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Broadcaster Agreement Form TV EDE 2011-2012 - Canada Media ...

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Television Component<br />

CMF Application #:<br />

<strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong><br />

English Development Envelopes<br />

Convergent Stream <strong>2011</strong>-<strong>2012</strong><br />

Please ensure this form corresponds with the information entered on the <strong>Canada</strong> <strong>Media</strong> Fund (“CMF”) Application <strong>Form</strong>.<br />

Appendix to the Development <strong>Agreement</strong><br />

in connection with<br />

Dated:<br />

(yyyy-mm-dd)<br />

(“Television Component”)<br />

Cycle Episodes # to #<br />

between<br />

and<br />

who is a member of<br />

(“Television Component Applicant”)<br />

(“<strong>Broadcaster</strong>*”)<br />

(“Broadcast Ownership Group”)<br />

*<strong>Broadcaster</strong> refers only to broadcasters with an English Development Envelope or other eligible Canadian broadcasters.<br />

Regional Development Project<br />

Yes No Is the Television Component a Regional Development Project as defined in Section 2.A.1.1. of the <strong>2011</strong>-<strong>2012</strong><br />

Development Program Guidelines?<br />

Genre:<br />

Children’s Youth Documentary Drama Variety Performing Arts<br />

Creative Materials:<br />

Creative Materials to be completed and delivered for THIS PHASE OF DEVELOPMENT (e.g. Bible, Treatment, Draft Script etc.):<br />

Please note: This information must accord with the broadcaster development letter and the Development Application <strong>Form</strong>.<br />

Financial Information<br />

Amount ($)<br />

A. Development budget dated:<br />

(yyyy-mm-dd)<br />

B. Development Fee: (This must meet the Development Fee Threshold as detailed in Section 2.A.3<br />

of the Development Program Guidelines.)<br />

C. 3rd party financing (if applicable):<br />

D. Television Component Applicant financing (if applicable):<br />

E. CMF English Development Envelope Contribution: [A – (B+C+D)] **<br />

** (To a Maximum Contribution as detailed in Section 2.A.2 of the Development Program Guidelines.)<br />

Development Schedule<br />

Stages<br />

Date (yyyy-mm-dd)<br />

Projected Start Date for this Development Request:<br />

Projected Completion Date for this Development Request:<br />

<strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong> <strong>TV</strong> <strong>EDE</strong> <strong>2011</strong>-<strong>2012</strong><br />

Revised April <strong>2011</strong><br />

CANADA MEDIA FUND<br />

1


<strong>Broadcaster</strong> and Applicant Declaration<br />

The <strong>Broadcaster</strong> has reviewed the budget and the financing plan submitted with the CMF application for the Television<br />

Component and finds the budget adequate, under normal circumstances, to sufficiently develop the Television Component.<br />

The Television Component Applicant and the <strong>Broadcaster</strong> each hereby acknowledge that, should the development budget<br />

or the final development costs for the Television Component increase, in order to remain eligible for funding, the Television<br />

Component must have an eligible Canadian Development Fee sufficient to meet the CMF’s Development Fee Threshold<br />

requirements in relation to the increased development budget or final development costs.<br />

The Television Component Applicant and the <strong>Broadcaster</strong> each hereby acknowledge that advances from the English<br />

Development Envelope must be repaid on the earlier of: (a) the first day of commencement of official preparation for principal<br />

photography of the Television Component or any other use of the script, or (b) upon the transfer, sale, assignment or other<br />

disposition of the script.<br />

The Television Component Applicant and the <strong>Broadcaster</strong> hereby each confirm that they have not entered into any oral or<br />

written agreement or “side deal” that conflicts with any of the provisions of this <strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong> or the CMF <strong>2011</strong>-<br />

<strong>2012</strong> Development Program Guidelines.<br />

The <strong>Broadcaster</strong> hereby authorizes the Television Component Applicant to apply to the CMF for a portion of the <strong>Broadcaster</strong>’s<br />

designated English Development Envelope for the Television Component. The amount for which the Television Component<br />

Applicant is entitled to apply for the Television Component is indicated on page one of this <strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong> as<br />

the CMF English Development Envelope Contribution. The application for the Television Component must be received at the<br />

CMF by the applicable deadline date (as stated in Section 2.A.4 of the <strong>2011</strong>-<strong>2012</strong> Development Program Guidelines), in order<br />

for the Television Component to remain eligible for CMF funding.<br />

The <strong>Broadcaster</strong> hereby confirms that its financing of the Television Component on the terms described herein is in<br />

compliance with the terms and conditions governing the use of its CMF English Development Envelope.<br />

All capitalized terms not defined herein shall have the meaning ascribed to them in the CMF <strong>2011</strong>-<strong>2012</strong> Guidelines.<br />

Agreed and accepted by:<br />

For the <strong>Broadcaster</strong><br />

Signature:<br />

Signature:<br />

Name:<br />

(please print)<br />

Name:<br />

(please print)<br />

Title:<br />

Title:<br />

Date:<br />

(yyyy-mm-dd)<br />

Date:<br />

(yyyy-mm-dd)<br />

For the Television Component Applicant<br />

Signature:<br />

Signature:<br />

Name:<br />

(please print)<br />

Name:<br />

(please print)<br />

Title:<br />

Title:<br />

Date:<br />

(yyyy-mm-dd)<br />

Date:<br />

(yyyy-mm-dd)<br />

<strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong> <strong>TV</strong> <strong>EDE</strong> <strong>2011</strong>-<strong>2012</strong><br />

CANADA MEDIA FUND<br />

Revised April <strong>2011</strong> 2


<strong>Broadcaster</strong> and Applicant Declaration (continued)<br />

For the Television Component Co-Applicant (if applicable)<br />

Signature:<br />

Signature:<br />

Name:<br />

(please print)<br />

Name:<br />

(please print)<br />

Title:<br />

Title:<br />

Date:<br />

(yyyy-mm-dd)<br />

Date:<br />

(yyyy-mm-dd)<br />

<strong>Broadcaster</strong> <strong>Agreement</strong> <strong>Form</strong> <strong>TV</strong> <strong>EDE</strong> <strong>2011</strong>-<strong>2012</strong><br />

Revised April <strong>2011</strong><br />

CANADA MEDIA FUND<br />

3

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