Loading...
HomeMy WebLinkAboutSparkling Pointe 2019-22 w ('ells PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Private Sunseeker Party Permit No. : SM 1-a D112 (s) of Event : Party for boat owners Location of Event : Strongs Marina Date(s) of Event : June 28, 2019 Time of Event : y0mm, (51F (THIS PERMIT MUST BE KEPT ON THE PREMISES) Name of Event : Private Sunseeker Party Permit--No. SM 1-b Type(s) of Event : Party for boat owners Location of Event : Strongs Marina Date(s) of Event June 29, 2019 Time of.Event : 70mm OF a(DUITHOILED LYIEM7 T.; Y:3 RiN, U (THOS PERM-OT MUST BE KEPT ON THE PREMOSES) Name of Event : Private Sunseeker Party ,Permit No. : SM 1-c Type(s) of Event : Party for boat owners Location of Event : Strorigs Marina Date(s) of Event : June 30, 2019 Time of Event : O [F- Oco- UI--I HOI LID OFE(, K� Mh�L 1EVMHTf [PERREV �THIS PERMIT MUST BE KEPT GM THE PRM ) Name of Event Sound of Summer Concert Series Permit ® : SM I-d Type(s) of Event : Concert Location of Event Strongs Marina Date(s) of Event July 6., 2019 Time of Event : 4:00 PM - 8:00 PM 70m '�DF %: .. SPECKIMAL EVEM7 (TH9S PERMIT MUST BE KEPT ON THE PREMISES) Name of Event.: Sound of Summer Concert Series Permit . : SM I-e Type(sYdf Event : Concert Location of Event : Strongs Marina Date slbf Event : August3, 2019 Time of Event : - 8:00 PM F °d i w 111,R",", F& �A 7 (THIS PERMIT MUST 08 KEPT ON THE PREMISES) Name Event : Sound ®f Summer Concert Series Permit No. : - n1 e(s) of Event : Concert Location. f Event Strongs Marina Date(s) of Event : August 31,, 2019 Time of Event : - 60 P - 9:00 PM Application for a permit to hold a special event Description of events to be held at Strong's Water Club. Event 1: 6/28-6/30 Private Sunseeker party for boat owners. Tent and food 40-60 people-Catering to be done by.Grace&Grit.Health department Permit#PT0007738-Tent size---45X44(At your service) A few cars most participants coming by boat. Event 2,4&5: 7/6/19,8/3,8/31-Sound of summer concert series.Like we have done In the past. Tent for band-Music 4 to 8. Free concert on the lawn. Parking map and bathroom facilities attached. Fvelit 3: 7/19/19 Movie under the Stars. Movie played on bur lawn by 8:30-10:30-parking map and bathroom facilities attached. This event Is a Strong's Customer event not open to the public.Movie screen 25x15. � � /20 �� %' Southold Town Board - Letter Board Meeting of May 7, 2019 5ovracr RESOLUTION 2019-439 Item# 5.42 ADOPTED DOC ID: 15214 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2019-439 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 7, 2019: RESOLVED that the Town Board of the Town of Southold hereby granted permission to Strong?s Marina to hold Special Event 2019-22 at Strong's Marina, 2255 Wickham Avenue, Mattituck,New York as applied for in Application SMI a-g for seven (7) events on June 28, June 29, June 30, July 6, July 19, August 1, and August 31, 2019 from 4:00 pm- 8:00 pm provided they adhere to all conditions on the application and permit, and that the management make EVERY effort to contain the music level toward their property with respect to their neighbors across the creek and to the Town of Southold Policy for Special Events. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Evans,Russell ABSENT: Robert Ghosio Generated May 8, 2019 Page 62 Rudder, Lynda From: Silleck, Mary Sent: Friday, May 3, 2019 3:01 PM To: Doroski, Bonnie; Rudder, Lynda Cc: Noncarrow, Denis Subject: Speical Events I forgot to send this earlier, the 3 pending applications have all been approved. Please put resolutions on for Pugliese,Pellegrini and with Strongs Marine we need to add:with the exception that the management makes every effort to contain the music level toward their property with respect to their neighbors across the creek. Mary Sil%ck Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold,New York 11971 Office: (631) 765-1939 Fax: (631) 765-6639 ® RECEIVED APR 2 6 2019 SOUthold Tawn Clerk TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six(6)multiple events of the same type, occurring over a period of three months,may be permitted on one(1) application for a fee of$150.00. However,specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event Applicants are encouraged to submit applications as early as possible. 1 Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential proper forrp ofit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk. Please indicate submission of the following by checking off the boxes and signing below. A completed application form signed by the owner and the event manager. Applications without, property owner's signature/approval will be rejected. ❑ FEE: Is the application being submitted at least 60 days before the event[ ]Yes [ ]No ❑ If Yes,Fee of$ has been submitted ❑ If No,Fee of$ has been submitted Updated 8/7/2018 The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured ❑ A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) ❑ Events for three hundred (300) or more people require submission and approval of a traffic control pLan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. 4o� Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 RECEIVED APA 2 6 2019 Southold Town Cleric I APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. 1t 9 Special Event Permit# ® Applicant(s)name: r �� �C✓lf�i�1�� �` �A i Date of Submission �'��v -6 Name of Event �� ®'C SCTM#'s 1000-Section Wy Block- Lot(s) Dates of Each Event: g-30+- If Multiple Dates are requested,applicant must give all information for all dates. i Nature of Event: (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event: From to O i Town Services requested: ( )Yes (v<No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time:_ 9�Z Number of cars expected 0316 Is aOTent or temporary structure being used? Y] Yes [ ]No If yes provide size(s) Will food be served? VYes [ ]No If yes provide number and name(s)of food vendor(s) &-OLu- -k ` ® i` c��t C SSee,K�� Updated 8/7/2018 i Suffolk County permit#(S)_w i Will other vendors be on the premises during the event?[ ]Yes X No If yes how many? Describe Type of vendor(s) Property Owner(name/address): IV\�•`r\� �� ll X��al 1�'�•- . Contact Person and Contact Tel.# (qts —�I e-mail address T� C` �```�Ll (1�� •��' Event Location: Street-Hamlet Address: Q( � SCTM# Mailing Address to Send Event Permit to: O ff( 1`1 o Have any of the development rights been sold t he Town of Southold[ ] Yes [ No and/or Suffolk j County Agricultural Program? [ ]Yes [ i1No If yes to either or both, also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN (see next page) i A Parking/Event Plan may be a survey, site plan and/or aerial view (for example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents,if any. (4) The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft. i per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,'i if any,and the type and location of speakers and other audio equipment. j (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 (14) Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller mut be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions, and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspection_ s nec y in connection with this Special Event. 3� Print name of Owner Signa er OA- Print name othorized Pi' on/Representative Signature of<Yrized Perso resentative PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, 'and to provide parking'assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town, County or State Roads or Rights o 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached, approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review, etc. at least 60 business days nrior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8/7/2018 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent s, or temporary structure(s), or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 Application for a permit to hold a special event Description of events to be held at Strong's Water Club. Event 1: 6/28-6/30 Private Sunseeker party for boat owners. Tent and food 40-60 people-Catering to be done by Grace&Grit. Health department Permit#PT0007738-Tent size---45X44(At your service) A few cars most participants coming by boat. Event 2,4&5: 7/6/19, 8/3, 8/31-Sound of summer concert series. Like we have done in the past. Tent for band- Music 4 to 8. Free concert on the lawn. Parking map and bathroom facilities attached. Event 3: 7/19/19 Movie under the Stars. Movie played on our lawn by 8:30-10:30- parking map and bathroom facilities attached. This event is a Strong's Customer event not open to the public. Movie screen 25x15. STRONG'S WATER CLUB & MARINA DOCKAGE ����� A FuIPService Marina, Club, & Pool Z x,,�, z ND P.O. Box 1409 2255 Wickham Ave. .� FACILITY MAP Mattituck, NY 1 1952 yz �� GPS: 40 59' 44" N,-72 32' 16" W phone (631) 298-4739 fax (631) 298-4803 2. waterclub@strongsmarine.com Pace's Dockside Restaurant Lr` phone (6311315-5252 a V; a�1 tier r - Z /... W % RSSTAURAW PAWING � s" s� INDOOR BOAT 4i8-{ t STORAGE 3tiv} (26'CLEARANCE) ;Z ti BOAT YARD puri _ e^ ° ''"r `� 4P y ,, _ s� � STRONG 1/2 MILE TO LOVE LANE: RIGHT O E R C LU b S ONTO WICKHAM RIGHT ONTO ! y 1 ROUTE 48, LEFT ONTO LOVE LANE -337 c s MARINA HIREHOS-01 MTORRES '4 vw CERTIFICATE OF LIABILITY INSURANCE DA4/1-/2-19(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: AX 711 fusUn Stype Agency (Alco,NN,Ext):(631)722-3500 (AIC,No):(631)722-3591 711 Union Ave. E-MAIL Aquebogue,NY 11931 ADDRESS,info@nsainsure.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:TWIn City Fire Ins Co 29459 INSURED INSURER B: Hired Hospitality,Inc DBA Grace and Grit INSURERC: 55750 Main Road INSURER D Southold,NY 11971 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE OCCUR 12SBMAC8488 3/31/2019 3/31/2020 DAMAGETORENTED 100,000 LIQL$1,000,000 PREM SES Ea occurrence $ 5,000 X MED EXP An one person) $ PERSONAL&ADV INJURY $ 1'000'600 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY E]%af 7 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY (CEO,acccidentSINGLE LIMIT $ ANY AUTO BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOSBODILYBODILY INJURY Per accident $ AUTOS ONLY AUOTO ONLOY PPe�acEcltlentDAMAGE $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE EERH ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 12WECZQ0665 6/11/2018 6111/2019 EL EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDE[ N/A (Mandatory in NH) E L DISEASE-EA EMPLOYE $ 1-0,000 If es,descnbe under 500,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Strong's Marine Inlet,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Strong's Water Club&Marina,LLC ACCORDANCE WITH THE POLICY PROVISIONS. 2255 Wickham Ave Mattituck,NY 11952 AUTHORIZED a� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I I I ` u Suffolk County Department of Health Services STEVEN SELLOhE ,ISMEgt Tawa¢N mm 360 Yaphank Avenue Suite 2A SUTFOLKCOUNTVEXCYTNE �.E9E=NEqMak MSw Yaphank,NY 11980 631-852-5999 SUFFOLNCOUNTV YYww s(dfolkcountynyv,gov/health " DEPMTEKNT OF HEALTH SERVICES �-- PERMIT Facility ID, FA0007751 Account ID. AR0002892 TO OPERATE A FOOD ESTABLISHMENT Meed. 3/29/2019 GRACE AND GRIT 55750 MAIN RD SOUTHOLD,NY 11971 OWNER NAME:HIRED HOSPITALITY INC. Restaurant seats=16 Permit ID Number:PT0007738 Hot&Cold Delivery Exterior Seats=0 Single-Service Tableware Required Catering Seats=0 Valid From 3/29/2019 To 3/31/2020 Umited to 16 Seats Bar Seats=0 Total Seats=16 This permit will expire upon the date specified or upon a change of ownershp. "This permit is NOT transferrable and is granted subject to compliance Meth the provisions ofArtiole 13 of the Suffolk County Sanitary Code and all applicable state,local, and municipal laws,ordinances,codes,rules,and regulations" THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC STRONG'S WATER CLUB& MARINA DOCKAGE A N D Fuff-Service Marina, Club, & Pool z°,x P.O. Box 1409y 2255 Wickham Ave. Z;Zw+ FACILITY MAP Mattituck, NY 11952 y ' GPS: 40* 59' 44" N,-72* 32' 16" W phone (631) 298-4739 fax (631) 298-4803 waterclub@strongsmarine.com Pace's Dockside Restaurant .y phone (631) 315-5252 a � • LU vi RWAURAW f 4 :,: ,.rrh h��'� •� `0.-t d=_' 3 W W INDOOR BOAT STORAGE ;�• -� (16'CLEARANCE) go- szti aOAT YARD 52 - NG AREA M "w C,S 1/2 MILE TO LOVE LANE: RIGHT ` VV / I E C L U B C ONTO WICKHAM, RIGHT ONTO 34`.' I ROUTE 48, LEFT ONTO LOVE LANE ccT- M A R I NA + ADATE(MM/DDNYYY) � Oi CERTIFICATE OF LIABILITY INSURANCE 04/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT,AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lauren McCaffery NAME: Roy H Reeve Agency,Inc PHONE (631)298-4700 X6 -3850C ( )a/ A ,No: PO Box 54 ADDRESS: Imccaffery@royreeve corn A 13400 Main Road INSURER(S)AFFORDING COVERAGE NAIC# Mattituck NY 11952 INSURERA: Hartford Fire Insurance Cc 19682 INSURED INSURER B: Property&Casualty Ins CO Of Hartford 34690 Movies In The Moonlight Inc INSURER C: 200 South Oakwood Drive INSURER D. INSURER E: Laurel NY 11948 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1942310292 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 300,000 X Contractual Liability MED EXP(Any one person) $ 10,000 A 12SBMVC5101 04/03/2019 04/03/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY❑IRI F—] LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER Hired/Non-Owned Auto $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACHACCIDENT $ 500,000 B OFFICERIMEMBER EXCLUDED? a NIA 12WECIX0918 04/03/2019 04/03/2020 (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Strong's Marine Inlet LLC,Strong's Water Club&Marina LLC ACCORDANCE WITH THE POLICY PROVISIONS. 2255 Wickham Ave AUTHORIZED REPRESENTATIVE Mattituck NY 11952 __1Qo30V ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDNYYY) `� 04/08/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cassalyn Spangler NAME Global Marine Insurance Agency PHONE (800)748-0224Pax AIC No Ell: AIC,No: 12935 S West Bayshore Dr E-MAIL cspangler@globalmanneinsurance com ADDRESS: Ste 205 INSURER(S)AFFORDING COVERAGE NAIC# Traverse City MI 49684 INSURERA- Hanover Ins Co INSURED INSURER B: Great American Insurance Co Strong's Marine,LLC etal INSURER C: PO Box 1409 INSURER D INSURER E Mattituck NY 11952 INSURER F COVERAGES CERTIFICATE NUMBER: CL194803582 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR AUUL SLIUK POLICY EFFPOLICY EXP YYYY LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDDI ) MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE 7X OCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y IHWA60071004 03/31/2019 03/31/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE $ 2,000,000 JEOT- F7LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY ElC OTHER Marine Op Legal Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED AWWA59151104 03/31/2019 03/31/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident PIP-Additional $ 100,000 X UMBRELLALIAB I X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE IHWA60077604 03/31/2019 03/31/2020 AGGREGATE $ DED I X RETENTION$ 10,00011 $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACHACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? ❑ N/A W2WD48634801 03/31/2019 03/31/2020 (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 if yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ B Excess Liability TBD$3M XS 033119 03/31/2019 03/31/2020 $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder Is included as additional Insured with respect to the above captioned general liability per terms/conditions of actual policy&by written contract for Special Event Permits at Loc#5 2255 Wickham Ave for upcoming events,Music/July 6,Aug 3&31,2019,Movie/July 19,2019,Sunseeker Event/June 28-30,2019, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Rt 25 AUTHORIZED REPRESENTATIVE Southold NY 11971 q✓J/f� T. ;�­Ll ©1988/-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds Gateway of Flander's, Inc Additional Named Insured Jeffrey Strong Additional Named Insured Re Strong Additional Named Insured Strong's Marine Boat Rental, Inc. Additional Named Insured Strong's Marine Inlet, LLC Additional Named Insured Strong's Marine of Flanders, LLC Additional Named Insured Strong's Marine of Southampton Management, LLC Additional Named Insured Strong's Marine of Southampton Marina, LLC Additional Named Insured Strong's Marine of Southampton Showroom, LLC Additional Named Insured Strong's Marine, Inc Additional Named Insured Strong's Water Club & Marina, LLC Additional Named Insured Strong's West Mill, LLC Limited Liability Company, Additional Named Insured Strong's Yacht Center, LLC Limited Liability Company, Additional Named Insured OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date P&I Liability-Marina Operations Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date P&I Liability-CREW Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 2 Ref# Description Coverage Code Form No. Edition Date GL Broadening Endorsement Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# I Description Coverage Code Form No. Edition Date P&I Liability-1 Work Boat Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Sudden&Accidental Pollution Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# I Description Coverage Code Form No. Edition Date Personal Use-Key Personnel Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# I Description Coverage Code Form No. Edition Date P&I Liability-Watersports Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Included Ref# Description Coverage Code Form No. Edition Date P&I Liability-19 Rental Boats Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date PIP-Basic P I P Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 50,000 Ref# I Description Coverage Code Form No. Edition Date Uninsured motorist combined single limit UMCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Underinsured motorist combined single limit UNCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000rO'FADTLCV Copyright 2001,AMS Services,Inc. ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date Auto Broadening Endt-included Limit 1 Limit 2 Limit 3 Deductible Amount 7Deductible Type Premium Ref# Description TCoverage Code Form No. Edition Date Medical payments MEDPM Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date Experience Mod Factor 1 EXP01 Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. 7 ition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium FOFADTLCV Copyright 2001,AMS Services,Inc. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/26/19 Receipt#: 253453 Quantity Transactions Reference Subtotal 1 Event Fee SM1a-g $150.00 Total Paid: $150.00 Notes: J Payment Type Amount Paid By CK#4015 $15000 Strongs, Marina Inc. Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Strongs, Marina Inc. Po Box 1409 Mattituck, NY 11952 Clerk ID: LYNDAR Internal ID.SM1a-g