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HomeMy WebLinkAboutSouthold Village Merchants Vendor No. ; Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Southold Village Merchants PO Box 1356 Audit Date Vendor Telephone Number Southold, NY 11971 631-765-9500 Town Clerk Joan Tyrer Invoice Invoice Invoice ! Net Purchase Order Number Date Total Discount iAmount Claimed Number Description of Goods or Services General Ledger Fund and Account Number ,2020-431 7/2/2020 250.00 250.00 2020 4th of July Parade T1.030 . I 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. 4 Signatur Titled Signatu 1 9- 1 LkJA-6 Company Name Date 7' �Z.— Title Date - ?—A—26 Southold Town Board - Letter Board Meeting of July 14,2020' "6`'� RESOLUTION 2020-431 Item# 5.18 Y # F, ADOPTED DOC ID: 16285 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-431 WAS ADOPTED AT THE REGULAR MEETING OF THE'8_OUTHOLD TOWN BOARD ON JULY 14,2020: 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 ll/l/19 $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 Assdc. 2/14/20 250.00 PO Box 1134 Riverhead, NY l 1901 Generated July 17, 2020 Page 29 Town of Southold P.O Box-1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/12/20 Receipt#: 268281 Quantity Transactions Reference Subtotal 1 Event Fee 7/4/2020 $250.00 Total Paid: $25000 Notes: Payment Type Amount Paid By CK#112 $250.00 Southold, Village Merchants ° Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold, Village Merchants Po,Box 1356 Southold, NY 11971 Clerk ID: SABRINA Internal ID 7/4/2020 ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK 4;:, ^--r ".:2 P.O.Box 1179 µ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS :a Fax(631)765-6145 MARRIAGE OFFICER , , qw Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER x ,° www.southoldtowmy.gov FREEDOM OF INFORMATION OFFICER " OFFICE OF THE TOWN CLERK ; TOWN OF SOUTHOLD MAR 1 2 2020 APPLICATION FOR A PERMIT TO HOLD A Sotdhold Toimn Clers< SPECIAL EVENT _ Please provide ALL of the informatioete a lications WILL NOT be reviewed. Date of Submission G -47 - Name of Event �r .gyp Name of Organization' f� l Q �`►� g �✓ Is this a Not-For-Profit Event?Yes1 - Contact's Name: CQ 0— ' ri, Mailing Address: Contact's Phone Number: _ Contact's Email Address: Event Location and Site Diagram: (Use additional paper if necessary) Event Date(s): J1 (Include setup d shutd wn times and dates) Nature of Event: t j% (Please attach a detailed description to this pplication) Time Period (Hours) of Event: From / Maximum Number of Expected Attendees: f 7 Specify any special requirements(i.e. road closure,police presence): All; Revised 8/5/15 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..,9" 4 1 � f _ _ y -- - n✓ e - fJ t _ ; Event Fees: $250 for events with less than 1000 expected attendees V - $500 for events with 1000 or more expected attendees ; 1 ` Clean-up Fees (Cam NOT be waived): $1,500.00 Clean-up for Bicycle and/or Running Special events (ONLY) �L$250 or more Clean-up deposit all other events CERTiIFTCATIE, OF INS1URANCE-REQUIRE•l): Not less than$2,000,000 naming the Town of r Southold as an additional insured. ***NOTE: _PLEASE SEE ATTACHED REVISED .ADOPTED TO�I�t POLICE'*** Additional information and requirements may be required as deemed necessary by the Town Board. On filling out gnat, of Authorized erson filling out application Print name of Authorized a application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 Revised 3/21/16 CARE%iia M1001YYYYI DATE(M `r CERTtFICTE OF LIABILITY INSURANCE 02121/2020 tH�RE!fIFICiTE t l$SyEp 11S'A MATTER'Or,INj=OION,ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS :. CERV1FICtrATE:DQES 'NOT-AFFIRMATIVEV: 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 REPRESENTAT(V.EiOR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT'.)f the cerlJftcate holders an 15DITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBI20GATIOAI IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on ,this cert(flcate does not condor rights to the Certificate holder in lieu of such endorsement(s). PRODUCER CONNSE, Alexandria Whitney 1 McMann Price Agency,Inc. PHONE . (631)477-1680AIG N (631)477.6930 628 Front Street Ate , alexandda®mcmannprice.com PO Box 2065 INSURERS)AFFORDING COVERAOE MAIC A Greenport NY 11844-0876 INSURERA: Hartford Fire Ins Co. 19882 INSURED INSURER B: The North Fork Chamber of Commerce r INSURERC; .* INSURER D: PO Box 141b INSURERE: Southold — -:k : I 11971-1415 INSURERF: COVERAGES CERTIFICATE-NUM119r, CL2022102746 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTEONLOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT,,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION$AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. TYPEOPINSURANCE POLICYNUMOER M 0 LINTS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCH $ 2,000,000 CLAIMS-MADE ©QCCURPR MI oew nc S 300.000 MED EXP one Peron S 10.000 A -Y 1289ADH0373 11125/2019 11125/2020 PERSONAL a ADV INJURY S 2,000,000 ~ GENLAGGREGATELIMITAPPUESPEt: GENERALAGGREGATE S 4.000,000 POUCY❑JET LOC PRODUCTS-COMP/OPAGO S 4,000,000 OTHER: S AUTOMOBILE LJAa1LITY g ANYAUTO BODILY"URY(Perpetami) S =ONLY SCHEDULED BOOMYINJURY(Per aetldem) S MRW NON-OVMPR Y S AUTOS ONLY AUTOS ONLY er arri S UMBRELLALIAS OCCUR EACHOCCURRENCE S EXCESS LULB CL41MS-MADE AGGREGATE S OED I I RETENnON S S WORKERS COMPENSATION S R ER - AND EMPLOYERS•LIABILITY YIN ANY PROPRIETORIPARTHERIEXECUTIVE ❑ NIA E L EACHACCIDENT $ OFFICERnAEMOER EXCLUDED? (Mandatory In NMI E.L.DISEASE•EA EMPLOYEE S It ym desalbe under DESCRIPTION OF OPERATIONS beta* E.L.DISEASE-POLICY LIMIT 5 DESCRIP7WNOFOPEtATIONSILOCA7IONSIVEHICLES(ACORD101,AddltlmlalRamsrlteSehed ftirmyhoattnehedUm map®esisraqulredl With respect to the twenty third annual Fourth of July parade being held on Saturday,July 41h,2020.Parade route will be from Boisseau Avenue to Tuckers Lane an Route 25 in Southold from 12:OOPM to 1:0012M.Cerfificate holder is listed as additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BB CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AtrTHO DREPR�&L7�g44 Southold NY 11971 ®1988-2016 ACORD CORPORATION. All rights reserved. ACORD-23(2018!03) TrwACORO name and logo are registered marks ofACORD d; SOUTHOLD VILLAGE MERCHANTS GROUP RECEIVED Ms. Lynda M. Rudder,Deputy Town Clerk MAR - 3 2.020 Southold Town Southold Town Clerk Dear Lynda: Enclosed please find the Certificate of Liability Insurance for the North Fork Chamber of Commerce coverage of the Southold Village Merchants 4th of July Parade 2020. This is the Hartford Fire Insurance Company's coverage with the Certificate Holder as Town of Southold. If you need anything more, please let me know. Joan Tyrer March 2,2020 i ACC& CERTIFICATE OF LIABILITY INSURANCE DATE(NIWDDIYYYY) oznvaozo 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 holders an ADDITIONAL INSURED,the pollcy(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 Ileu of such endorsement(s). PRODUCER NA TE Alexandria Whitney McMann Price Agency,Inc._ PHONE (6'1)d77"W AIC Nei: (831)477-8930 628 Front Street ADD ESS: alexendda®mcmannpdoe.com PO BOX 2065 INSURER(S)AFFORDING COVERAGE NAIC p Greenport NY 11844-0876 INSURERA: Hartford Fire Ins Co. 19682 INSURED INSURER B: The North Fork Chamber of Commerce INSURER C: INSURER D: PO Box 1415 INSURERE: Southold NY 11971A415 INSURERF: COVERAGES • CERTIFICATE NUMBER: CL2022102746 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. IN UUL LTR TYPE OF INSURANCE WOKPOLICY NUMBER MMID MMIPOUODIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE ©OCCUR PREMISES Ea S 300,000 MED EXP t one person S 10,000 A Y 12SBABH8373 1112512019 11/2512020 PERSONAL&ADV INJURY S 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER, GENERALAGGREGATE S 4,000,000 POUCY[:]JECaT ❑LOC PRODUCTS-COMPIOPAGG S 4,000,000 OTHER: S AUTOMOBILE LIABILITY Ct I LIMIT s ecddenl ANYAUTO BODILYINJURY(Per Person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNEDRO S AUTOS ONLY AUTOS ONLY Per acddent S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR Id CLAIMS-MADE AGGREGATE S OED 1 1 RETENTION S S WORKERS COMPENSATION P R H• ANO EMPLOYERS'LIABILITY YIN STATUTE E ANY PROPRIETORMARTNERIEXECUTIVE ❑ NIA EL,EACH ACCIDENT S OFFICERIMEMSER EXCLUDED? (Mandatory In HH) E.L.DISEASE•EA EMPLOYEE S U yes,deadlbe under DESCRIPTION OF OPERATIONS below E.L DISEASE•POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1ACORD"I.A4dittonal Remarks Schedule,may be aKached U mora space Is requlrodl With respect to the twenty third annual Fourth of July parade being held on Saturday.July 41h,2020.Parade route will be from Boisseau Avenue to Tuckers Lane on Route 25 in Southold from 12:0013M to 1:0012M.Certificate holder Is listed as additional Insured. 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. PO BOX 1179 AUTHO D REPRESENTATI Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD