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HomeMy WebLinkAboutWarm Springs Productions M ","°,EJAZABETH A.NEVILLE,MMC ® ®� Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 Southold,New York 11971 eA REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT # 62 Issued to: WARM SPRINGS PRODUCTIONS Date(s) : JUNE 17 & 18, 2019 Time: 8:00 AM-7:00 PM Locations: NEW SUFFOLK BEACH and VARIOUS TOWN ROADS IN THE TOWN OF SOUTHOLD Permit No. 62 Issue Date: 6/6/19 This permit is for permission to use Town Maintained Roads and Properties ONLY M / Elizabeth A.Neville Southold Town Clerk L �®�19fFOL��o ELIZABETH A. NEVILLE, MMC �y0 �� Town Hall,53095 Main Road TOWN CLERK P.O.sox 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � Fax(631)765-6145 MARRIAGE OFFICER ,f. ® Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �O( �,`� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT WARM SPRING PRODUCTIONS DATE: June 17, 2019 TIME: 8:00 AM — 7:00 PM June 18, 2019 8:00 AM — 7:00 PM LOCATION: NEW SUFFOLK BEACH VARIOUS TOWN ROADS Filming/Still Photography Permit # 062 Place this Permit on the Dashboard, Passenger side of Vehicle Issue Date: June 6, 2019 ELIZABETH A.NEVILLE,MMC ®�� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 CA REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT WARM SPRINGS PRODUCTIONS DATE: JUNE 17, 2019 TIME: 8:00 AM - 7:00 PM JUNE 189 2019 8:00 AM - 7:00 PM LOCATION: NEW SUFFOLK BEACH VARIOUS TOWN ROADS Filming/Still Photography Permit # 062 Place this Permit on the Dashboard, Passenger side of Vehicle Issue Date: June 6, 2019 Rudder, Lynda From: Stephanie Le Feuvre <salefeuvre@warmsprings.ty> Sent: Tuesday, June 4, 2019 10:49 AM To: Rudder, Lynda Subject: Re: Invoice for film Okay,those can be mailed to our office here where our crew can keep them with our other paperwork. As long as they arrive before the weekend of June 14th, we will be good to go! Please send to Attn: Stephanie Le Feuvre Warm Springs Productions , 820 W Spruce St Missoula, MT 59802 Thank you! Best, Stephanie Le Feuvre Warm Springs Productions Direct 406-253-3651 Office Hours- M-F 9-5, Mountain Time On Jun 4, 2019, at 8:36 AM, Rudder, Lynda<Lynda.rudderktown.southold.ny.us> wrote: The parking permits are on colored stock. From: Stephanie Le Feuvre<salefeuvre@warmsprings.ty> Sent:Tuesday,June 4, 2019 10:35 AM To: Rudder, Lynda <Ivnda.rudder@town.southold.nv.us> Subject: Re: Invoice for film Electronically is fine if that is possible. Best, Stephanie Le Feuvre Warm Springs Productions Direct. 406-253-3651 Office Hours M-F 9-5, Mountain Time 1 On Jun 4, 2019, at 8:00 AM, Rudder, Lynda <Lynda.ruddergtown.southold.ny.us>wrote: Which ever. How do you want the permits sent? Or will you be picking them up -----Original Message----- From: Stephanie LeFeuvre <salefeuvre(cr�,warmsprings.ty> Sent: Tuesday, June 4, 2019 9:50 AM To: Rudder, Lynda<Lynda.ruddergtown.southold.ny.us> Subject: Re: Invoice for film Hi Lynda, We are getting ready to send the checks for our fees today. Do you prefer Fedex or regular mail? Thank you! Stephanie Le Feuvre On May 31, 2019, at 11:55 AM, Rudder, Lynda <Lynda.rudder@town.southold.ny.us>wrote: Your message is ready to be sent with the following file or link attachments: film 20190531135504.pdf Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. <film 20190531135504.pdf> z ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road. TOWN CLERK P.O.Box 1179 ® Southold,New York 11971 ca REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER '�®� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD INVOICE ' Stephanie LeFeuvre Warm Springs Productions 820 W Spruce Street Missoula, MT 59802 Pricing for filming on June 17 and 18, 2019,New Suffolk Beach and various Town roads in Southold Filming Permit Application(non-refundable) $ 100.00 Filming Fee ($100 per day) 200.00 Clean-up Fee ($250 per day) 500.00 Parking Permit(3 vehicles @ $10.00 ea/day) 60.00 Total Due 860.00 Application fee paid -100.00 TOTAL DUE (before permit can be issued) $ 760.00 TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NOTE: All payments must be cash or certified check Applicant: Date Received: 'r- LI/Completed application $100 nonrefundable application fee Certificate of insurance that evidences a public liability insurance policy covering the town as an additional insured in the amount of$1,000,000 (one million dollars) per occurrence for the duration of the filming or still photography. Indemnification agreement stating the applicant agrees to assume all liability for and will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of said filming or still photography. Forward completed application to Chief of Police for approval or disapproval and determination if Traffic Control Fee is required Approved Disapproved No Fee Required Fee in the amount of required Forward certificate of insurance and indemnification agreement to Town Attorney for approval Approved Disapproved COLLECT FEES AS FOLLOWS: Permit Fees (Prior to issuance of permit): Film Fee - $100 per day of each day covered by the permit Cleanup deposit: Separate certified check for $250 for each day covered by the permit. Traffic control fee - $1000 for each day covered by the permit if required by the Chief of Police. NOTE: Additional funds.may be required by Police if it is determined that$1000 per day fee will be expended prior to the termination of the permit period. Beach Parking fee - $10 per vehicle, per day between May 1 and September 30. ISSUED PERMIT Countersign application Issue permit with name of applicant, locations(s), date(s), and time(s) NOTIFICATION of ISSUED PERMIT Chief of Police Chief Building Inspector Fire Marshal Code Enforcement Officer Superintendent of Highways Superintendent of Parks and Recreation REQUEST FOR EXTENSION OF PERMIT Forward extension permit request to Chief of Police If granted, collect additional $100 per day filming fee Amend permit to indicate granted extension'period COMPLETION OF PERMIT PERIOD Chief of Police to provide applicant with statement of cost for providing Traffic Control and police coverage. (Refund overpayment or collect for additional costs within 30 days of termination of permit) Superintendent of Highways inspections locations listed on permit and determine if cleanup efforts by town personnel is required. *If cleanup is required, Superintendent will provide Town Clerk with a statement of actual costs. (Refund overpayment or collect, for additional costs within 30 days of termination of permit) *If not cleanup is required, Superintendent of Highways will notifyw Ton Clerk and Town Clerk will remit the $250 certified check-to applicant. RECEIVED 4, comp =s t" t�g� ELIZABETH A. NEVILLE MMC v Town Hall, 3095 Main Road R CEI ED TOWN CLERK Eb � t �� f , �Av�" P.O. ox 1179 Southold, ew York'NM z 2Q� REGISTRAR OF VITAL STATISTICS a. "' r z ` Fax(6 1)765-6145 MARRIAGE OFFICER �� "< �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERgip"" h°�s www-sou a ®� d To Clerk FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR FILMING/STILL PHOTOGRAPHY PERMIT NO: Please Print or Type APPLICATION DATE: 05/21/19 NAME OF APPLICANT: Stephanie LeFeuvre MAILING ADDRESS: 820 W Spruce St., Missoula, MT 59802 PHONE: BUSINESS: 406-830-3128 _ —HOME:. 4066253-3651 (cell) NAME OF ORGANIZATION / COMPANY: Warm Springs Productions MAILING ADDRESS: 820 W Spruce St., Missoula, MT 59802 PHONE: 406-830-3128 FAX: 866-800-3440 DESCRIBE TYPE OF ACTIVITY (e.g. Motion Picture, Commercial, Television. Catalog, Magazine, etc.): 16 ..on episode of HCLTV's BParh Huntexs DATE(S) AND TIME(S) OF PROPOSED FILMING/PHOTOGRAPHY: June 17th- 19th(only two of these days required), daylight hours (approximately 8am-7pm) PROPOSED LOCATIONS) OF FILMING/PHOTOGRAPHY: (attach additional sheet, if necessary) New Suffolk Beach and various Southold town streets (to highlight the overall area) NAME OF PERSON IN CHARGE AT SITE: Susan Gallo NUMBER OF PERSONS AT LOCATION (cast& crew included): 10 NUMBER AND TYPE OF VEHICLES AT LOCATION: 3 SUVs or minivans TYPE OF SPECIAL EQUIPMENT: N/A,all equipment is handheld ANY SPECIA REQ EMENTS: N/A We do not need any road closures,traffic routing or police support Signature Return to: Southold Town Clerk Southold Town Hall 53095 Main Road P.O.Box 1179 Southold,NY 11971 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits, claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or-parties in connection with the performance of filming or still photography by the Applicant, his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition, the Applicant will name the Town as an additional insured on any applicable policies. 05/21/19 Signature Date Stephanie LeFeuvre Printed name Producer Title TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NOTE:: LAll payments must be cash or certified check Applicant: J l C h ftitl ��1 Q Date Received: J�11 Completed application $100 nonrefundable application fee Certificate of insurance that evidences a public liability insurance policy covering the town as an additional insured in the amount of$1,000,000 (one million dollars) per occurrence for the duration of the filming or still photography. Indemnification agreement stating the applicant agrees to assume all liability for and will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of said filming or still photography. Forward completed application to Chief of Police for approval or disapproval and determination if Traffic Control Fee is required Approved Disapproved No Fee Required Fee in the amount of$ required Forward certificate of insurance and indemnification agreement to Town Attorney for approval Approved Disapproved COLLECT FEES AS FOLLOWS: Permit Fees (Prior to issuance of permit): Film Fee - $100 per day of each day covered by the permit Cleanup deposit: Separate certified check for $250 for each day covered by the permit. Traffic control fee - $1000 for each day covered by the permit if required by the Chief of Police. NOTE: Additional funds may be required by Police if it is determined that$1000 per day fee will be expended prior to the termination of the permit period. F Lymill ACORDTM CERTIFICATE OF LIABILITY INSURANC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT.. Docs —f-ki � t-1 CA0 � DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFO INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU CERTIFICATE HOLDER. IVV IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsen �� to the certificate holder in lieu of such endorsement(s). �' t PRODUCER Contact Name: Jar i Aon/Albert G. Ruben Co.of NY, Inc. Phone 2V 171 Madison Avenue,Suite 401 New York, NY 10016 Insurer's Affordin j INSURED INSURER A Great Divide In< Warm Springs Productions, LLC INSURER B 120 S 5th Avenue, Suite B201 INSURER Manhattan, MT 59741 INSURER DINSURER E INSURER F I COVERAGES CERTIFICATE NUMBER: RI 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 LIMITS SHOWN ARE AS REQUESTED INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WV (MMIDDIYYYY) (MMIDDIYYYY) A GENERAL LIABILITY CNA7503824 05/01/18 05/01/19 $1,000,000 05/01/19 05/01/20 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $1,000,000 (Ea occurrence) CLAIMS MADE Fx_1 OCCUR X PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS—COMP/OP AGG $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PROJECT LOC MEDICAL EXPENSE Excluded A AUTO LIABILITY CNA7503824 05/01/18 05/01/19 COMBINED SINGLE LIMIT $1,000,000 05/01/19 05/01/20 Ea accident IxANY AUTO BODILY INJURY(Per person) 5 OWNEDAUTOSSCHEDULED X BODILY INJURY(Per accident) ONLY AUTOS 'AUTO PHYSICAL HIRED AUTOS X NON-OWNED DAMAGE PROPERTY DAMAGE ONLY AUTOS ONLY DEDUCTIBLE $2,500 (Per accident) X AUTO PHYS DAM•• AUTO PHYSICAL DAMAGE $1,000,000 X Umbrella Llab X OCCUR CUA7503825- 05/01/18 05/01/19 EACH OCCURRENCE $5,000,000 Excess Lrab CLAIMS-MADE X 05/01/19 05/01/20 AGGREGATE $5,000,000 A DEDUCTIBLE WORKERS COMPENSATION AND WC Statutory Other EMPLOYERS'LIABILITY Llmlts ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NOT COVERED EL Each Accident OFFICER/MEMSER EXCLUDED? HEREUNDER (Mandatory in NH) NIA E L Disease—FJa Employee If yes,descnbe under EL Disease—Policy Limit DESCRIPTION OF OPERATIONS below A WORLDWIDE PRODUCTION PACKAGE CNA7503824 05/01/18 05/01/19 LIMIT DEDUCTIBLE MISCELLANEOUS EQUIPMENT' 05/01/19 05/01/20 $5,000,000 $2,500 PROPERTY OF OTHERS $5,000,000 $2,500 PROPS,SETS&WARDROBE $5,000,000 $1,500 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Discovery Inc/Scripps Networks—Home&Garden Television-Beach Hunters 600&700 Certificate Holder is Additional Insured(by"Blanket"Endorsement)under General/Auto Liability but only with regard to claims arising from the negligence of Named Insured and as required by written contract Certificate Holder Is Loss Payee with regard to Production Package All coverage Is subject to terms and conditions of policies of Insurance.This Certificate does not amend,extend or alter the coverage afforded by the policies above. CERTIFICATE HOLDER Cancellation Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of SOU Town Hall, thold Main Road P O Box 1179 DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS Southold,New York 11971 AUTHORIZED REPRESENTATIVE Aon/Albert G.Ruben Insurance Services,Inc. ACORD 25(2016/03) 1988—2015©ACORD CORPORATION All rights reserved. Beach Parking fee - $10 per vehicle, per day between May 1 and September 30. ISSUED PERMIT Countersign application Issue permit with name of applicant, locations(s), date(s), and time(s) NOTIFICATION of ISSUED PERMIT Chief of Police Chief Building Inspector Fire Marshal Code Enforcement Officer Superintendent of Highways Superintendent of Parks and Recreation REQUEST FOR EXTENSION OF PERMIT Forward extension permit request to Chief of Police If granted, collect additional $100 per day filming fee Amend permit to indicate granted extension period COMPLETION OF PERMIT PERIOD Chief of Police to provide applicant with statement of cost for providing Traffic Control and police coverage. (Refund overpayment or collect for additional costs within 30 days of termination of permit) Superintendent of Highways inspections locations listed on permit and determine if cleanup efforts by town personnel is required. *If cleanup is required, Superintendent will provide Town Clerk with a statement of actual costs. (Refund overpayment or collect for additional costs within 30 days of termination of permit) *If not cleanup is required, Superintendent of Highways will notify Town Clerk and Town Clerk will remit the $250 certified check to applicant. a g CIE ELIZABETH A.NEVILLE, MMC $ Town Hall 530 Main Road�`' p 0.Box 1179 TOWN CLERIC � � ' AY 2 1 �q� t `�"6old,New ork 11971 REGISTRAR OF VITAL STATISTICS , - s; : ,', Fax(631)7 5-6145 MARRIAGE OFFICER Tele1 765-1800 RECORDS MANAGEMENT OFFICER ` s thold T®V � "� ,t� o dt wnny.gov FREEDOM OF INFORMATION OFFICER r OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR FILMING/STILL PHOTOGRAPHY PERMIT NO: Please Print or Type APPLICATION DATE: 05/21/19 NAME OF APPLICANT: Stephanie LeFeuvre MAILING ADDRESS: 820 W Spruce St., Missoula, MT 59802 PHONE: BUSINESS: 406-830-3128 _ —HOME: 406®253-3651 (cell) NAME OF ORGANIZATION/ COMPANY: Warm Springs Productions MAILING ADDRESS: 820 W Spruce St., Missoula, MT 59802 PHONE: 406-830-3128 FAX: 866-800-3440 DESCRIBE TYPE OF ACTIVITY (e.g. Motion Picture, Commercial, Television. Catalog, Magazine, etc.): Television e�nisodP of RGTV's Beach_H.unterG DATE(S) AND TIMES) OF PROPOSED FILMING/PHOTOGRAPHY: June 17th- 19th(only two of these days required), daylight hours (approximately 8am-7pm) PROPOSED LOCATION(S) OF FILMING/ PHOTOGRAPHY: (attach additional sheet, if necessary) New Suffolk Beach and various Southold town streets (to highlight the overall area) NAME OF PERSON IN CHARGE AT SITE: Susan Gallo NUMBER OF PERSONS AT LOCATION (cast& crew included): 10 NUMBER AND TYPE OF VEHICLES AT LOCATION: 3 SUVs or minivans TYPE OF SPECIAL EQUIPMENT: N/A all equipment is handheld ANY SPECIA REQ EMENTS: N/A We do not need any road closures,traffic routing or police support Signature Return to: Southold Town Clerk Southold Town Hall 53095 Main Road P.O.Box 1179 Southold,NY 11971 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits, claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection with the performance of filming or still photography by the Applicant, his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition, the Applicant will name the Town as an additional insured on any applicable policies. I 05/21/19 Signature Date Stephanie LeFeuvre Printed name Producer Title Date(MM/DD/YYYY) ACORDTm CERTIFICATE OF LIABILITY INSURANCE (MM/ D 019 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(les)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, James Pedrlck Laura Comerford Aon/Albert G. Ruben Co.of NY, Inc. Phone 212-337-4356 212-337-4354 171 Madison Avenue,Suite 401 New York, NY 10016 Insurer's Affording Coverage NAIC# INSURED INSURER A Great Divide Insurance Company Warm Springs Productions, LLC INSURER B 120 S 5th Avenue, Suite B201 INSURER Manhattan, MT 59741 INSURER D 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 LIMITS SHOWN ARE AS REQUESTED INSRTypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS ` LTR INSR YWD (MMIDD/YYYY) (MM/DDIYYYY) A GENERAL LIABILITY CNA7503824 05/01/18 05/01/19 EACH OCCURRENCE $1,000,000 05/01/19 05/01/20 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $1,000,000 (Ea occurrence) CLAIMS MADE ❑X OCCURX PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS—COMP/OP AGG $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER MEDICAL EXPENSE Excluded POLICY X PROJECT LOC - A AUTO LIABILITY CNA7503824 05/01/18 05/01/19 COMBINED SINGLE LIMIT $1,000,000 05/01/19 05/01/20 Ea accident ANY AUTO BODILY INJURY(Per person) '6 OWNED AUTOS SCHEDULED X BODILY INJURY(Per accident) ONLY AUTOS 'AUTO PHYSICAL HIRED AUTOS NON-OWNED DAMAGE PROPERTY DAMAGE X ONLY X AUTOS ONLY DEDUCTIBLE $2,500 (Per accident) X AUTO PHYS DAM•• AUTO PHYSICAL DAMAGE $1,000,000 X Umbrella Llab X OCCUR CUA7503825 05/01/18 05/01/19 EACH OCCURRENCE $5,000,000 Excess Liab CLAIMS-MADE X 05/01/19 05/01/20 AGGREGATE $5,000,000 A DEDUCTIBLE WC Statutory Other WORKERS COMPENSATION AND Limits EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N NOT COVERED EL Each Accident OFFICERIMEMBER EXCLUDED? HEREUNDER EL Disease—EA Employee 3 (Mandatory in NH) NIA If yes,describe under I E L Disease-Policy Limit DESCRIPTION OF OPERATIONS below A WORLDWIDE PRODUCTION PACKAGE CNA7503824 05/01/18 05/01!19 LIMIT DEDUCTIBLE MISCELLANEOUS EQUIPMENT* 05/01/19 05/01/20 1 $5,000,000 $2,500 PROPERTY OF OTHERS $5,000,000 $2,500 PROPS,SETS&WARDROBE $5,000,000 $1,500 DESCRIPTION OF OPE RATI ONS/LOCATI 0 N SNEHI C LES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Discovery Inc/Scripps Networks—Home&Garden Television-Beach Hunters 600&700 Certificate Holder is Additional Insured(by"Blanket"Endorsement)under General/Auto Liability but only with regard to claims arising from the negligence of Named Insured and as required by written contract Certificate Holder Is Loss Payee with regard to Production Package All coverage Is sub ect to terms and conditions of policies of Insurance This Certificate does not amend,extend or alter the coverage afforded by the policies above CERTIFICATE HOLDER Cancellation Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Sou Town Hall, thold Main Road P O Box 1179 DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS Southold,New York 11971 AUTHORIZED REPRESENTATIVE Aon/Albert G.Ruben Insurance Services,Inc. ACORD 25(2016/03) 1988—2015©ACORD CORPORATION All rights reserved. Doroski, Bonnie From: Doroski, Bonnie Sent: Tuesday, May 21,,2019 2:46 PM To: Blasko, Regina; Duffy, Bill; Flatley; Martin; Hagan, Damon; Kruszeski, Frank; Norklun, Stacey;,Silleck, Mary Subject: Emailing:filming permit_20190521144513 Attachments: filming permit_20190521144513.pdf Please review the.attached application received today re: Warm Springs Productions, HGTV Beach Hunters Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: filming permit_20190521144513 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain"types of file attachments. Check youre-mail security settings to determine how attachments are handled. Doroski, Bonnie From: Flatley, Martin Sent: Tuesday, May 21,.2019 3:45 PM To: Doroski, Bonnie; Blasko, Regina; Duffy, Bill; Hagan, Damon; Kruszeski, Frank; Norklun, Stacey; Silleck, Mary Subject: RE: Emailing:filming permit_20190521144513 I have no objections to this permit being issued. Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765=3115 -----Original Message----- From: Doroski, Bonnie Sent:Tuesday, May 21, 2019 2:46 PM To: Blasko, Regina <rblasko@town.southold.nv.us>;,Duffy, Bill <billd@southoldtownny:gov>; Flatley, Martin <mflatlev@town.southold'.nv.us>; Hagan, Damon<damonh@southoldtownnv.gov>; Kruszeski, Frank <fkruszeski@town.southold.nv.us>; Norklun, Stacey<Stacey.Norklun town.southold.nv.us>;Silleck, Mary <marvs@town.southold.nv.us> - Subject: Emailing: filming permit_20190521144513 Please review the attached application received today re: Warm Springs Productions, HGTV Beach Hunters Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: filming permit_20190521144513 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Doroski, Bonnie From: Stephanie Le Feuvre <salefeuvre@warmsprings.tv> Sent: Thursday, May 16, 2019 11:23 AM , To: Doroski, Bonnie Subject: Re: Emailing:filming app for email_20181010114420 ' r Thank you so much for this info,.I will get in touch with the park districts as well. Would we still need to pay the base filming fee for all 3 days or only the two we would actually be filming? Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct. 406-253-3651 Office Hours. M-F 9-5, Mountain Time On May 16, 2019, at 9:10 AM, Doroski, Bonnie <Bonnie.Doroskigtown.southold.ny.us>wrote: Okay, all of the beaches with the exceptiori of the New Suffolk Beach are park`district beaches,you will have to contact the Mattituck Park District about Veterans and Bailie's beach. Southold Park District for Emerson Park(South Harbor Beach). If you do still want to use the New Suffolk beach you will have to complete the filming application and pay for beach parking permits, additionally since Bailie's beach has no parking lot,you would need the town permit to park there. If you use the New Suffolk beach,you would have to submit the daily filming fee, cleanup fee and the Chief of Police would determine whether or not traffic control would be required. For the most part, the cleanup fees are refunded (because we know you won't leave a mess!), after the filming is finished. Fowl&f, Z)Mdd¢i Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631)765-1800 office (631)765-6145 fax From: Stephanie Le Feuvre [mailto:salefeuvre(�i)warmsprings.ty] Sent: Thursday, May 16, 2019 10:52 AM To: Doroski, Bonnie Subject:'Re: Emailing: filming app for email_20181010114420 Yes, we are looking at public beaches and parks: Veterans Beach, Bailie Beach Park,New Suffolk Beach, Mattituck Park District, & Emerson Park. Best, Stephanie Le Feuvre Casting Director Warm Springs Productions 1 ' Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 16, 2019, at 6:41 AM, Doroski, Bonnie <Bonnie.Doroskigtown.southold.ny.us>wrote: Stephanie, It really depends on where you are planning to film. Can you give me an idea of the areas you are thinking of? Thanks, 0"*, Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631) 765-1800 office (631)765-6145 fax From: Stephanie Le Feuvre [mailto:salefeuvre@warmsprings.ty] Sent: Wednesday, May 15, 2019 4:08 PM To: Doroski, Bonnie Subject: Re: Emailing: filming app for email_20181010114420 Hi Bonnie, I had just a couple of questions on the permit application. While we will be in the area for 3 days, we actually do most of our filming on private property with the exception of the few public locations for B-Roll and a couple of short scenes. That being said, we would only actually need two of the days within that range so would we only pay for the two we will actually film? We are also a very small crew and don't require any clean-up or traffic control. We only take a few vehicles as well, so I am curious if we can use public parking and pay any fees on site? I am just trying to get he correct total for when we send the check with the application. Thank you for your help and information! Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 15, 2019, at 8:54 AM, Stephanie Le Feuvre <salefeuvregwarmsprings.ty>wrote: 2 No worries, thank you again! Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 15, 2019, at 6:48 AM, Doroski, Bonnie <Bonnie.Doroskigtown.southold.ny.us>wrote: Stephanie, Sorry, I got tied up and wasn't able to send this yesterday. Please look it over, if you have any questions you can contact me or Lynda.Ruddergtown.southold.ny.us Regards, Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: filming app for email_20181010114420 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. <filming app for email 20181010114420.pdf> 3 Doroski, Bonnie From: Stephanie Le Feuvre <salefeuvre@wa'rmsprings.tv> Sent: Thursday, May 16, 2019 11:49 AM To: Doroski, Bonnie Subject: Re: Emailing:filming app for email_20181010114420 One other quick question I had, is there any specific designation I should be aware of for town b-roll footage or do you need specific streets listed? Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 16, 2019, at 9:10 AM, Doroski, Bonnie <Bonnie.DoroskiAtown.southold.ny.us>wrote: Okay,all of the beaches with the exception of the New Suffolk Beach are park district beaches,you will have to contact the Mattituck Park District about Veterans and Bailie's beach. Southold Park District for Emerson Park(South Harbor Beach). If you do still want to use the New Suffolk beach you will have to complete the filming application and pay for beach parking permits, additionally since Bailie's beach has no parking lot,you would need the town permit•to park there. If you use the New Suffolk beach,you would have to submit the daily filming fee, cleanup fee and the Chief of Police would determine whether or not traffic control would be required. For the most part, the cleanup fees are refunded (because we know you won't'leave a mess!), after the filming is finished. Fame �, Vaza & Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631) 765-1800 office (631)765-6145 fax From: Stephanie Le Feuvre [mailto•salefeuvre@warmsprinas.ty] Sent: Thursday, May 16, 2019 10:52 AM To: Doroski, Bonnie Subject: Re: Emailing: filming app for email_20181010114420 Yes, we are looking at public beaches and parks: Veterans Beach, Bailie Beach Park,New Suffolk Beach, Mattituck Park District, &Emerson Park. Best, Stephanie Le Feuvre Casting Director Warm Springs Productions 1 ' Direct-406-253-3651 Office Hours M-F 9-5, Mountain Time On May 16, 2019, at 6:41 AM, Doroski, Bonnie <Bonnie.Doroskigtown.southold.ny.us> wrote: Stephanie, It really depends on where you are planning to film. Can you give me an idea of the areas you are thinking of? Thanks, Sav�ue �. �anaQlec Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631) 765-1800 office (631)765-6145 fax From: Stephanie Le Feuvre [mailto:salefeuvre warmsprings.ty] Sent: Wednesday, May 15, 2019 4:08 PM To: Doroski, Bonnie Subject: Re: Emailing: filming app for email_20181010114420 Hi Bonnie, I had just a couple of questions on the permit application. While we will be in the area for 3 days, we actually do most of our filming on private property with the exception of the few public locations for B-Roll and a couple of short scenes. That being said, we would only actually need two of the days within that range so would we only pay for the two we will actually film? We are also a very small crew and don't require any clean-up or traffic control. We only take a few vehicles as well, so I am curious if we can use public parking and pay any fees on site? I am just trying to get he correct total for when we send the check with the application. Thank you for your help and information! Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct. 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 15, 2019, at 8:54 AM, Stephanie Le Feuvre <salefeuvregwarmsprings.ty> wrote: 2 No worries, thank you again! Best, Stephanie Le Feuvre Casting Director Warm Springs Productions Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time On May 15, 2019, at 6:48 AM, Doroski, Bonnie <Bonnie.Doroskigtown.southold.11 .us>wrote: Stephanie, Sorry, I got tied up and wasn't able to send this yesterday. Please look it over, if you have any questions you can contact me or Lynda.Rudderktown.southold.ny.us Regards, Bonnie J. Doroski Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: filming app for email_20181010114420 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. <filming app for email_20181010114420.pdf> 3 Hi Bonnie, I am making final preparations to return the filming permit application to you. I just wanted to confirm once again that we will only need two days within the 3 days provided (per weather and any changes in our schedule), I'll make a note of this on the application. This will be for New Suffolk Beach and various Southold town streets. This would be a total $360 ($100 application, $200 for 2 days of filming, $60 for 3 vehicles parking over the 2 days) and two separate $250 checks for the cleanup. If this is correct, I will submit ASAP and have our CFO cut a check. Per your recommendation, I have also been in touch with the Park Districts and they are sharing our information with the commissioners regarding our request. Thank you again so much for all of your help and clarification! :) Best, Stephanie Le Feuvre Warm Springs Productions Direct 406-253-3651 Office Hours M-F 9-5, Mountain Time Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/23/19 Receipt#: 254557 Quantity Transactions Reference Subtotal 1 Application Fee- Non-Refund 2019-HGTV $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By Credit Card-Ref# $10000 Warm, Springs Production Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Warm, Springs Production Stephanie Lefeuvre 820 W Spruce Street Missoula, MT 59802 Clerk ID: BONNIED Internal ID.2019-HGTV i Vendor No Checic•No. •' Town of Southold, New York - Payment Voucher _ Vendor Name Vendor Address ) ntered•by* {� % L 6 ___ _ Audit.Date ' 11P�-rt'� `tvc'.1� I� 1 b t� ��� � 1 .. . Vendor Tel phone Number q L 5 P o �o rY�— �C"�rr )C)e Toivrt Clerk; Vendor Contact To e -1)0or h".4 Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General,tedger Fund and Accpunt Number Special Event Clean-up 250.00 250.00 Deposit Refund T1,030. Total 250.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have bee verified with the exceptions due and owing,and that taxes which the Town is exempt are excluded or discrepancies noted,and paymen is approved natur rtle Q St , ture u,,L vvL Company Name Date '���� 1 Title to 1� Southold Town Board -Letter Board Meeting of July 2, 2019 RESOLUTION 2019-590 Item# 5.15 oy°jt y<a� ADOPTED DOC ID: 15366 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2019-590 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 2, 2019: WHEREAS the following groups have supplied the Town of Southold with a refundable Clean- up Deposit fee, for their events and WHEREAS the Southold Town Police Chief, Martin Flatley, has informed the Town Clerk's office that this fee may be refunded,now therefor be it RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the amount of the deposit made to the following Name Date Received Amount of Deposit Mattituck Lions Club 1/24/19 $250.00 PO Box 595 Mattituck,NY 11952 Warm Spring Productions 6/6/19 $500.00 Stephanie Lefeuvre 820 W. Spruce Street Missoula,MT 59802 Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated July 8, 2019 Page 30 Town of Southold P.O Box 1179 Southold, NY 11971 it * * * RECEIPT * * * Date: 01/24/19 Receipt#: 251134 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 6/10-17/19 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#3770 $250.00 Mattituck, Lions Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Mattituck, Lions Club Po Box 91 Mattituck, NY 11952 Clerk ID: LYNDAR Internal ID,6/10-17/19