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Peconic Bay Winery 2021-7
Southold Town Board - Letter Board Meeting of April 20, 2021 RESOLUTION 2021-277 Item# 5.10 ADOPTED DOC ID: 16963 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2021-277 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 20,2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to CAST to hold Special Events 2021-7 at Peconic Bay Winery, 31320 Main Road, Cutchogue,New York as applied for, for four(4) events, Drive-In Movie Nights to be held on June 3, July 1, Aug 5, Sept 2, 2021 from 7:00 PM (approximately 2 hours before sunset until 11:00 PM (rain dates : 6/10, 7/8, 8/12 & 9/9/2021), provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events and subject to the applicant's compliance with all executive orders of the State of New York. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval or is unable to properly control traffic flow into and out of the event. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] .MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Generated April 23, 2021 Page 19 0 C PTY Office of the Town Attorney Town of Southold Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone : 631-765-1939 Facsimile: 631-765-6639 MEMORANDUM To: Ms. Elizabeth A. Neville, Town Clerk From: Missy Mirabelli Secretary to the Town Attorney Date: April 21, 2021 Subject: CAST Movie Night—Special Event# 2021-7 With respect to the above-referenced matter, I am enclosing a copy of the agreement together with the Resolution. If you have any questions regarding the enclosed, please do not hesitate to call me. Thank you. /mm Enclosures RESOLUTION 2021-277 yam`f�aaE ADOPTED DOC ID: 16963 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-277 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 20,2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to CAST to hold Special Events 2021-7 at Peconic Bay Winery, 31320 Main Road, Cutchogue,New York as applied for, for four(4) events,Drive-In Movie Nights to be held on June 3, July 1, Aug 5, Sept 2, 2021 from 7:00 PM(approximately 2 hours before sunset until 11:00 PM (rain dates : 6/10, 7/8, 8/12 & 9/9/2021), provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events and subject to the applicant's compliance with all executive orders of the State of New York. This permit is subject to revocation if the applicant fails to comply with any of the conditions of the approval or is unable to properly control traffic flow into and out of the event. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Nappa,Dinizio Jr, Doherty, Ghosio,Evans,Russell Special Events Committee Application Summary and Recommendation Application name: OPST M60f Addressx3)W in PrI w _khan(," NY Iq35 Application number: rain dak4e5 Date of Event: > ' •- ' -41 i jI;L j q I q Time: �&4 -2hrs k4 -4 :7 ` f 4m Date Received by Town Clerk: L46 lam Date Received by Committee: Nature of Event (S): Committee Comments Received by: Denis Noncarow J Melissa Spiro ✓ Leslie Weisman Missy Mirabelli —7 Chief Flatley August Ruckdeschel- County Heather Lanza 7 James Easton Mike Verity 7 Claire Glew -- Bill Duffy -7 Kevin Webster Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: I Resolution No:o� t — a ++ Date: L4OA ♦ `w Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name:Cathy Demeroto CAST Southold Town Date of Submission 4, Name of Event: CAST Drive In Thursday,Family Movie Night Under the Stars SCTM#'s 1000;Section: 103;Block: 1;Lot: 19 Dates of Each Event: June 3,2021:July 1,2021;August 5,2021;Sept 2,2021,f'iaRE,926Q-4 Back up rain dates are first following Thursday for any rained out movie night. Tentative rain dates if needed:June 10,2921,July 8,2021,Augusts 12,2021,Sept 9,2021, X821 Nature of Event: The Drive In Movie Event Series is a summer CAST fundraiser with the same plan for each event date listed above.. Drive Movie Series debuted summer 2020,same location and same details. (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event:From 7pm(approximately 2 hours before sunset)until 11 pm Town Services requested:()Yes(X*)No If yes,Describe Police Dept._Highway Dept. Describe Services A CAST team will alert Police Dept regarding details Maximum Number of Persons Attending At One Time: 250 Number of cars expected: 100-200 Is a Tent or other temporary structure being used?[x]Yes[]No If yes provide size(s) Double Movie Screen 25'x 15'secured with in-ground stakes(Vendor.Movies in the Moonlight) Will food be served?[X]Yes[]No If yes provide number and name(s)of food vendor(s): ; Peconic Bay Vineyard concession Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises during the event?j]Yes[]No If yes how many? Describe Type of vendor(s) Property Owner(nameladdress):Stacey Soloviev 30105 Main Road Cutchogue NY 11935 Contact Person and Contact Tel.# Stacey Soloviev 917-929-1914 e-mail address Stacev,\ViIlow@idoulcom Event Location:Street-Hamlet Address: Peconic Bay Vineyard 31320 Main Road,Cutchogue,NY 11935 SCTM# 1000-103-01-19.11,19.12&19.13 Mailing Address to Send Event Permit to: CAST Southold Town PO Box 159 Greenport,NY 11940 Have any of the development rights been sold to the Town of Southold[]Yes [X]No and/or Suffolk County Agricultural Program?[]Yes[X]No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKINGIEVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parldng/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth)of the subject property.INDICATE ON THE PLAN ALL of the following information:A parking/event plan showing: (1)The size of the property and its location in relation to abutting streets or highways.(2)The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3)The location of the stage or tents,if any. (4)The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5)Location of all entries and exits. (6)The location of all fire extinguishers and other fire safety equipment. (7)The location of all temporary utilities to be installed for the event,if any.(8)The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas.The parking spaces must allow for 300 sq.ft. per car. (9)A traffic control plan for vehicles entering and leaving the site for the proposed event.(10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,if any, and the type and location of speakers and other audio equipment. (11)A description of emergency access and facilities related to the event. (12)Provisions to dispose of any garbage,trash,rubbish or other refuse. (13)Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8!1!2018 (14)Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE. I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions,and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event.Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property dirrin l e : rs of the permitted sp c�event to make any and all inspections necessary in connection tvit(t this Sp Event. ; \\\ � d ---`r p�I,'itnrn3nte' of Owner Signfxture of Omer' , c_Pa int name of Auth ze4 Person/RepresenletivoSignature ofAu-thoriie Person/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way. 2.Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4.Applicant indemnifies and holds harmless the Town of Southold from all claims,damages,expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5.Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time,date,place and use specified above,and for the designated event. Each additional day will require a separate permit application,fee,and related documents for review,etc. at least 60 business days prior to the scheduled event. 7.Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8!1/2018 8.On-site food preparation is NOT permitted,although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking,ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas,all buildings,all work areas and any additional area where emergencies may occur.Two emergency-fire exits and exit paths from the building(s) on the property,to a public way or remote safe area,shall remain open and unobstructed at all times. 13.Owner assures full compliance with all fire,safety,building,and other Town laws. 14.Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. , 15.Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. 16.ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8n12018 o/o, P fji 31320 MAIN Ro CUTCHCOUK SI N9 S" 10 'AT "a 6 -�,OR 'v- At v31111/ R", IR" R's apg�' A*0 �1'1 N,Fv TV, An" ,W,pp Qs, q:' Y♦„� 4 Yom'' 'j }y. �4. •�� xy-.,�.. *� ; �.+�,?% `"�'_t, �... ,'*, w is J�.u'" r:�i �",`,_�R '°�,, •' x •, yr � y. fiA 'CM�, N=IGT S�iTE � w# �.. ,. N. '�•w a ., � c �' �•;� 'e ,az� �;,st;„<���` � fit. �4• .: �_ r `�€, ,, *-: . �• .s '_'� '�. '='.n'" �'a�=` ;}`�"„af„ $. � sr �� � {',� :'#tet �c"z, '.ros* Tr.`, r=k r+ >k= @ „ . R „ -'. . of, ,,.. • c.. .�x���}�;s��_.. 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'Y �a ^a V ,�,.., -_.. :,,..`rxL:: .�, ..,.. -,..:;a»=G-• � - � ,�:�.' .. ;:1.:."}#'-.«, ,. .n 7*.. 2�+.`':�i,�sn�"'r ip*��rS'r,s�., 4;,Y,�S `�J- :;,' �;TMed.�x,.�u ..Pr . t..` cats,tcrectcan*veiCles fnilaw = ' 9 `�° pts A►%raw di �"� ���ta��ceict� arkin �area � ngKattentlants�� -.,^ .c • *�, ` �/} ,, ,rt• ,,.%,,4:' w 5;•a - A� ���'�F'.'C.'fi •.q_,fi7^,tl :tiOr paxn c L ark►n: s atar , ` Luau ,p r A�©� 'CERTIFICATE OF LIABILITY INSURANCE FDAEIMMIDDN YY) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELYAMEND,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: H the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lauren Murphy Roy H Reeve Agency.Inc. PHONL . (631)29a-4700I-IN. (631)2483850 " Na PO Box 54 ADDRESS- -MAALImurphy@royreeve.com 13400 Main Road INSURER(S)AFFORDING COVERAGE NAICR Mattituck NY,11952 INSURERA: Philadelphia Indemnity Ins Co 18058 INSURED INSURER B 2 _ Community Action Southold Town Inc(CAST) INSURER C: PO Box 159 INSURER D: INSURER E:- Greenport NY 11944 INSURER F: - COVERAGES CERTIFICATE NUMBER: W081712983 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH,POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSD VYVO POUCYNUMBER (610NM IdOMIbOY LIMITS _ COMMERCIAL GENERAL LIABILITY EACH OCDAMAGI-CURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISESIEacocer i S 100,000 MED FRCP IAny one Berson) g 5,000 _ A PHPK2171325 08/16/2020 08/16/2021 PERSONAL&ADV INJURY $ 1.000,000 GEMAGGREGATE LIMIT-APPLIES PER. GENEMAGGREGATE, S 2,000,000 POLICY 0 PRO JECT LOC PRODUCTS-COMPIOP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY - CO BiED 5r.137 IMIT $ aoddenl ANYAUTO BODILY INJURY(Per person)- $OWNE - AUTOS AUTOSCHES I.ED BODILY INJURY Per accident) $ AUTOS ONLY AUTOS ( HIRED NON-OWNED AUTOS ONLY ORYtAUTOS ONLY DAMAGE $ 3 UMBRELLA LIAe OCCUR EACH OCCURRENCE S EXCESS UAB CWMS-MADE AGGREGATE $ - DED RETENTION S S WORKERS COMPENSATION PEFi 'Er EMPLOYERS'LIYIN ABILITY STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT S OFFICEPJMEM13ER E(CLUDED7 (Mandatory In NH) EL DISEASE-EA EMPLOYEE S If yes,descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES(ACORD 101,Addltjonal Remarks Schedule,may be attachad It more space to required) RE: 613/21;7/1121,8/5121-Drive-In Movie Night Fundraisers Town of Southold Is included as Additional Insured with respect to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN To'.m of Southold ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold NY 11971 \ _ ©1988-2015ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks ofACORD 4"N' RE &y A 1611 NO COMMUNITY ACTION SOUTHOLD TOWN, INC, NEIGHBORS HELPING NEIGHBORS Ap�il'5;'2071 Cathy A.Demeroto EXECUTIVE DIRECTOR Special Events Committee Town of Southold BOARD OF MRECTCRS 53095 Route 25 Marc Sokol Southold,NY 11971 PRESIDENT Arthur Skelskie Vice PRESIDENT Dear Special Event Approval Committee, Stephen Hannan Attached is the application for Drive-In Movie Night at Peconic Bay Vineyard,located at `I ZEASURER 31320 Main Road.We are applying for a total of four movie nights for the summer season, Susan Somerville one movie night for each month between June and September 2021.The movies will be SECRETARY timed to begin 10 minutes after sundown and conclude by 11pm. Lisa Boyd The requested movie night dates are: Thursday,June 3(rain date Thursday June 10);Thursday July 1,(rain date Thu rsdayJuly 8); Bridget Elkin Thursday August 5(rain date Thursday August 12);Thursday September 2(rain date Alex Hu Thursday September 9). Mark Gagen The ticketed events are fundraisers and will directly benefit CAST.Tickets will be pre-sold on- Betsy Liegey line with one fee per vehicle.Guests will be instructed that this is a drive-in/out experience Stephanie NIcEvily only for in-car family enjoyment.Vehicles will be instructed where to park by traffic Denis Noncarrow, controllers,parking spots will be placed 6 apart to following social distancing guidelines. Parking assistance will be provided by Wayne Sailor, Platinum Executive Security. Movies in the Moonlight,the movie projection company,will provide and erect a two-sided 25'x 15'screen that will be securely staked to the ground,the final placement(north south or east west)will be determined by the prevailing winds the day of the event.The screen will be set up the afternoon of the event and removed the same night.Cars will be parked on both sides of each screen.The movie screen company will provide speakers and a radio frequency for all guests to use so that they hear the movie within the comfort of their own vehicles. Portable toilet and hand-washing stations facilities will be available for guests at each event. Insurance certificates are being processed and will be submitted to the Town as soon as received. Thank you for your consideration of this request. Please contact me on my cell(410-693- 6692)with any questions. Sincerely, Cathy�. Demeroto Executive Director 316 FRONT STREET 7 P.A. BOX 159 GREENPORT NY 11944 P.631-477-1717 F.631-477-1788 '}i$T'L{}"lr?'$.i?Jli Lf'.%9Y•��f`�: .`���,-7};lid'(31�(%oro,;Ide a s ,fey :C:,'-'J1��{''Ct:�''l 7 .-vn (e zdeiit: m need �_' (Updated 7/11/2018) TOWN OF SOUTHOLD Town Code Chapter 205"Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application.Up to six(6)multiple events of the same type,occurring over a period of three months,may be permitted on one(1) application for a fee of$150.00.However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event.Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained.Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk:Please indicate submission of the following by checking off the boxes and signing below. a A completed application form signed by the owner and the event manager.Applications without property owner's signature/approval will be rejected. ® FEE:Is the application being submitted at least 60 days before the event[]Yes[]No o If Yes,Fee of$ has been submitted !�& o If No,Fee of$ has been submitted Updated 8/7/2018 m The applicant/owner of the property where the special event is proposed to take place must provide a i certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured &4eeo A Parking/Event Plan: consisting of a survey,site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) vents for three hundred(300)or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) e' Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. r L Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served,it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/201 8 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT i Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name:Cathy Demeroto CAST Southold Town Date of Submission 4, Name of Event: CAST Drive In Thursday,Family Movie Night Under the Stars SCTM#'s 1000;Section: 103;Block: 1;Lot: 19 Dates of Each Event: June 3,2021:July 1,2021;August 5,2021;Sept 2,2021, E Backup , rain dates are first following Thursday for any rained out movie night. Tentative rain dates if needed:June 10,2921,July 8,2021,Augusts 12,2021,Sept 9,2021,GRr=NW21 Nature of Event: The Drive In Movie Event Series is a summer CAST fundraiser with the same plan for each event date listed above.. Drive Movie Series debuted summer 2020,same location and same details. (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event:From 7pm(approximately 2 hours before sunset)until 11 pm Town Services requested:()Yes(X*)No If yes, Describe Police Dept._Highway Dept. Describe Services-k CAST team will alert Police Dept regarding details Maximum Number of Persons Attending At One Time: 250 Number of cars expected: 100-200 Is a Tent or other temporary structure being used?[x]Yes []No If yes provide size(s) Double Movie Screen 25'x 15'secured with in-ground stakes(Vendor:Movies in the Moonlight) Will food be served?[X]Yes[]No If yes provide number and name(s)of food vendor(s): Peconic Bay Vmeyard concession Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises during the event?[]Yes[]No If yes how many? Describe Type of vendor(s) Property Owner(name/address):Stacey Soloviev 30105 Main Road Cutchogue NY 11935 Contact Person and Contact Tel.# Stacey Soloviev 917-929-1914 e-mail address Stacey Wil lcwv-@ iclotidl coni Event Location:Street-Hamlet Address: Peconic Bay Vineyard 31320 Main Road,Cutchogue,NY 11935 SCTM# 1000-103-01-19.11, 19.12&19.13 I pertaining to the activities under this event.Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property duritr c i rs of the permitted sp c�alevent to make any and all inspections necessary in connection wit 1 this 117 p C' Event. of Owner SignOtiure of 6'uer _ �,• a ' r<._ 40ntname of Authgr zed Person/Represen ' e•S gnature of Anthori Person/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way. 2.Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4.Applicant indemnifies and holds harmless the Town of Southold from all claims,damages,expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5.Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time,date,place and use specified above,and for the designated event. Each additional day will require a separate permit application,fee,and related documents for review,etc. at least 60 business days prior to the scheduled event. 7.Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8!1/2018 8.On-site food preparation is NOT permitted,although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, in&ess/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking,ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland W11 WIT W, R, ENS ZO MAIN RD r"Y' =HOGUE H4, VP i"ii teriA;ft 1A S.vwad Y '1*°Z "�x'i' r�N),r ',Y/'/,r � "a^. k�ty��4 • z;ll Arm' /ggga -0, x q ag Y4 ks'-, q- NNIVItQ'I TO P 'M%t ...........an,,v," 3-1 fli,A A a 31/1 11V � % ,* �A INAN"�k as fi; allm V,4 "CO W—vtoRk-1 w It 14 �Wlifih K41 f af Mt ® DATE(MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/05/2021 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. H SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lauren Murphy ' Roy H Reeve Agency,Inc. PHONNo . (631)'29"700 F :No: (631)296.3850 PO Box 54DDS$. Imurphy@royreeve.com 13400 Main Road INSURER(S)AFFORDING COVERAGE NAICR Mattituck NY 11952 INSURER A: Philadelphia Indemnity Ins Cc 18058 INSURED INSURERS. Community Action Southold Town Inc(CAST) INSURERC- PO Box 159 INSURER D• - INSURER E. Greenport NY 11944 INSURER F: - -— - - COVERAGES CERTIFICATE NUMBER: CL2081712963 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OE 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. 1 S - ADDL 5UHN PDUCYEFFPOLSCYEX LTR TYPE OF INSURANCE NSD PDUCYNUM13ER MMMT) PAMID LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 TUB 100,000 CLAIMS-MADE �OCCUR PREMISES JED occurrence S MED EXP(Any one Denson) S 5,000 A PHPK2171325 08/1M020 08116/2021 PERSONAL A AOV INJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2.000'000 - POLICY❑JET D LOC PRODUCTS-COMP/OPAGG $ 1.000,000 OTHER: S AUTOMOBILE LIABILITY O(Es�d SINGLE LIMIT S ' am ANYAUTO BODILYINJURY(Perperson) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS -- HIRED NON-OWNED PROPERTY DAMAGE ; AUTOS ONLY AUTOS ONLY Per exdem S UMBRELLA LIAR OCCUR EACH OCCURRENCE S - EXCESS LIAB HCLAIMS-MADE AGGREGATE $ - DED I I RETENTION; S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA EL EACH ACCIDENT $ OFFICER/MEMSER EXCLUDED? (Mandatory In NH) E,L DISEASE-EA EMPLOYEE S If yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addlttonal Remarks Schedule,maybe attached R more apace Is required) RE 613/21;711/21,8/5/21-Drive-in Movie Night Fundraisers Town of Southold Is Included as Additional Insured with respect to General Liability. 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 AUTHORIZED REPRESENTATIVE Southold NY 119711: --- ©1988-2015`A SCOa'R)D4444D CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks ofACORD (Updated 7/11/2018) TOWN OF SOUTHOLD Town Code Chapter 205"Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors, Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six(6)multiple events of the same type,occurring over a period of three months, may be permitted on one(1) application for a fee of$150.00.However,specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event.Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained.Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk:Please indicate submission of the following by checking off the boxes and signing below.0 A completed application form signed by the owner and the event manager.Applications without property owner's signature/approval will be rejected_ s FEE:Is the application being submitted at least 60 days before the event[]Yes[]No PJ- If Yes,Fee of$ has been submitted 'V, o If No,Fee of$ has been submitted 6 Updated 8/7/2018 0 The applicant/owner of the property where the special event is proposed to take place must provide a Mirabelli, Melissa From: Flatley, Martin Sent: Friday,April 9, 2021 12:05 PM To: Mirabelli, Melissa; Noncarrow, Denis;Spiro, Melissa;Verity, Mike; Lanza, Heather, Easton, James;Weisman, Leslie; Glew,Claire;Webster, Kevin Subject: RE: Cast Movie Night( Not everyone received from the clerks office) I have no objections and already have on my calendar Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s)and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If the reader of this message Is not the intended recipient,you are hereby notified that any review,retransmission,conversion to hard copy,copying,reproduction,circulation,publication, dissemination or other use of,or taking of any action,or omission to take action,in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited If you have received this communication in error,please(i)notify us immediately by telephone at 631.765.2600, (ii)return the original message and all copies to us at the address above via the U.S.Postal Service.and(iii)delete the message and any material attached thereto from any computer.disk drive, diskette,or other storage device or media. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent: Friday,April 9,202111:42 AM To: Noncarrow, Denis<denisn@southoldtownny.gov>; Flatley, Martin<mflatley@town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Lanza, Heather <heather.lanza@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Weisman, Leslie <lesliew@town.southold.ny.us>;Glew, Claire<Claire.Glew@town.southold.ny.us>;Webster, Kevin <kevin.webster@town.southold.ny.us> Subject: Cast Movie Night( Not everyone received from the clerks office) The clerks office only sent this one to a few select people some of you have responded already and I have those comments please replay to all thank you I'i'felissa 11.1 Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 i Mirabelli, Melissa From: Leslie Weisman Forward Sent: Friday,April 9,2021 2:05 PM To: Mirabelli, Melissa Subject: RE: Cast Movie Night( Not everyone received from the clerks office) perfect -----Original Message----- From: Mirabelli, Melissa [mailto:melissam@southoldtownny.gov] Sent: Friday,April 9, 20211:53 PM To: Leslie Weisman Forward Subject: RE:Cast Movie Night( Not everyone received from the clerks office) Yes waiver fee was written in by Bonnie in clerks office Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold, NY 11971 Office (631)765-1939 Fax(631)765-6639 From: Leslie Weisman Forward<lesliekweisman@gmail.com> Sent: Friday,April 9, 20211:14 PM To: Mirabelli, Melissa<melissam@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Flatley, Martin<mflatley@town.southold.ny.us>;Spiro, Melissa<Melissa.Spiro@town.southo Id.ny.us>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Easton,James <jamese@southoldtownny.gov>;Weisman, Leslie<lesliew@town.southold.ny.us>; Glew,Claire <Claire.Glew@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us> Subject: RE:Cast Movie Night( Not everyone received from the clerks office) Thanks Missy. I just got this and have no objection.The event went smoothly previously. Did the applicant request a waiver of the fee?They certainly qualify and we could recommend that to the Town Board Leslie From: Mirabelli, Melissa [mailto:melissam@southoldtownny.gov] Sent: Friday,April 9, 202111:42 AM To: Noncarrow, Denis; Flatley, Martin; Spiro, Melissa;Verity, Mike; Lanza, Heather; Easton,James;Weisman, Leslie; Glew,Claire;Webster, Kevin Subject: Cast Movie Night( Not everyone received from the clerks office) The clerks office only sent this one to a few select people some of you have responded already and I have those comments please replay to all thank you i Melissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold, NY 11971 Office (631) 765-1939 Fax(631)765-6639 z Mirabelli, Melissa From: Leslie Weisman Forward Sent: Friday,April 9, 2021 1:14 PM To: Mirabelli, Melissa; Noncarrow, Denis; Flatley, Martin; Spiro, Melissa;Verity, Mike; Lanza, Heather, Easton,James;Weisman, Leslie; Glew, Claire;Webster, Kevin Subject: RE: Cast Movie Night( Not everyone received from the clerks office) Thanks Missy. I just got this and have no objection.The event went smoothly previously. Did the applicant request a waiver of the fee?They certainly qualify and we could recommend that to the Town Board Leslie From: Mirabelli, Melissa [mailto:melissam@southoldtownny.gov] Sent: Friday,April 9, 202111:42 AM To: Noncarrow, Denis; Flatley, Martin; Spiro, Melissa; Verity, Mike; Lanza, Heather; Easton, James; Weisman, Leslie; Glew, Claire; Webster, Kevin Subject: Cast Movie Night( Not everyone received from the clerks office) The clerks office only sent this one to a few select people some of you have responded already and I have those comments please replay to all thank you 1lfelissa M. Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631)765-1939 Fax(631)765-6639 1 Mirabelli, Melissa From: Glew, Claire Sent: Friday,April 9, 2021 1:20 PM To: Mirabelli, Melissa; Noncarrow, Denis; Flatley, Martin;Spiro, Melissa;Verity, Mike; Lanza, Heather, Easton,James;Weisman, Leslie;Webster, Kevin Subject: RE: Cast Movie Night( Not everyone received from the clerks office) The Assessors have no objection to this event. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent: Friday,April 9,202111:42 AM To: Noncarrow, Denis<denisn@southoldtownny.gov>; Flatley, Martin<mflatley@town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>;Verity, Mike<Mike.Verity@town.southold.ny.us>; Lanza, Heather <heather.lanza@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Weisman, Leslie <lesliew@town.southold.ny.us>;Glew, Claire<Claire.Glew@town.southold.ny.us>;Webster, Kevin <kevin.webster@town.southold.ny.us> Subject:Cast Movie Night( Not everyone received from the clerks office) The clerks office only sent this one to a few select people some of you have responded already and I have those comments please replay to all thank you Melissa Al Afirabclfi Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 (Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 Fax(631)765-6639 i 0-1>T Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name:Cathy Demeroto CAST Southold Town Date of Submission 4, Name of Event: CAST Drive In Thursday,Family Movie Night Under the Stars SCTM#'s 1000;Section: 103;Block: 1;Lot: 19 Dates of Each Event: June 3,2021:July 1,2021;August 5,2021;Sept 2,2021,OvOWE,9094 Back up rain dates are first following Thursday for any rained out movie night. Tentative rain dates if needed:June 10,2921,July 8,2021,Augusts 12,2021,Sept 9,2021,X21 Nature of Event: The Drive In Movie Event Series is a summer CAST fundraiser with the same plan for each event date listed above. . Drive Movie Series debuted summer 2020,same location and same details. (Please attach a detailed description of EACH event to this application) Time Period(Hours)of Event:From 7pm(approximately 2 hours before sunset)until 11 pm Town Services requested: ()Yes(X*)No If yes, Describe Police Dept._Highway Dept. Describe Services A CAST team will alert Police Dept regarding details Maximum Number of Persons Attending At One Time: 250 Number of cars expected: 100-200 Is a Tent or other temporary structure being used? [x]Yes []No If yes provide size(s) Double Movie Screen 25'x 15'secured with in-ground stakes(Vendor:Movies in the Moonlight) Will food be served?[X]Yes[]No If yes provide number and name(s)of food vendor(s): Peconic Bay Vineyard concession Updated 8/7/2018 Suffolk County permit#(s) Will other vendors be on the premises during the event?[]Yes[]No If yes how many? Describe Type of vendor(s) Property Owner(name/address):Stacey Soloviev 30105 Main Road Cutchogue NY 11935 Contact Person and Contact Tel.# Stacey Soloviev 917-929-1914 e-mail address Staca.Willow@icloud.com Event Location:Street-Hamlet Address: Peconic Bay Vineyard 31320 Main Road, utc io I D SCTM# 1000-103-01-19.11,19.12&19.13 f� APR 0 2021 Southold Towle Clerk Mailing Address to Send Event Permit to: CAST Southold Town PO Box 159 Greenport,NY 11940 Have any of the development rights been sold to the Town of Southold[]Yes [X]No and/or Suffolk County Agricultural Program?[]Yes[X]No If yes to either or both,also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey,site plan and/or aerial view(for example Google Earth)of the subject property.INDICATE ON THE PLAN ALL of the following information:A parking/event plan showing: (1)The size of the property and its location in relation to abutting streets or highways. (2)The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3)The location of the stage or tents,if any. (4)The designated areas of use for spectators,exhibitors,vendors,employees and organizers. (5)Location of all entries and exits. (6)The location of all fire extinguishers and other fire safety equipment. (7)The location of all temporary utilities to be installed for the event,if any. (8)The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas.The parking spaces must allow for 300 sq.ft. per car. (9)A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used,if any, and the type and location of speakers and other audio equipment. (11)A description of emergency access and facilities related to the event. (12)Provisions to dispose of any garbage,trash,rubbish or other refuse. (13)Location and description of any additional lighting to be utilized in conjunction with the event. Updated 8/7/2018 (14)Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold,AND a qualified traffic controller must be provided.Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations,conditions,and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below,as well as all other applicable agency rules and regulations pertaining to the activities under this event.Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property durin a rs of the permitted sp cia event to make any and all inspections necessary in connection wit this Sp c' Event. / s� C7 of Owner Sig tore of ne _-_ &W t name of Auth ed Person/Represen e S gnature of Aut orized Person/Representative PERMISSION IS HEREBY GRANTED,SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly prohibited on ANY Town,County or State Roads or Rights of Way. 2.Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic _ controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4.Applicant indemnifies and holds harmless the Town of Southold from all claims,damages,expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5.Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time,date,place and use specified above,and for the designated event. Each additional day will require a separate permit application,fee,and related documents for review,etc. at least 60 business days prior to the scheduled event. 7.Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. Updated 8/7/2018 8.On-site food preparation is NOT permitted,although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities,shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking, ingress/egress/access, tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles, to all public assembly areas,all buildings,all work areas and any additional area where emergencies may occur.Two emergency-fire exits and exit paths from the building(s) on the property,to a public way or remote safe area,shall remain open and unobstructed at all times. 13.Owner assures full compliance with all fire,safety,building,and other Town laws. 14.Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15.Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event. 16.ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 ildbl ;w 31320 MAIN RD CUTCHOGUE a a aNCO r -v- - ii *i, 9 FLOWS EACH ,\ ,`' ��.•``'`l�` ,,+,, `,,.�\`� ``" ..'`wl SIDE OF MOVIE 5w � � v ` GREEN `+1 \, t if /f(.'lcm5 EST: 12' PER VEHICLE ALLOWS FOR 6' BTWN- EACH VEHICLE, EACH ? i ROAN 8' APART. Rows EST 180' (60 VARD'S')LONG ` ALLOWS FOR'15 - , " �{t' • \\ \ _ - . . VEHICLES PER R ' -W -.� ' � �,' �•- ,� - o '(��f1C�iI Chili t�r=�`j^C�' _ Sxr�!tY1��'1 - �',"r. G'.5c' IL�U�'UyU uu".=k( 'I W.ab" J , r.AYt' r,�' ''-�R�+i a U o lJlJuuvJ ° ` y � .,�.. . ., 7iY.^+` ,�,�,p"';,��;"xs� �,!^�-SAF= .� �� ,�',y'>�"�r�o-tr=�'��� � '_• P n _ I CAST MG'k E NIGHT S(TI� PARKING, PLAN µ M;» Coffee.Pot Cellars Antiques & Oid.L'ae " A .rAntlque store# w a Z. _'� VEH�IC;L"E EX`I4TS 0N�Yt in• ,Kull 9 , .- - . � Verizon, 10.�e ��, , fir�sn this location ,Roma. Pi � eri Ceti:phone-store �'4�" .eery use i exit only movie Takeout Delivery a � screen ef > e 410# •f ' ,g at t all ire dit"ecteri to perk. .. V, .. e .both sfde.s ref rnovIe screen } V FP�aco�r��*cSx,B�y� 1lE,+HII CJL'E`ENTR &`',',E- _v � t xk "FrTT�G� IE � y x APA Auto Parts -' artin Automotive... ,t Sj ' ONLY ENTRY tick-et holders. CS Au1�rs parts sore ZN. Arrows indicate direction vehicles fOliawr a to Feld parking area, parking attendants ' wili point out p& spot for each t �F: , vehricie. I ,eco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYYY) 04/05/2021 THIS CERTIFICATE IS ISSUED ASA 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 Lauren Murphy NAME: Roy H Reeve Agency,Inc. PHONE AIC No Ext, AIC,No: ( )(631)298-4700 F 631 298-3850 PO Box 54 E-MAIL SS: Imurphy@royreeve.com ADDRE 13400 Main Road INSURERS)AFFORDING COVERAGE NAIC# Mathtuck NY 11952 INSURER A: Philadelphia Indemnity Ins Co 18058 INSURED INSURER B Community Action Southold Town Inc(CAST) INSURER C- PO Box 159 INSURER D INSURER E: Greenport NY 11944 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2081712963 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 AWL bUBMI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDD MMIDD LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000' DAMAGE TO RERTEff- CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A PHPK2171325 08/16/2020 08/16/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $ 2,000,000 JETLOC _ 00POLICY 1:1 CF 1000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY - Per accident $ $ UMBRELLA LLAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILrrY YIN STATUTE I I ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE: 6/3/21;7/1/21;8/5/21-Drive-In Movie Night Fundraisers Town of Southold is included as Additional Insured With respect to General Liability. 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 AUTHORIZED REPRESENTATIVE ' Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ~ _ COMMUNITY ACTION SOUTHOLOTOWN, INC. ^ NEIGHBORS HELPING NEUGHBORS ......................................... ........A:l5d|��Z021......................................................................................................... ....................................... /\ Cathy A.Demeroto OXooncnEDzoo«Tou Special Events Committee ' Town ofSouthold BOARD orDIRECTORS 5]09SRoute Z5 Marc Sokol Southold, NY11972 ynooznENr Arthur Dbelnkio VicoPomozoomT Dear Special Event Approval Committee, Stephen Hannan � 7�ZoAonnuu Attached is the application for Drive-in Movie Night at Peconic Bay Vineyard, located at 31320 Main Road.We are applying for a total of four movie nights for the summer season. ` Susan Somerville one movie night for each month between June and SeptemberZ0Zl'The movies vvi/| be SoonEcAnr timed tobegin 10minutes after sundown and conclude by11pm. �ieuDoyd � Therequeotedmovieni0htdateoare� Thursday,June 3 (rain date Thursday June 10),Thursday July 1, (rain date Thursday July 8) Bridget Elkin Thursday August 5(rain date Thursday August 12);Thursday September 2(rain date ' Alex Hu Thursday September 9) . Murk Gagen The ticketed events are fundraisers and will directly benefit CAST.Tickets will be pre-sold on- Betsy Licgey line with one fee per vehicle. Guests will be instructed that this is a drive-in/out experience Stephanie McEvDy only for in-car family enjoyment.Vehicles will be instructed where to park by traffic Deoio0oocuzrow controllers, parking spots will be placed 6 apart to following social distancing guidelines. Parking assistance will be provided by Wayne Sailor, Platinum Executive Security. Movies in the Moonlight,the movie projection company,will provide and erect a two-sided 25'x 15'screen that will be securely staked to the ground,the final placement(north south or east west)will be determined by the prevailing winds the day of the event.The screen will be set up the afternoon of the event and removed the same night.Cars will be parked on both sides of each screen.The movie screen company will provide speakers and a radio frequency for all guests to use so that they hear the movie within the comfort of their own vehicles. Portable toilet and hand-washing stations facilities will be available for guests at each event. Insurance certificates are being processed and will be submitted to the Town as soon as received. Thank you for your consideration ofthis request. Please contact meonmycell(4IU'693- h69Z)with any questions. Sincere|y, ' Cathy Demeroto . Executive Director -------------''---------------------------------------------------------- 3l6FRONTSTREET " P\O' BOX lS9 ° GREENPORT NY 11944 m P. 631-477'17l7 o E631-477-1780 xvww.CAS7sauthoUdtowm.oqg Itisour mission tnpromote seZf-sufficiency and provide a safety netfor Southold Town-residents in need. (Updated 7/11/2018) TOWN OF SOUTHOLD Town Code Chapter 205"Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors, Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments,and the Suffolk County Planning Commission. Application fee: $150.00 per application. Up to six(6)multiple events of the same type,occurring over a ' period of three months, may be permitted on one (1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event.Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained.Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I,Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings,weddings,graduations,parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk:Please indicate submission of the following by checking off the boxes and signing below. 0 A completed application form signed by the owner and the event manager.Applications without property owner's signature/approval will be rejected. FEE:Is the application being submitted at least 60 days before the event[]Yes[]No _ If Yes,Fee of$ has been submitted If No,Fee of$ has been submitted Updated 8/7/2018 The applicandowner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an additional insured A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) vents for three hundred(300)or more people require submission and approval of a traffic control plan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the'Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. L k'�,\J — - / s 1 Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Doroski, Bonnie From: Doroski, Bonnie Sent: Tuesday,April 6, 2021 2:35 PM To: Flatley, Martin; Kruszeski, Frank; Spiro, Melissa; Easton, James; Rudder, Lynda (lynda.rudder@town.southold.ny.us); Burke,John; Duffy, Bill; Hagan, Damon; Mirabelli, Melissa Cc: Blasko, Regina (rblasko@town.southold.ny.us); Doroski, Melanie (Melanie.Doroski@town.southold.ny.us); Norklun, Stacey Subject: Emailing: cast movie nights_20210406143343 Attachments: cast movie nights_20210406143343.pdf Please find attached the application received from CAST re:various family movie nights. Please review and provide any comments/cost analysis as necessary. 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: cast movie nights_20210406143343 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 Doroski, Bonnie From: Spiro, Melissa Sent: Tuesday,April 6, 2021 2:48 PM To: Doroski, Bonnie; Flatley, Martin; Kruszeski, Frank; Easton,James; Rudder, Lynda; Burke, John; Duffy, Bill; Hagan, Damon; Mirabelli, Melissa Cc: Blasko, Regina; Doroski, Melanie; Norklun, Stacey Subject: RE: Emailing: cast movie nights_20210406143343 This is not preserved land. Melissa S. -----Original Message----- From: Doroski, Bonnie Sent:Tuesday,April 06, 20212:35 PM To: Flatley, Martin<mflatley@town.southold.ny.us>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Rudder;Lynda <lynda.rudder@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Duffy, Bill <billd@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissam@southoldtownny.gov> Cc: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us> Subject: Emailing: cast movie nights_20210406143343 Please find attached the application received from CAST re:various family movie nights. Please review and provide any comments/cost analysis as necessary. 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: cast movie nights_20210406143343 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 i Doroski, Bonnie Subject: FW: Emailing: cast movie nights_20210406143343 -----Original Message----- From: Flatley, Martin <mflatley@town.southold.ny.us> Sent:Tuesday,April 6, 20213:07 PM To: Doroski, Bonnie<Bonnie.Doroski@town.southold.ny.us>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Rudder, Lynda <lynda.rudder@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Duffy, Bill <billd@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissam@southoldtownny.gov> Cc: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us> Subject: RE: Emailing: cast movie nights_20210406143343 I have no objections to these events being approved Martin Flatley,Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,you are hereby notified that any review, retransmission, conversion to hard copy, copying, reproduction, circulation, publication, dissemination or other use of, or taking of any action, or omission to take action, in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error, please (i) notify us immediately by telephone at 631.765.2600, (ii) return the original message and all copies to us at the address above via the U.S. Postal Service, and (iii) delete the message and any material attached thereto from any computer, disk drive, diskette, or other storage device or media. -----Original Message----- From: Doroski, Bonnie<Bonnie.Doroski@town.southold.ny.us> Sent:Tuesday,April 6, 20212:35 PM To: Flatley, Martin<mflatley@town.southold.ny.us>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Rudder, Lynda <lynda.rudder@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Duffy, Bill <billd@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissam@southoldtownny.gov> Cc: Blasko, Regina<rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun @town.southold.ny.us> Subject: Emailing: cast movie nights_20210406143343 1 Please find attached the application received from CAST re:various family movie nights. Please review and provide any comments/cost analysis as necessary. 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: cast movie nights_20210406143343 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. 2 i Doroski, Bonnie From: Easton,James Sent: Wednesday,April 7, 2021 10:02 AM To: Doroski, Bonnie; Flatley, Martin; Kruszeski, Frank; Spiro, Melissa; Rudder, Lynda; Burke, John; Duffy, Bill; Hagan, Damon; Mirabelli, Melissa Cc: Blasko, Regina; Doroski, Melanie; Norklun, Stacey Subject: RE: Emailing: cast movie nights_20210406143343 I have no concerns with this event taking place. James Easton Fire Marshal,Town of Southold JamesE@southoldtownny.gov (W) 631-765-1802 PRIVELEGED AND CONFIDENTIAL COMMUNICATION CONFIDENTIALITY NOTICE: This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by privilege. If you are not the intended recipient,you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by e-mail and delete the original message. -----Original Message----- From: Doroski, Bonnie <Bonnie.Doroski@town.southold.ny.us> Sent:Tuesday,April 6, 20212:35 PM To: Flatley, Martin<mflatley@town.southold.ny.us>; Kruszeski, Frank<fkruszeski@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Rudder, Lynda <lynda.rudder@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Duffy, Bill <billd@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissam@southoldtownny.gov> Cc: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us> Subject: Emailing: cast movie nights_20210406143343 Please find attached the application received from CAST re:various family movie nights. Please review and provide any comments/cost analysis as necessary. 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 1 Your message is ready to be sent with the following file or link attachments: cast movie nights_20210406143343 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. 2