dual batteries used for 

redundancy

Frequency of "FASST" shifts 

hundreds of times per 

second, so there are no 

signal conflicts or 

interruptions. 

UAV FAILURE & 

SOLUTION

8 Props (6 needed 

to fly)

Radio Batteries * low** low

Payload attached via 

aluminum and carbon 

fiber

**consequences of the event (low / med / high)

*probability of event occurrence (low / med / high) 

Radio will not start UAV 

without proper battery 

voltage. 8 Motors (6 

needed to fly) High discharge 

rated to hold 

voltage Props 

checked 

before/after 

takeoff

Voltage alarm & meter on 

the radio Motors checked 

before takeoff

Spare battery available 

on site

Dozen 6S 

batteries used to 

share usage

Auto Home w/ Manual Override 

Auto Pilot / Home if 

needed

Land only 

in a locked 

off / 

controlled 

area

If landing has to happen due to failure

Land in designated area or divert UAV from pubic or property

Camera 

operator is 

trained to 

take over 

and use 

autopilot to 

gain control 

The system seamlessly 

select the best reception 

between two receiver 

antennas, so there's no loss 

of signal. 

ONCE ALL OF THE ABOVE HAS BEEN ADDRESSED - 

PROCEED

Failsafe would go 

home

ROGUE / No 

Control

* low

**med

DO NOT FLY GPS 

MODE!!!

Only fly Manually Only fly line of 

sight

IF LANDING / CONTROL IS NOT POSSIBLE 

PARACHUTE DEPLOYMENT WOULD ACCURE

DUAL RADIO USED AS FAILSAFE IF ONE RADIO IS NONE RESPONSIVE

INSURANCE: full UAV & Production insurance obtained 

UVA, liability, equipment, property, personal with limits well above T.C. 

recommendations

ROGUE NOTES:This is due to people operating UAV's using GPS which they rely upon. GPS is not reliable and UAV's should only be flown in manual mode! What happens in GPS mode is the GPS triangulates between satellites, if the GPS single drops below the recommended amount of satellites (usually 5), it will automatically switch to manual mode. If the operator is not prepared for this they would most likely loose control of the UAV (hence why you should only operate in manual). Also departing/rogue should be impossible with proper failsafe set ups in manual mode:1) we fly manual only - so we are in total control of UAV at all times!2) all our batteries are fully charged and have alarms when below 30% or 3.9v loaded3) with a flick of a switch we can make our failsafe activate which makes the UAV pause for 15 seconds, then go to 30m altitude, pause for 15 seconds, return to starting position at 30m elevation, then descend at 0.5m per second. All of this can be canceled at any time remotely.4) if we lost radio reception (impossible since we fly line of sight and radio transmission is 600meters), #3 will automatically engage and can be canceled anytime via radio or computer.5) we have parachutes that are remote triggered which sounds alarms and reduces the rate of decent to 2-3m per second as a final failsafe6) there is nothing else that would cause the UAV to become rogue (it would user error)

RISK ASSESSMENT - OPERATING RISK SUMMARY