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HomeMy WebLinkAboutMattituck American Legion - Memorial Day Parade Vendor No. i Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Mattituck American Legion Post 861 PO Box 861 Audit Date Vendor Telephone Number Mattituck, NY 11952 631-765-6320 Town Clerk Robert Devito Invoice Invoice Invoice I ' Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 2020-431 7/2/2020 250.00 250.00 2020 Memorial Day T1.030 Parade i i I 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 been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded or discrepancies noted,and payment is approved AUV44,2jlw� Srgnatur Titl� Signatur Company Name Date Date b a - Southold Town Board - Letter Board Meeting of July 14, 2020 `�"�`'`' RESOLUTION 2020-431 Item # 5.18 �fI,-fl ADOPTED DOC ID: 16285 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-431 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 147 2020: 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 EventPower 1111119 - $1,500.00 162 Long Island Avenue, #179 Holtsville, NY 11742 Mattituck Lions Club 1/31/20 250.00 PO Box 91 Mattituck,NY 11952 Mattituck American Legion Post 861 2/7/20 250.00 PO Box 861 Mattituck,NY 11952 Bicycle Shows USA 3/3/20 1,500.00 230 Smith Hughes Road Narrowburg, NY 12764 Southold Village Merchants 3/12/20 250.00 PO Box 1356 Southold. NY 11971 L I Antique Power Assoc. 2/14/20 250.00 PO Box 1134 Riverhead, NY 11901 Generated July 17, 2020 Page 29 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/07/20 I Receipt#: 266769 Quantity Transactions Reference Subtotal 1 Event Fee 5.25.2020 $250.00 Total Paid: $250.00 i i Notes: i I i I ' Payment Type Amount Paid By CK#7217 $250.00 Mattituck, American Legion Post 861 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 I i I i i Name: Mattituck, American Legion Post 861 + Po Box 861 I Mattituck, NY 11952 Clerk ID: BONNIED Internal ID:5.25 2020 ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERKo= P.O.Box 1179 COO Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 • .� Fax(631)765-6145 MARRIAGE OFFICERy� �! Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER O,( �`� FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK t TOWN OF SOUTHOLD February 13, 2020 Robert DeVito Mattituck American Legion Post 861 2035 Jacobs Lane Southold,NY 11971 Dear Mr. DeVito: The Southold Town Board, at its regular meeting held on February 11, 2020, granted permission to the Mattituck American Legion, Post 861 to hold a Memorial Day parade on May 25, 2020. A certified copy of the resolution is enclosed. An insurance policy naming the Town as additionally insured has been filed-with this office. Please be sure to contact Captain Kruszeski, at the Police Department, 765-2600, as soon as possible, to coordinate traffic control. Very truly yours, r Lynda M Rudder Southold Deputy Town Clerk Enc. y0ff0ir 1 RESOLUTION 2020-180 ADOPTED DOC ID: 16042 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-180 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 11,2020: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Mattituck American Legion, Post 861 to line up along Wickham Avenue and Pike Street, march west on Pike Street, left on Westphajia Avenue,right onto-Old Sound Avenue, left onto Pacific Street, left onto Route 25 and left onto Wickham Avenue for the Annual Southold Town Memorial Day Parade in Mattituck,New York on Monday, May 25, 2020, beginning at 10:00 AM provided they adhere to the Town of Southold Policy for Special Events on Town Properties and Roads. All Town fees for this event, with the exception of the,Clean-up Deposit, are waived. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:Jill Doherty, Councilwoman AYES: Nappa, Dinizio Jr,Doherty, Ghosio, Evans, Russell Doroski, Bonnie I From: Doroski, Bonnie Sent: Friday, February 07, 2020 10:19 AM To: Blasko, Regina; Burke,John; Doroski, Melanie; Duffy, Bill; Fisher, Robert; Flatley, Martin; Hagan, Damon; Kruszeski, Frank; Norklun, Stacey; Silleck, Mary; Spiro, Melissa Subject: Emailing: mem day parade-matt legi_20200207101949 Attachments: mem day parade-matt legi_20200207101949.pdf Please review the attached application received from the Mattituck American Legion for their Memorial Day Parade, 5/25/2020, please send any comments to our office. Thank you. Your message is ready to be sent with the following file or link attachments: mem day parade-matt legi_20200207101949 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. r 1 vaff or ELIZABETH A.NEVILLE, MMC ®� COGy Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 cm COD Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER ,� ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �Q( �`� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD FEB — 7 2020 APPLICATION FOR A PERMIT TOMOLD A Southold Town Clerk SPECIAL EVtNT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Date of Submission Name of Event !kF,"IUA bAy r Name of Organization: 11K1A alff, Awtnqq Is this a Not-For-Profit Event Ye o Contact's Name: IZDA512�[- b t oo-b Mailing Address: 29 ✓l J- O5 &Ae SPU*&), 1 — 1`!03!-j �lv3� Contact's Phone Number: CeCt- ` 1 W(- .3`Q' 2-013 Contact's Email Address: 2,96 Event Location and Site Diagram: HA-t" 9F MAN-1 Tua (Use additional paper if necessary) Event Date(s): ft/V 1)A� 1,W " `� 2~ � ZO - (Include set up and shutdo ��/wn times and dates) Nature of Event: W F,KO ey k D 7 A44W C -2-o;—>V (Please attach a detailed description to this application) Time Period (Hours) of Event: From J'!7:Z ;4k 2 to—a*dy AM ? Maximum Number of Expected Attendees: vZ�7S Specify any special requirements (i.e. road closure,police presence): If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event Permit to: 1%IN Event Fees: $250 for events with less than 1000 expected attendees [, R^•. •r •.•F$500,for events with 1000 or more expected attendees Clean-up Fees (Can NOT be waived): $1,500.00 Clean-up for Bicycle and/or Running Special events(ONLY) $250 or more Clean--u deposit all other events 1��fGa� � ` ' � Ae S�cL� l 4&/V f e& CERTIFICATE OF INSURANCE REQUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 b®§�¢f ® Town Hall,53095 Main Road ELIZABETH A. NEVILLE, MMC ® �� P.O.Box 1179 TOWN CLERK a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER ,� ®�. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®,� y,`D www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD FEB - 7 2020 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL EVI NT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Date of Submission Name of Event ME4061i A r Name of Organization: YhAjttAL AWAtrt4 L !9l ; Is this a Not-For-Profit Event?Ye5No Contact's Name: Mailing Address: aD 3-5- J-ACOA5 &ke 1;11)U7VW, /V / l f ZZ 14a*e e 1 1031 (off'�103� Contact's Phone Number: ( e,. ` 1 l03/- S-;'?- '2-,013 Contact's Email Address: R 6:3 2,106 lY"3 C o Event Location and Site Diagram: f- A-kgi Q&19l`' TU616 (Use additional paper if necessary) Event Date(s): 14V4 W Ay �O 2Z (Include set up and sh tdown times and dates) VqW Nature of Event: (�, 0(�ili j 4� Ii /,v (Please attach a detailed description to this application) Time Period (Hours) of Event: From LD:ZAk,- 2 to -!�(� ? Maximum Number of Expected Attendees: 3� x15 Specify any special requirements (i.e. road closure, police presence): -P®Lla p acts eaee U6 4a de-am( f� AMERLEG-02 DNUHFER ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1/29/2020 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 NRNTACT ME N East EndInsurance Agency PHONE FAX P.O.Box 1406 (AIC,No,Ext):(631)765-3811 (A/C,No):(631)765-3846 Southold,NY 11971 EDD IE • INSURERS AFFORDING COVERAGE NAIC# INSURERA:U.S.Underwriters Insurance Company INSURED INSURER B: Mattituck American Legion Post#861 INSURER C: Raymond J.Cleaves Post PO Box 725 INSURER D: Mattituck,NY 11952 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 MM/DD MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE X OCCURNPP3552745A 7/11/2019 7/11/2020 DAMAGE TO RENTED 100,000 X E occu a ce $ MED EXP(Any oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2'000'000 X POLICY 1:1 TECOT F1 LOC PRODUCTS-COMP/OP AGG $ Included OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a ac $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED P�OPERTY AMAGE AUTOS ONLY AUTOS ONLY er accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ANY OFFICER/MEMBER EXCLUDED?ECUTIVE F—] NIA E L EACH ACCIDENT $ (Mandatory In N ) E L DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder is additional insured with respect to the Memorial Day parade 05/25/20 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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Qin-D4YJ� t�c�.Ns L6Pt' ��To �esr,��►�crc� rave- .�,... � ���kc-� �9hi® wr�►2che� - ?6"IAG- %ZIyl4t©N7`0 DCS AVE, 610 vaj4icGw;s — POO-AnEf Theem T. A4- ZGFF1' 9t\0V Ae YhAIN 2,014-D 'fie j%Aricdieg�s AAtjfl LOALi Lias I, f. - Mcq 1 qAn Lp-ja1'aNTfl e tdchrv- ove AIG aTGlekt T✓Ulcl�S v4A10 V2�itdZi tcrWC oh tk •�40 TP F ND At. CA1►WUL bisp�004- ' - F I ` t Doroski, Bonnie. From: Duffy, Bill Sent: Friday, February 07, 2020 11:05 AM To: Doroski, Bonnie Subject: RE: Emailing: mem day parade-matt legi_20200207101949 No objection William M. Duffy, Esq. Town Attorney Town of Southold Southold Town Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, New York 11971-0959 Office: 631.765-1939 Fax: 631.765.6639 Email: billd@southoldtownny.gov -----Original Message----- From: Doroski, Bonnie<Bonnie.Doroski @town.southold.ny.us> Sent: Friday, February 7, 2020 10:19 AM To: Blasko, Regina <rblasko@town.southold.nv.us>; Burke,John<iohnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.nv.us>; Duffy, Bill <billd@southoldtownny.gov>; Fisher, Robert <Robert.Fisher@town.southold.nv.us>; Flatley, Martin<mflatlev@town.southold.nv.us>; Hagan, Damon <damonh@southoldtownny.gov>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Norklun,Stacey <Stacey.Norklun@town.southold.nv.us>;Silleck, Mary<marvs@town.southold.nv.us>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us> Subject: Emailing: mem day parade-matt legi_20200207101949 Please review the attached application received from the Mattituck American Legion for their Memorial Day Parade, 5/25/2020, please send any comments to our office. Thank you. Your message is ready to be sent with the following file or link attachments: mem day parade-matt legi_20200207101949 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. 1 Town of Southold Police Department Special Event Cost Analysis Event: American Legion Memorial Day Parade Date(s): May 25, 2020 Location: Mattituck Village Patrol Allocation•for,Event Reg Hours OT Hrs Hrly Wage Total Comments Police Officers* Sgt.Witzke 2 $168.30 P.O. Tandy 2 $124.06 P.O. Robbins 2 $61.44 P.O. DiVello 2 $53.50 Special Patrol Reg Hours OT Hrs Total Comments .CRU: P.O. Simmons 2 $143.24 Bicycle,Patrol ' �a K-9 Unit Highway'Patrol P.O. Onufrak 2 $142.20 P.O. Flatley 2 $142.20 Marine�Units- Traffic Control: Reg Hours OT Hrs lHrlyWage Total Comments TC Officer TC Officer TC Officer TC Officer TC Officer Equip'ment'Costs PD Vehicles I#of vehicles $/hr Total 7 $10.00 $140.00 $140.00 Command Van Marine Patrol Boats Total Department Cost for Event = $974.94 Prepared by Chief M. Flatley 2/10/2020 Page 1 Doroski, Bonnie From: Flatley, Martin Sent: Friday, February 07, 2020 4:27 PM To: Doroski, Bonnie; Blasko, Regina; Burke,John; Doroski, Melanie; Duffy, Bill; Fisher, Robert; Hagan, Damon; Kruszeski, Frank; Norklun, Stacey; Silleck, Mary; Spiro, Melissa Subject: RE: Emailing: mem day parade-matt legi_20200207101949 Attachments: Memorial Day Parade.xls I have no objections this parade being held. My cost analysis is attached Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 -----Original Message----- From: Doroski, Bonnie<Bonnie.Doroski@town.southold.nv.us> Sent: Friday, February 7, 202010:19 AM To: Blasko, Regina <rblasko@town.southold.nv.us>; Burke,John <iohnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.nv.us>; Duffy, Bill<billd@southoldtownny.gov>; Fisher, Robert <Robert.Fisher@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Norklun, Stacey <Stace .Norklun town.southold.n .us>;Silleck, Mary<marvs@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@tc wn.southold.ny.us> Subject: Emailing: mem day parade-matt legi_20200207101949 Please review the attached application received from the Mattituck American Legion for their Memorial Day Parade, 5/25/2020, please send any comments to our office. Thank you. Your message is ready to be sent with the following file or link attachments: mem day parade-matt legi_20200207101949 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. i ®�oSUFFoe,��o - ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 CO2' 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p 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 March 12, 2020 Rob Devito, Commander Mattituck American Legion Post#861 P.O. Box 725 Mattituck, New York 11952 Dar Rob, I am responding to your letter of February 25, 2020 on behalf of the Supervisor' Office. The Town of Southold will not purchase the hot dogs and water beverages. The American Legion Post #861 must purchase and pay for them,then the town will reimburse the American Legion upon receipt of the paid invoice and signed payment voucher. Please be certain the vendor lists the Mattituck American Legion Post#861 on the invoice and marks the invoice paid. I am enclosing a "Town of Southold, New York—Payment Voucher"form. Please attach the original paid invoice to this voucher and sign your signature on the left-hand bottom under"Payee Certification". Upon completion, please return the voucher and invoice to me in the Town Clerk's Office and I will submit it for payment in the Town Audit. Please contact me if you have any questions. Very truly yours, 6"0 Elizabeth A. Neville Southold Town Clerk Enclosure (1) cc: Supervisor's Office Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Bntered by _ Mattituck American Legion Post #861 P.O. Box 725 Audit Date aef' Vendor Telephone Number Mattituck, IVY 11952 Town'Clerk Vendor Contact R Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and AOcotti4 Number• 2020 Memorial Day Pa ade Dogs-water A7550.4 beveraeges Celebr4tions Payee Certificatio Department Certification The undersigned(Claimant)(Acting on behalf o claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is at no part has in good condition without substitution,the services properly been paid,except as therein stated,that th ate( is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from whi mpt are excluded. or discrepancies noted,and payment is approved. Signature e_ Commander Signature ob Company Ame Devito Date Title Date 25—February-2020 Southold Town Supervisor Scott Russell Dear Supervisor Russell: This correspondence is in reference to the upcoming Memorial Day Parade to be held on Monday, May 25th, 2020 in Mattituck. This parade will be hosted this year by the Mattituck American Legion Post 861. Last week I had a meeting with the Mattituck Fire Chief Ted Webb. During this meeting in preparation for this parade, it was discussed if the Town of Southold would purchase Hot Dogs and water beverages for those participating in the parade. There will be NO alcoholic beverages consumed on any of the parade grounds. Any assistance would be appreciated. If there are any questions please contact me at the following address and or phone number. Mattituck American Legion Post 861 Commander Rob Devito P.O. Box 725 Mattituck, NY 11952 Cell Phone: 1-631-559-2023 Sincerely, &- ryzo�� Rob Devito Mattituck Legion Post 861 Commander d TOWN OF SOUTHOLD PAGE 8 2020 TOWN BUDGET 4 PREVIOUS BUDGET AS SUPERVISOR'S PRELIMINARY ADOPTED ACTUAL AMENDED TENTATIVE BUDGET BUDGET tr 2018 2019 2020 2020 2020 r CULTURE & RECREATION RECREATION PERSONAL SERVICES A7020.1 73,046 83,391 80,910 85,910 85,910 EQUIPMENT A7020.2 155 4,780 3,300 3,300 3,300 CONTRACTUAL EXPENSE A7020.4 99,259 119,255 122,355 122,355 122,355- ------------ ------------ ------------ ------------ ------------ TOTALS: 172,460 207,426 206,565 211,565 211,565 BEACHES (RECREATION) PERSONAL SERVICES A7180.1 88,261 - 101,550 142,000 142,000 142,000 CONTRACTUAL EXPENSE A7180.4 8,168 13,950 10,250 10,250 10,250 ------------ ------------ ------------ ------------ ------------ TOTALS: 96,429 115,500 152,250 152,250 152,250 YOUTH PROGRAM PERSONAL SERVICES A7310.1 31,177 33,800 31,480 31,480 31,480 CONTRACTUAL EXPENSE A7310.4 7,940 12,428 13,750 13,750 13,750 ------------ ------------ ------------ ------------ ------------ TOTALS 39,117 46,228 45,230 45,230 45,230 HISTORIAN PERSONAL SERVICES A7510.1 20,289 20,605 21,017 21,017 21,017 CONTRACTUAL EXPENSE A7510.4 1,311 1,940 1,940 1,940 1,940 ------------ ------------ ------------ ------------ ------------ TOTALS: 21,600 22,980 23,392 23,392 23,392 LANDMARK PRESERVATION COMMISSION PERSONAL SERVICES A7520.1 3,489 6,000 6,000 6,000 6,000 CONTRACTUAL EXPENSE A7520.4 799 5,310 4,900 4,900 4,900 ------------ ------------ ------------ ------------ ------------ TOTALS: - 4,288 11,310 10,900 10,900 10,900 CELEBRATIONS CONTRACTUAL EXPENSE A7550.4 249 1,250 1,250 1,250 1,250 ------------ ------------ ------------ ------------ ------------ TOTALS: 249 1,250 1,250 1,250 1,250 TOTAL CULTURE & RECREATION 334,143 404,694 439,587 444,587 444,587 TOWN OF SOUTHOLD PAGE 8 2020 TOWN BUDGET n, PREVIOUS BUDGET AS SUPERVISOR'S PRELIMINARY ADOPTED ACTUAL AMENDED TENTATIVE BUDGET BUDGET 2018 2019 2020 2020 2020 r CULTURE & RECREATION RECREATION PERSONAL SERVICES A7020.1 73,046 83,391 80,910 85,910 85,910 EQUIPMENT A7020.2 155 4,780 3,300 3,300 3,300 CONTRACTUAL EXPENSE A7020.4 99,259 119,255 122,355 122,355 122,355- ------------ ------------ ------------ ------------ ------------ TOTALS: 172,460 207,426 206,565 211,565 211,565 BEACHES (RECREATION) PERSONAL SERVICES A7180.1 88,261 - 101,550 142,000 142,000 142,000 CONTRACTUAL EXPENSE A7180.4 8,168 13,950 10,250 10,250 10,250 ------------ ------------ ------------ ------------ ------------ TOTALS: 96,429 115,500 152,250 152,250 152,250 YOUTH PROGRAM PERSONAL SERVICES A7310.1 31,177 33,800 31,480 31,480 31,480 CONTRACTUAL EXPENSE A7310.4 7,940 12,428 13,750 13,750 13,750 ------------ ------------ ------------ ------------ ------------ TOTALS 39,117 46,228 45,230 45,230 45,230 HISTORIAN PERSONAL SERVICES A7510.1 20,289 20,605 21,017 21,017 21,017 CONTRACTUAL EXPENSE A7510.4 1,311 1,940 1,940 1,940 1,940 ------------ ------------ ------------ ------------ ------------ TOTALS: 21,600 22,980 23,392 23,392 23,392 LANDMARK PRESERVATION COMMISSION PERSONAL SERVICES A7520.1 3,489 6,000 6,000 6,000 6,000 CONTRACTUAL EXPENSE A7520.4 799 5,310 4,900 4,900 4,900 ------------ ------------ ------------ ------------ ------------ TOTALS: - 4,288 11,310 10,900 10,900 10,900 CELEBRATIONS CONTRACTUAL EXPENSE A7550.4 249 1,250 1,250 1,250 1,250 ------------ ------------ ------------ ------------ ------------ TOTALS: 249 1,250 1,250 1,250 1,250 TOTAL CULTURE & RECREATION 334,143 404,694 439,587 444,587 444,587 SFF81e ELIZABETH A. NEVILLE, MMC Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 coo REGISTRAR OF VITAL STATISTICS � Fax(631)765-6145 MARRIAGE OFFICER * , Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER + "" "" www.southoldtovmny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD FEB - 7 2020 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL EVINT Please provide ALL cif the information requested below.Incomplete applications WILL NOT be reviewed. Date of Submission Name of Event_VkE UA Name this a Notanizati n! vet `t e No 1441- .L. � ..._ .. �... ..� Contact's Name: iZDV6� btoTb Mailing Address: a _3 - 4t 1 A ..._ Contact's Phone Number: Ce6t, Contact's Email Address: Event Location and Site Diagram; (Use additional paper if necessary) Event Dates}: ...� .� �... .... .... 20 2-Z -ww. _......... .. .......,..m (Include set up and slital:dtin times and dates) Nature of Event: ..t✓�wil�/ _._���........�. �........� (Please attach a detailed description to this application) Time Period (Hours) of Event: From LR�LOAlM 2 to a.. Maximum Number of Expected Attendees L9 ------- Specify _ ySpecify any special requirements (i.e. road closure, police presence): If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event Permit to: r Lie, �eL,L� fi9� -7 2,C V404;f77 rVa4 /V Event Fees: — $250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Clean-up Fees(Can NOT be waived): $1,500.00 Clean-up;for Bicycle andlor Running Special events (ONLY) or more Clean-up deposit all,other-events u. 100119 Z-6'lo �Z; V CERTIFIC'ATE OF INS4JRANCE jVIYUMVI-1: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***No,rE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. L) Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 AMERLEG-02 DNUHFER CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/29/2020 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 CN%MPCT A/c No,Ext (631)...._ East End Insurance Agency PHONE 765-3811 NC,No):(631 765-3846 P.O.Box 1406 --� - - �_. ...� ,Southold,NY 11971 rg"LE s: _ _ INSURER 5 _.,G CP,y,gRAGE NAIC# _/INSURERA:U.S.Underwriters Insurance Com an _ INSURED INSURER : Mattituck American Legion Post#861 INsI RER Raymond J.Cleaves Post PO Box 725 Mattituck,NY 11952 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. A X ;COMMERCIAL GENERAL _ MM mm 1 SR ADDDL SLIER POLICY EFF nPOLIII POLICY EXP ITS 000,000 TYPE OF INSURANCE POLICY NUMBER LIMITS LIABILITY EACH OCCURRENCE mm $ CLAIMS-MADE [:)I(]OCCUR X NPP3552745A 7/11/2019 7/11/2020 DAMAGE TO RENTED 100,000 PREMISES!Ea orC � r. ) ,..,_ 5,000 PERSONAL aiNADV N,JURY $....� _.._. �.....�....�. .__.��. 1,000,000 r 000 +rL Ad GREGA"4'E LIMIT APPLIES PER: GENERAL AGGREGATE $ ._ 2,000, X POLPOLICYT � LOC PRODUCTS-COMPIOPAGG $ � Included ed OTHER', $ AUTOMOBILE LIABILITY COMBINED SINGLE LWT $ ANY AUTO „M!L,YIN,1l1R,Y LPer, rson $ .. OWNED SCHEDULED AUTOS ONLY AUTOS ( o0denl $ HIR N7N. Vry//hJ��f PP,f�1HSsdanPC MhOEa $ ALVS ONLY .. Al TG 1f11:'P $ UMBRELLA IAB LOCCUR m,„ RRENCE $ mm EXCESS LIAB CLAIMS-MADE wG REf'ATE. $ wm �.m mm DED RETENTION$ $ WORKERS COMPENSATIONPER 0TH_ AND EMPLOYERS'LIABILITY Y/N �••.-.• ,STAntT.E°.•' IT NY A > &MPN{R EXCUD PROPRIETOR/PARTNER/EXECUTIVE EL DISEASE-EA NIA � 1 EMPLOYEE $ If yy+es,describe under 0 ECRIPTION OF OPERATIONS belo L EL.DISEASE-POLICY LIMIT S DESCRIPTP-ON OF OPERATIONS/LOCATIONS f VEHICLES (ACORD 101,Addltl:onal Remarks Schedule,me y be attached If more space Is required) Certificate holder is additional insured with respect to the Memorial Day parade 05/25120 CERTIFICATE HOLDER CANC'E'LLATi"tN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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