Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of :
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Authorised Signatory Name Authorised Signatory Name
Incorporated Society. Authorised Signatory Name Authorised Signatory Name The seal of [insert name of Incorporated Society] was affixed in the presence of:
1. Easement Land (burdened land - the land where the easement activity occurs) (Schedule 4) As marked on the attached plan or map in Schedule 4 being: Physical Description/Common Name: Land Status: Area: Legal Description: Map Reference:
2. Land (benefited land - the land that benefits from the easement) (If none then select “in gross”) (Schedule 4) Is the easement in gross? Yes / No If No then complete the following: As marked on the attached plan or map in Schedule 4 being the land in record of title:
3. Concession Activity (clause 2) Select one or more of the following and delete the rest: (a) a right to convey water: (b) a right to drain water: (c) a right to drain sewage: (d) a right of way: (e) a right to convey electricity: (f) a right to convey telecommunications: (g) a right to convey gas: for the purpose of (describe activity)
4. Term (clause 3) years months commencing on ~&~PermissionTermStart^&^
5. Final Expiry Date (clause 3) ~&~PermissionTermEnd^&^
6. Concession Fee (clause 4) The preferred payment option for concession fee is annual “ per annum”. If considered appropriate, you can select the one-off payment option. Note
(1) additional fee types can be added if required; and (2) remember to delete the option that is not relevant. Annual “per annum” option: Concession Activity Fee: $xxx per annum plus GST Concession Management Fee: $xxx per annum plus GST Environmental Monitoring Fee: $xxx per annum plus GST / Not required delete as appropriate OR One-off payment option: Concession Activity Fee: A one-off payment of $xxx plus GST Concession Management Fee: A one-off payment of $xxx plus GST Environmental Monitoring Fee: A one-off payment of $xxx plus GST / Not required delete as appropriate
7. Concession Fee Payment Date (clause 4) On or before the date specified on the invoice issued by the Grantor or, specify a date for fee to be paid.
8. Penalty Interest Rate (clause 4) Double the current Official Cash Rate (OCR). See Reserve Bank of New Zealand website
9. Concession Fee Review Date(s) (clause 5) If annual payment in Item 6 in this Schedule 1 Insert interval of review e.g. yearly, 3 yearly. Ensure intervals do not exceed 3 years as this is the statutory maximum: Examples – yearly on the anniversary (and for the duration) of this Concession; 3 yearly on the anniversary (and for the duration) of this Concession...
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Authorised Signatory Name Authorised Signatory Name
1. Land (Clause 2) Insert from the application all the locations where the filming is to occur
2. Concession Activity (clause 2) ~&~PermissionPermissionDescription^&^ Insert a brief description of the filming activity - include any special effects ,temporary structures animals as per the application
3. Term (clause 2) The period commencing from and including ~&~PermissionTermStart^&^ and ending on and including ~&~PermissionTermEnd^&^
4. Concession Fee (clause 3) $xxx plus GST
5. Concession Fee Payment Date(s) (clause 3)
6. Health and Safety (clause 8) Audited Safety Plan: Required / Not required Auditors certificate of approval to be provided to Grantor
7. Insurance (To be obtained by Concessionaire) (clause 7) Types and amounts: Public Liability Insurance for: (a) General indemnity for an amount no less than $1,000,000.00; and (b) Forest and Rural Fires Act extension for an amount no less than $250,000.00; and Third party vehicle liability for an amount no less than $500,000.00. delete if no vehicle involved in activity Consider other insurances if there is aircraft involved
Incorporated Society. Have IRD charitable status
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Authorised Signatory Name Authorised Signatory Name SCHEDULE 1 1. Land (clause 2) As marked on the attached plan or map in Schedule 4 being: Physical Description/Common Name: Land Status: Area: Legal Description: Map Reference: 2. Concession Activity (clause 2) Give a good summary of concession activity – and as more specifically set out in Schedule 3 3. Term (clause 4) years months commencing on ~&~PermissionTermStart^&^ 4. Renewal(s) (clause 4) List number of renewals and length of renewals 5. Final Expiry Date (clause 4) ~&~PermissionTermEnd^&^ 6. Concession Fee (clause 5) Activity Fee $xxx per annum plus GST (or as agreed) and Management Fee $xxx per annum plus GST 7. Environmental Monitoring Contribution (clause 10) $xxx per annum plus GST/ Not required 8. Community Services Contribution (clause 7) $xxx per annum plus GST / Not required 9. Total payment to be made per annum (clause 5) $xxx per annum plus GST 10. Total payment instalment(s) (clause 5) Amount to be paid for each instalment in Item 11 11. Concession Fee Payment Date(s) (clause 5) Insert concession anniversary date or named date(s) for fee payment(s) 12. Penalty Interest Rate (clause 5) Double the current Official Cash Rate (OCR). See Reserve Bank of New Zealand website 13. Concession Fee Review Date(s) (clause 6) Insert 3 year anniversary dates, or a specific date or dates 14. Insurance (To be obtained by Concessionaire) (clause 13) Types and amounts: Public Liability Insurance for: (a) General indemnity for an amount no less than $1,000,000.00; and (b) Forest and Rural Fires Act extension for an amount no less than $250,000.00; and Third party vehicle liability for an amount no less than $500,000.00. delete if no vehicle involved in activity Other insurances as necessary Subject to review on each Concession Fee Review Date 15. Health and Safety (clause 14) Audited Safety Plan: Required / Not required (Delete as appropriate) 16. Concessionaire Identification (clause 32) Required / Not required (Delete as appropriate) 17. Addresses for Notices (clause 25) The Grantor’s address is: NB: Use street address Permissions team email address XXX Permissions Team Office address The Concessionaire’s address in New Zealand is: NB: Use street address ~&~HolderTableStreetAddress^&^ Phone: ~&~HolderTableContactWorkPhone^&^ Fax: ~&~HolderTableContactFax^&^ Email: 18. Guarantee (clause 30) Required / Not required (Delete a...
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Authorised Signatory Name Authorised Signatory Name
1. Land Insert from the application the land where the landing is to occur (Landing Site(s))
2. Concession Activity (clause 2) ~&~PermissionPermissionDescription^&^
3. Aircraft Type (clause 2) Aircraft make and model: Registration number: Colour:
4. Term (clause 2) The period commencing from and including ~&~PermissionTermStart^&^ and ending on and including ~&~PermissionTermEnd^&^
5. Concession Fee (clause 3) $xxx plus GST
6. Concession Fee Payment Date (clause 3)
7. Insurance (To be obtained by Concessionaire) (clause 7) Types and amounts: (a) General Public Liability for an amount no less than $2,000,000.00 including a Forest and Rural Fires Act extension with this extension having a sublimit of no less than $1,000,000.00; and (b) Aviation Legal Liability for an amount no less than $1,000,000.00; and (c) Third party vehicle liability for an amount no less than $500,000.00. [if no vehicle is involved then delete (c)]
8. Addresses for Notices (clause 12) The Grantor’s address is: NB: Use street address District Office email address XXX District Office Team Office address The Concessionaire’s address in New Zealand is: NB: Use street address ~&~HolderTableStreetAddress^&^ Phone: ~&~HolderTableContactWorkPhone^&^ Fax: ~&~HolderTableContactFax^&^ Email:
9. Special Conditions See Schedule 3. (clause 14)
10. Processing Fee (clause 3) $xxx plus GST Note: The clause references are to the Minister of Conservation’s Standard Terms and Conditions for One - Off Aircraft Landing Permits set out in Schedule 2.
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Witness Name: Witness Occupation: Witness Address: SCHEDULE 1 1. Land (clause 2) As marked on the attached plan or map in Schedule 4 being: Physical Description/Common Name: Land Status: Area: Legal Description: Map Reference: 2. Concession Activity (clause 2) Summary of concession activity – and as more specifically set out in Schedule 3. 3. Term (clause 4) years months commencing on ~&~PermissionTermStart^&^ 4. Renewal(s) (clause 4) List number of renewals and length of renewals 5. Final Expiry Date (clause 4) XXXX 6. Concession Fee (clause 5) Annual Activity Fee: $xxx per annum plus GST (or as agreed) and Annual Management Fee: $xxx per annum plus GST Monitoring Fee: Monitoring Fee: (clause 10) Standard Department charge-out rates for staff time and mileage required to monitor the effects of the Concession Activity and compliance with concession conditions. 7. Environmental Monitoring Contribution (clause 10) $xxx per annum plus GST / Not required
Incorporated Society. The seal of [insert name of Incorporated Society] was affixed in the presence of : Authorised Signatory Name Authorised Signatory Name
1. Land (Schedule 3) As listed in Schedule 3 (clause 1)
2. Concession Activity (clause 2) ~&~PermissionPermissionDescription^&^ more specifically as listed in Schedule 3 (condition 1) together with rights of vehicular access over formed roads and use of formed car parks located on public conservation land and which service the Land.
3. Term (clause 3) years months commencing on ~&~PermissionTermStart^&^
4. Xxxxxxx(s) (clause 3)
5. Final Expiry Date (clause 3) ~&~PermissionTermEnd^&^
6. Concession Fee (clause 4) Annual Activity Fees: $10.00 plus GST per adult client guided per full day (defined as a period of more than 4 hours but no more than 24 hours); $5.00 plus GST per adult client guided per half day (a half day being defined as more than 1 hour but no more than 4 hours); and $1.00 plus GST per adult client guided per hour or less. Or a minimum of $200 plus GST per annum for all activity (whichever is the greater) For any client charged by the Concessionaire at a reduced rate as a ‘child’, the annual activity fee is to be half the adult client concession activity fee. Annual Management Fee: $xxx per annum plus GST Annual Environmental Monitoring Fee $xxx plus GST /not required
