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HomeMy WebLinkAboutJenny Yoo Collection RECEIVED . . -_. ELIZABETH A.NEVILLE,MMC Town Hall,53095 MajB�011 0 2020 TOWN CLERK '" P.O.Box 117 Southold,.New York 11971 REGISTRAR OF VITAL STATISTICS s. Fax(631)76bfi bld Town Clerk ., MARRIAGE OFFICER : . , Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ' �, r. t www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r APPLICATION FOR FILMING/STILL PHOTOGRAPHY PERMIT NO: Please Print or Type APPLICATION DATE: NAME OF APPLICANT: —Dina Gundy& Marcy Lee. . ' MA IL ING ADDRESS: —1-39 West 35th st 11th Floor New York,,NY 10018-- PHONE: BUSINESS: 732-690-43.03-HOME: _ _ 717-980-7530 NAME OF ORGANIZATION/COMPANY: Jenny_Yoo Collection_ , MAILING ADDRESS: 132 West 36th 5t 11th,,Floor New York, TINY 10018— . PHONE:212-645-0823-_ . FAX: DESCRIBE TYPE OF ACTIVITY (e.g. Motion Picture,,Commercial, Television. Catalog, Magazine, etc.): Photoshoot DATE(S) AND TIME(S) OF PROPOSED FILMING/PHOTOGRAPHY: Tuesday August 4, 2020 8/4 6AM-8PM41-Per - T- � 0&vt e- 6 � �- �� PROPOSED LOCATION(S) OF FILMING/PHOTOGRAPHY: (attach additional sheet,if necessary)' Beach Between Rocky Point Road (Park at Rocky Point Road Access) to 67 Steps Beach NAME OF PERSON IN CHARGE AT SITE: . Dina Gunder NUMBER OF PERSONS AT LOCATION (cast& crew included): 15 NUMBER AND TYPE OF VEHICLES AT LOCATION: Trailer and 6 Cars (Rocky Point Road Entrance) ' TYPE OF SPECIAL EQUIPMENT:-Tent, Scrim, Reflectors Cameras ANY SPECIAL REQUIREMENTS: Would like to park at Rock Point Road Entrance .L.a.2 - V� Signature Return to: Southold Town Clerk ' Southold Town Hall 53095 Main Road P.O.Box 1179 Southold,NY 11971 1 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. 7/30/30 Signat a Date Dina Gundy Printed name Director of Marketing Title APPLICANT'S CHECKLIST FOR FILMING PERMIT, , NOTE: All payments must be cash or certified check. MCL Completed application MCL $100 nonrefundable application fee Coming 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. MCL_ 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. Permit Fees(Prior to issuance of permit): MCL Film Fee - $100 per day of each day covered by the permit 9 MCL Cleanup deposit: Separate check for$250 for each day covered by the permit. X Traffic control fee- $1000 for each day covered by the permit if required by the Chief of Police. MCL Beach Parking fee -$10 per vehicle,per day between May 1 and September 30, ALL CHECKS MUST BE CERTIFIED NOTE: Additional fees for Cleanup and Traffic Control may be required at the direction of the Chief of Police and Superintendent of Highways OP ID:ST ,a►c®RO" CERTIFICATE OF LIABILITY INSURANCE DA07/30/2020Y) 07/30/2020 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 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 CONTACTNAME. Noah Agency Noah Agency,Inc PHONE 201-941-6272 n/c No).201-941-6271 734 Bergen Blvd Alc No Ext Ridgefield,NJ 07657 E-MAIL info noaha enc ADDRESS: g ycom PRODUCER JENNY-1 CUSTOMER ID#: INSURERS)AFFORDING COVERAGE NAIC# INSURED Jenny Yoo Collection , Inc. INSURERA:Seneca Insurance Company INC 10936 132 West 36th St,9th FL INSURER B.Rochdale Insurance Company 12491 New York,NY 10018 lNsuRERc:StarStone Natioanllnsurance 25496 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 INSR TYPE OF INSURANCE POLICY NUMBER MM/DDY EFF POLICY EXP LTR MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X ER623441 09/27/2019 09/27/2020 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000 PERSONALBADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 1,000,000 X POLICY JEC PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) 5 SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) $ NON-OWNED AUTOS $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ' X TORY LIMITS ER YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A RWC 3388890 10/10/2019 10/10/2020 E L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$ 1,000,000 A Property ER623441 09/27/2019 09/27/2020 BPP 895,283 C EQUIPMENT 80204S190EQF 11/11/2019 11/11/2020 EQUIPMENT 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLESAttach ACORD 101,Additional Remarks Schedule,if more space Is required) The Town of Southold is the Additional insured and Loss Payee CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Town of Southhold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 Southhold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Doroski, Bonnie From: Doroski, Bonnie Sent: Monday, August 03, 2020 9:12 AM To: Flatley, Martin; Kruszeski, Frank Cc: Blasko, Regina (rblasko@town.southold.ny.us) Subject: Date change on photo shoot Attachments: photo shoot_20200803090925.pdf FYI....they have changed the date to Thursday 8/6. Your message is ready to be sent with the following file or link attachments: photo shoot_20200803090925 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: Doroski, Bonnie Sent: Monday, August 03, 2020 9:11 AM To: Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: Emailing: photo shoot 20200803090925 Attachments: photo shoot_20200803090925.pdf Please find attached the application received from Dina Gundy and Marcy Lee re: a photo shoot, date has been change to 8/6/20 due to weather expected on 8/4,this application also includes the insurance certificate. Please review and let this office know if we can issue the permit. Your message is ready to be sent with the following file or link attachments: photo shoot_20200803090925 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. t 1 Doroski, Bonnie From: Flatley, Martin Sent: Friday,July 31, 2020 9:00 AM To: Doroski, Bonnie; Kruszeski, Frank; Burke,John; Duffy, Bill; Hagan, Damon; Silleck, Mary Cc: Blasko, Regina Subject: RE: Emailing:_filming permit_20200731083420 I have no objections to this permit being issued. Please issue special parking placards for the vehicles involved. 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.ny.up Sent: Friday,July 31, 2020 8:34 AM , To: Flatley, Martin<mflatlev@town.southold.nv.us>; Kruszeski, Frank<fkruszeski town.southold.ny.us>; Burke,John <iohnbu southoldtownnv.gov>; Duffy, Bill<billd southoldtownnv.gov>; Hagan, Damon <damonh southoldtownnv.gov>;Silleck, Mary<marvs town.southold.nv.us> Cc: Blasko, Regina <rblasko town.southold.nv.us> Subject: Emailing:filming permit_20200731083420 Please find attached the filming permit application received for Dina Gundy/Marcy Lee for a photoshoot on 8/4 at the Rocky Point Beach in East Marion. The applicant has assured me that the Certificate of Insurance will becoming today and she will forward it to me as soon as she gets it. Please forward any comments/concerns or if this permit can be issued. Thank you, Bonnie J. Doroski Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631) 765-1800 office (631)765-6145 fax Your message is ready to be sent with the following file or link attachments: filming permit_20200731083420 1 r f Doroski, Bonnie - From: Marcy Castelgrande <castelm21 @gmail.com> Sent: Friday,July 31, 2020 4:46 PM To: , Doroski, Bonnie Subject: Re:Town of Southold Filming Permit Attachments: COI 08-04 photoshoot.pdf Hi Bonnie! Attached is the COI! We just had a meeting and due to weather we need to change from Tuesday to Thursday 8/6. Do I need to fill out a new application? Thank you for providing me that information upfront. It is very helpful and I greatly appreciate you working hard to accomplish this for us. With that said if I don't hear back from you today have a great weekend and I will follow up Monday late morning. J - Marcy On Fri, Jul 31, 2020 at 11:39 AM Doroski, Bonnie <Bonnie.Doroskigtown.southold.n�us>wrote: There shouldn't be any problem with the approval, as soon as we get the COI that is. I have already sent this to the TA office but they won't sign off on it until they see the COI. Once we have all the approvals, I will issue your permit and 7 parking placards for your vehicles and trailer. These placards have to be displayed on the dashboard (passenger side) of the vehicle while you are parked on Rocky Point Road. If you don't display the placards, you could get a ticket. I can scan these in and you'll need to print them out on a color printer. Regards, i F"W.6 P. Daws& Deputy Town Clerk Southold Town Clerk's Office 53095 Main Road Southold, NY 11971 (631) 765-1800 office (631)765-6145 fax ^ 1 ®�®SUFFot�co ELIZABETH A.NEWLLE,MMC h� Gy Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 y 2 Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ®,( ��O Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www•southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT # 067 Issued to: Dina Gundy & Marcy Lee/ Jenny Yoo Collection Date: August 6, 2020 Time: 6:00 AM — 8:00 PM Location: ROCKY POINT ROAD, EAST MARION Permit No. 067 Issue Date: August 5, 2020 Elizabeth A.Neville Southold Town Clerk ELIZABETH A.NEVILLE,MMC h� G.j. Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 CA Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER ®� ��®t' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 1 of 7 DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle • ®�®§i1Ff0[��0 ELIZABETH A.NEVILLE,MMC �� P/y Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 y = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER �� ® Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®.l `j►a FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 2 of 7 DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle Staff ELIZABETH A.NEVILLE,MMC �5 ,y Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 c Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS 0 • .F Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ®l .Pad Telephone FREEDOM OF INFORMATION OFFICER www•southoldtownny.gov 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 3 of 7 DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle ELIZABETH A.NEVILLE,MMC �� Gy Town Hall,53095 Main Road TOWN CLERK O P.O.Box 1179 y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p vtC Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 4 of 7 DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle • ®�®�i1FF0(��® ELIZABETH A.NEVILLE,MMC �� G� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 C Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 6 • .F Fax(631)765-6145 MARRIAGE OFFICERy RECORDS MANAGEMENT OFFICER ®,� .A�® Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www•southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 5of7 DATE: THURSDAY, AUGUST 69 2020 TIME: 6:00 AM — 5:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle ELIZABETH A.NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 r Southold,New York 11971 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 6 of 7 DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle � AFF01ir ELIZABETH A.NEVILLE,MMC �� Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 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 7 of 7 (TRAILER) DATE: THURSDAY, AUGUST 6, 2020 TIME: 6:00 AM — 8:00 PM LOCATION: Beach at end of Rocky Point Road, East Marion DINA GUNDY & MARCY LEE/ JENNY YOO COLLECTION Fashion Photo Shoot & Filming PERMIT # 067 Place this Permit on the Dashboard, Passenger side of Vehicle TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NATE: All payments must be cash or certified check Applicant: Gd,�� &(C', Lepe— Date Received: ✓ 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$1,000,000 [dJ (one million dollars) per occurrence for the duration of the filming or still / photography. Indemnification agreement stating the applicant agrees to assume all liability for and-will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of said filming or still photography. /Forward completed application to Chief of Police for approval or ,disapprod determination if Traffic Control Fee is required Approved Disapproved No Fee Required Fee in the amount of$ required /Forward certificate of insurance and indemnification agreement to Town c Attorney forroval 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:osit: 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 notify Town Clerk and Town Clerk will remit the $250 certified check to applicant. Vendor No. Check No. Town of Southold, New York - Payment Voucher ' Vendor Name Vendor Address e Entered by pLeeI�.=i'�le.� 1°1 J�10��t — — Audit Date Vendor Telephone Number ® - ��� , ,� ®® Town Clerk \10rL Ilk" Invoke Invoice Invoice Net Purchase Order Number Date Total Discount ;Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number aso Total C2 0.00 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. Signatu Title nL Signat e rt Company Name Date `I 'r-0 �� Title Date `9 28 Southold Town Board - Letter Board Meeting of September 8, 2020 RESOLUTION 2020-559 Item # 5.19 V ADOPTED DOC ID: 16415 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2020-559 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 8, 202 0: 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 American Legion Post 803 8/3/20 250.00 Griswold, Terry, Glover PO Box591 Southold,NY 11971 John Perez 8/17/20 250.00 322 W 52nd Street, #339 New York,NY 10019 Freebird Productions 7/13/20 250.00 7 Main Street, #7A Brooklyn, NY 11201 Dina Gundy & Marcy Lee 8/7/20 250.00 139 W--35tii Street, 1 1 th Floor New York, NY 10018 Elizabeth A. Neville Southold Town Clerk Generated September 9, 2020 Page 28 P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/03/20 Receipt#: 272914 Quantity Transactions Reference Subtotal 1 Application Fee- Non-Refund 67-app fee $100.00 1 Daily Filming Permit 67-Film fee $100.00 1 Clean-Up Deposit 67-Cleanup $25000 7 Beach Permits 67-Parking $70.00 Total Paid: $52000 Notes: Payment Type Amount Paid By Credit Card-Ref# $520.00 Gundy, Dina & Marcy Lee Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Gundy, Dina & Marcy Lee 139 W 35th Street 11 th Floor New York, NY 10018 Clerk ID: BONNIED Internal ID•67-app fee