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Orient Fire Department
Vendor No. Check No. T'cn of Southold, New York - Payment Voucher Vendor Name Vendor Address 'Entered by ��� a 33oC), oY\@.. P- Audit Date Vendor Telephone Number Town Cleric Invoice Invoice Invoice Net Purchase Order Number Date Total i Discount IAmount Claimed Number Description of Goods or Services Gencial Ledger Fund and Account Number ! 00 1 T1.030 Total Cleo Payee Certification Department Certification The undersigned(Claimant)(Acting on behalfof 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 S11-nature Title DeputyTown Clerk Signature y Company Name Date Title: Denutv Town Lerk Date Southold Town Board - Letter Board Meeting of June 15, 2021 RESOLUTION 2021-498 Item # 5.35 s3 ADOPTEDD OC ID: 17148 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-498 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 15, 2021: 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 Bicycle Shows USA 3/17/21 $250.00 230 Smith Hughes Road Narrowburg,NY 12764 EventPower 3/1/21 $250.00 98 Southdown Road Huntington,NY 11743 Orient Fire Department Inc 4/23/21 $250.00 23300 Main Road Orient,NY 11957 Holly Li 5/18/21 $250.00 Li Productions PO Box 1349 East Hampton, NY 11937 Elizabeth A. Neville Southold Town Clerk 06 Generated June 16. 2021 Page 54 l< •r*4- 'x�ti `r� xz: ,,{: ,:r('•it'VI? >z ,.,, i;�•. �i{'; r ",•,:",r';,7owno•fSouthold -, P,.O 6ox 1'•179 Southold, NY,1197,1 �i' '�' r•a���' a�'•''a'.' ".'�'nraj+:fit;; �+,�, .',rt.y.yPsS�.-njAs�..L Qy?;Y,,t.,�,; 7a`4s`.>>zyG"•:; :��,•' •y_'. Date: 04/23/21- " ' ';� , "� Receipt#: 279903,- r�'r,• gtp;k$." i�r . •"``. ",-.- , wi�,`>•�..r.?•�,e tom^ .i a :y,,i.�:, ' .. , _ , ,.Ay.+'' Y}„„d,:�y,,ct:`�.',.P�'S• �C't,+'3.Y�J(Yr�Cv. 't,7:�"t'-. 1% ,.)':��_ - i''iY<'�•'hi,?i ty��1�Y�'�i 1�1iI,I1�,1�I1I,i�.''�'1, ti�zwv(.�,�e'S„�{b•.•�-���r'_\y".!d'�.tA�"p'4.,-.,?,�„,t1,,7X��a1,��t}.�xrr�tr"':S"�`,=.-k��±.�J'�,�c"�a t=',;x'y^?,,r�1,,'a.,'''T����.;lP'"5,nj%i.��:�•�,3'„�,_r,•-tiPb;ti';lt'y7i.'yrt+i��.e;��,'M�`'•'-'�';Ch4�'b.4'`r�".,O.`�.'�Ar�r:!,S�.��s''S�ta'`�Ft�itfv,.',<!'•}Yl�«7„..'s'x<-,'°Lr1,�rYT4'':„:�t•�/�Fr,','.:�Y-z�;`:�3.ui..•-`H:-t',ti,,v'>tr#k,,."tn,':".�dry'-,E,a���A4;��`•a-:,dfu''!>:':,^'t'ity..•�},.-F,a-f.�.u�'�F.c_�,;'{„F,.`�-•?:i.,_.`.ti':2,',y:-'3`�?!�,�•`--«r`��-;r=s��:,'��_4u'-�'+^�,;'"rlx"'a'���:.v�wt;i,dtv,,'"a—d-a,'�r'^.��ez}�-��-yZ-:•;"�sy�''�.d:k�;IE%-a''��,',t•ro`-r'"�_`'+4•.as.��'„`'�'�ux"�a.:���€,yS,�`a,.�'4�ts'..",F%.,�,���x:?�xSr�i+����'ilir�rx{,.vr,!7l'rlC•�r e,^y�th'C2,"&,y•r;w�ta��i�'=°q.F,5;p?`+.1�:,,µ�;S�k,63,,:=a.:�vi'r.'��+'y.Gy,�.O.G._'�2u3.,�`�`�:��'�E:.;cq_;�z3�.•c;-.jsn°f■0;1,syT.s t,;.,,„I.'�7F�Ep�,tf'it't0',.ar,'.,,•0�T".•aa,r�tS_.,+`s'r_Q'i'•far,_�('.•:P:X'_r”,..i`5M:,�'r::%��7t?Y#"�+;K.bx��ti'�`0r?aa�,-.�'-1Ey.�--3Aiyytr�a+e,c�.j-x�91�ki�'rN,_3i:`t,°SS_�'�i�±!<n<+��IP.'+'R�+sF-<��•tNr"u'n'4Y.�'-��>br..e.��4 iz'€l:¢¢`�:;°„'*As,;7;;._`A;+B.";`ne.'=srS,R3��S1+`i�p4�fr,:�a•:FL.vF�7.S;_a"�1=�^O-�MS,�_:,+.cR•;n.Y=.rs v,x9Y'F;�,3�,T'�a1,A'T�k��^•3��.`"r''.,a rr,5':FtP�ro'.-:C�T e�xt'�;�e;s�:'1Dr iPv'l.,i:.�•'„7'”+�-�4a`�•,-r,+a a,+'5a�,Krrt'�c-a3;"M•r+,•`;••w�°n„�s`�Cc',a_r,�,�;r,s�?-i�;;''r,°f�.'�'.-�.aa''!+�:,a2er�.v,'`���-,a.`'1;,,.gr=�4"•+•u�.�<'ta?1}i,.�tttY-c•�.:t:.+;E�fii�..■��**^i;r.,`,'•,y�"£r,r^•.",�".'a3iv`'4ZaM��,1y^�u�+,`y�',;.'c�0,C?y�,tt,"••c,qn':a",-;f`�',td'+Iw�y;iei,"w gf�,'}a`X+�-{n.k!,1��,��'e.'����T`w's+>.n}�.Y.tG!.=y,4S^�44+wS_'�`r•'�`�is"_v�"«va'��7_-T�.?��+ak��. ,ani�`�CC•a,H.a,ti3hkAe;''s�s"�d''.![�-t2`,c�a> ,�r�r';fi�'�,=i�5.�a`i;;'y'r+c��tr"rz�'=,'C�id•-Iyf=8'�.,•�t��'l?,.6.>':=�'r,;;',•.�.a:,�(,i'a+y P'f���;�cy:n'vri�h'JI+q�fr.S.��``%',t'irA�+�c`:{�?"(F'',.">°,>_���s'aa`t���qrtitivF.,�F�-;C➢µ�..',1_.th�'iyotf�`.'.°).',r4;''-i rEa.t.a:rt•i��..,,o�.1rr"�—Y.q1'''^q��,�.�".`,rr:.�kilt-�Sc^`niat_��,�„•�t'S;",'�n�T•"Iir•3ri��C;�r;,�mors)�`a,�,f�..�'��-„'a,.'rf:h."J-'a��j,rr.;,e.'�Yx:.C�.,�`l,#„,k?+,,F5'�"�.,`i:��.a.�^is.:/,<•�”�"ti�r•,�Yr i,1rm5`�Gt'��',':sr''�1!�; '.�a'",;'u��mt�i�arr t.y;3t.d.p4.zv}v'kt''(4h.�;4,!.a.,ht2<.s�i�.,3 reC•t�,.•y•xe�',y,;hnc��:�7,�'�'aa:^`w`4��s�1z,"T�YA.,r�1.���,.1,,°;�2'F';;`w 1�-'s6.-,.d.`;?,.t—,Ay'9��R,�,n•4,nF?:g„•',�;x K ^,„:.;•,�y,e�+r�`n5.��"�f7.�.tr,msd1v'nr"s'�'r:+,��_?`n33',�,arar•'��Y.`Y;w�r,,'�6+j„zrJ,9F+.'r-}eJ'+tr�I,c�-5hi-^nr.,�..a+�rS-tG r�''`sI'4�r•yy-..'''Y',r�=s�i°'rtyK''`�„���'�.�,,,1`��r��„.-Y'«w.rn�r.�Lr`7mt,:''!«��S�-�Kp 7.c'��ti2§�Y1 `„y.�6t:'.C'�xYt•-r,.�,,+^°�'>.tt,"t�,?��K a'4;.a<l't:•}�4',r�i^f�”+I4t,,';i�}.r'�p.��,y;�idI�s�a'^'!�■.`c�f,S8.��;r.}•".�"7"`.4•'rG'�iri;I.F..-+�.:,S.t'i n �:�'._r'ni1.-",fi•�',�a'`?.:e,'+m�:,aF�6�iC�,4�r3,,�Ta.�n�y��'f+.'?'F,a�.,'i,s��.�:M1�rt-`'r_!�m6.,',r��Ss-;."`:'rd#a0��r.,`-a,�y-�:Lr�+e^�rZ:-i',Va:d�'�:'�;,^y"�v.•�'m`�' �"9 c'.�1`h�,t,�_,�,„v;�"„e,�r.,',_�{!.i�',+"at:+�';�,,:'-'i,>s:,,���',*,.J.`:��;�,"�a,��!.V;,�;"lSi'^_T::'•<`�.t�.(`��`'.:.-k�:,�;4.�,..'1-�.,•X_>""w.fnr�.�``-.?.�-�:.`'.iy,'',',^}�';f:;v,-•�.n`��a`-'i"v1r4t�'��*;-�Yri'r`.ti,•h`,�{�y 7,',,f+;-eEe7-<,r,,a.�*'ta:"��f�-r"`��r;'rtr�gy4�S?,wv^f;,:�.y,°,i i`rr`.)r-'i,`�,e'�,',,,�{.r r3:T'-��''.Y�Tt>r,o_}�ar�;;�7—;'�atMrr'!,`•,^�j Iii.n•�:,'.�-N;1,,rC',K=y1C� •,>;cn'a,a.,•,�r:r�}risi:i(ot'.//n,)�;�r�,-'r+..�,m"�':R.a,°•d,;,'°'P''44.„.�-'',a_i.•ra,t-,n�i'�_.�7.;d',�e' fctir':„;%,!'w-ik>'.�,�-.y+i�:a;�,',���a�.:�,:'.`'y'_.n�\.{si.t;°miY•�r„.p,ce"r_rr!tiy'.a,1-„”"w��■';t:_,��.cP�,��;'-2r.'3• Mn;-.,,?�,3,,?;..7kt'-.,�m•^"�`-r;%`,y.h•-_��,�7v.��yl.'�S.�tr��<F.-daik�•:'t-3i-Y��'''��."'_iA,°r'r+l�:_-,."'y'q'�.ec��'::,;�rt.�{��TT.f,`.�,r"'c`is-_��`_.(�._'E('t'.i,•:,'�vJ�;�f.•�.�:.�d, Y�;.,.�_;1'Y.•'M�.:-.x...:`��.,�,�-,.-•;•,L,'�_—�,._,,i�x,,�(.r�.x•�.w�a_.fv,<"+,,r,�z';...•3'�a-�:-.A,,qC,�i_,=�,,^''rs`'&<,�eJt7'��'.r,:4�`es�e�_,''+`�„a�j,5�i','s�a�•1.,'"i,°'`�ixt".':i..��i`y,':__��r,'�tea'..�4`_+,.—�'�°,��.-,°—,a�1�tr"rc.>r,t-�"'t���t,r\��a^S,y'"_n,2�,s�,,t[..•5-l�����`;/'�_,c;r'S�t^'�,t!,.l-"•`4:�-;"',rC��,za�"--y.„_x-f+zs-S..,°ex",-t_':::fi,e�.e*,,,'�"Z,�'�;�.O,i�i•�='u- b,,_�•�,�1.,,.�_s;�.•;"`'47`L::H<t`�'.��_tY`.r'.a�''�;'7"�r��{_•-�A•X���,t-`oeS�+r'•�'ir�,�s-t,`1 R���y_a�--;1t'r��`<�r-:'•.a�>.��'S''-a��,�,,,,,1'v'�-r"',�?.`q'.>�_•�;3�-',L.k+i •t..'` erence lQuantity Transa 1Event Fee 5!31'/21 $250.00 Total Paid: $250.00 -up feeNotes: Clean tf Payment Type ,Amount ,,,,, Paid By $250Orient,-ire DepartmentCK#1433 Southold Town Clerk's Office',-z ,17953095 Main Road, Pb Bok,1 " Southold, NY 11971 1_ .�>;�>9•.;0." _s=;•�.''n P':''t�.''dt�-_.n�.�,:c��,:-,;,`�y_�.�.:���4:`;l:y >•..+A."-�iy.;x�e a',�,.F'1r .�,r,_,+...p;;":,1�,,w�4.;_'._.k,j;•�-/.(�f(''_.w�`�Cg�:t. ' 1�.r .�,,;.xo'�,rr_�u;���'._.k.;Z;�•a�_.•�`i.'d� 4_,: 1:���;rTa•°t>,r-;t`rr-:",-.� .-i , �r'-,'•;��V.`'•'�' �"ORIENITTIRIEN{,O0.6662•;``��'��'.".'i;'t•t1 s,1 '- ..' 1,�a•��,4r�.'.�.;�i� t , . ak01 Ta:e:"ORDER OJ ` a�r ES V _00' �SGNRERI 000. N apt ;FOR' '2"i4060 'ti. 00 2 Name: Orient, Fire Department 23300 •- 't sv,qn'tfs�: .t� • � R� , , Orient, : .,Clerk ID: SABRINA- _ Internal ID. 5!31/21 ELIZABETH A.NEVILLE,MMC �y oo�,d, Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 CIO a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 9i Fax(631)765-6145 MARRIAGE OFFICER �� o� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 17, 2021 Chief Richard Gillooly Orient Fire Department 23300 Main Road Orient,NY 11957 Dear Chief Gillooly: The Southold Town Board, at its regular meeting held on May 4, 2021, granted permission to the Orient Fire Department to hold its annual Memorial Day parade on May 31, 2021. A certified copy of the resolution is enclosed. An insurance policy naming the Town as additionally insured has been filed with this office. Please be sure to contact Captain Kruszeski, at the Police Department, 765-2600, as soon as possible, to coordinate traffic control. Very truly yours, ' 11 � Lynda M Rudder Southold Deputy Town Clerk Enc. Southold Town Board - Letter Board Meeting of May 4, 2021 RESOLUTION 2021-361 Item # 5.31 ADOPTED DOC ID: 17002 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-361 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 4,2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Orient Fire Department to use the following route for its Annual Memorial Day Parade in Orient on Monday, May 31, 2021 beginning at 7:30 AM to begin at the Firehouse and take Tabor Road to Orchard Street to Navy Street to Village Lane to Main Road and back to the Firehouse, provided they follow all the conditions in the Town's Policy for Special Events on Town Properties and subject to the applicant's compliance with all executive orders of the State of New York.. Elizabeth A. Neville Southold Town Clerk _ RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E.Nappa, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Dinizio Jr, Doherty, Evans, Russell ABSENT: Robert Ghosio Generated May 6; 2021 Page 49 47 ELIZABETH A.NEVILLE,MMC & Town Hall,53095 Main Road TO" CLERK A P.O.Box 1179 Southold,New York 11971 WA*14 41 REGISTRAR OF VITAL STATISTICS ( 1)765-6145 Fax 63 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT'OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APR 2 3 2021 Southold Town Clerk APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT ' Please j)rDVidUeV ALL Wr tateinformati,011 reg uested belmi Indom tete a leatiblis WI LLNOT be .reviewed. Date of Submission -Veg kkjuOP,,( Name of EvcntAccjx� Name of Organization: Is this a Not-For-Profit o Contact's Name: evoey� � Mailing Address: 2-S30C" — Contact's Phone Number:C C 0kk Contact's Email Address: Event Location and Site Diagram: \j (Use additional paper if necessary) Event Date(s): (Include set up and shutdown times and dates &A 0 Nature of Event: U�j (Please;toh a detailed descriptio to this application) Time Period (Hours) of Event: From-T:iqttnn to Maximum Number of Expected Attendees: spts(i.e. road closure, police presence): c Specify any ecial requirements 0 (vo Revised 8/5/15 AJ If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Q Mailing Address to Send Event Permit to: Event Fees: pj'eo' $250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Clean-up Fees (Can NOT be waived): / $1,500.00 Clean-up for Bicycle and/or Running Special events(ONLY) x—$250 or more Clean-up deposit all other events CERTIFICATE Ort 1NSUI1ANCT±w ItF. U 11ZI D: Not less than$2,000,000 naming the Town of Southold-as,an-add li ollal insured. PLE S'E SEE ATTACHED REVISIM ADOPTED TOWN POLICE' Additional information and requirements may be required as deemed necessary by the Town Board. �cl�� Si t ` of Authorize out application Print name of Authorized Person filling ut g application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 Revised 3/21/16 f TOWN OF SOUTHOLD Policy for Speciiii'LiRents onjoWti Peol2 dies and Roams In addition to the criteria set forth in Chapter 205 of the Southold Town Code with respect to the review of events that are proposed to utilize or be held on any land owned, leased or controlled by the Town of Southold and, in particular, special events on Town roads, and with the exception of community organized pprades, the issuance of a Special Event Permit by the Town Board will be subject to the following guidelines: 1, All events must be sponsored by a not-for-profit organization or recognized charity and the applicant must verify that all proceeds generated by the event are wholly for the benefit of said organization or recognized charity. 2. Events that require the closing of a road shall not be held on a holiday or at the same time or location of previously approved community or special events absent authorization from the Chief or Captain of the Police Department, 3. All motorcycle events shall be limited to 600 participants. 4. Applicants may only receive approval for one event in each calendar year. 5. The prior issuance of an approval does not bind the Town Board to approve the same or a similar event in the future. approval may result in revocation of approval 6. Failure to comply with any condition of and/or denial of future applications. In addition to the above, all Bicycle and/or Running Special Events shall be subject to the following guidelines: I. There shall be no bicycle and/or running special events conducted within the Town of Southold during the period of June 1 to November 1. 2. Organizers and participants of bicycle and/or running special events shall fully adhere to the"rales of the road." including every applicable provision of the New York State Vehicle and Traffic Law, including but not limited to VTL §§1231-1234. 3, Organizers of bicycle and/or running shall post returned to pre-event thousand five hundred dollars ($1,500.00)to ensure that the roads are condition. 4 Where the expected,number of persons or the duration of the bicycle and/or running special evontmay,iinpact the'health; safety, and welfare of the public, as a condition to ,granting the pern%it,the TownBoard,,�aporn the recommendation of the Chief of Police, may,require•the applicant to reimburse the Town for the costs of increased police ` ' ublic'sa e oversight,,'and.public works facilitation, including any additional pkbtecOOn, ty' by the Chief of Police to adequately and safely equipment as niay.be,deemed necessary control and protectllhe•persans"attending the event,the event area and traffic in and 3 Revised 3/21/16 around the event area. Such costs shall include all necessary staffing and shall be provided to the applicant prior to the issuance of the permit. 5. All bicycle events and/or running special events shall be limited to 600 participants. All special event approvals shall be subject to compliance with the following conditions: 1. They file with the Town Clerk a Two Million Dollar Certificate of Insurance naming the Town of Southold as an additional insured; a$250 or$500 filing fee (depending on size of event); a remuneration fee determined by the Chief or Captain of the Police Department for traffic control; $250.00 or more deposit for clean-up (deposit to be returned after event upon recommendation of the Southold Town Police Chief; Southold Town Police Department); 2. Make every effort to control noise; 3. Comply with Chapter 205 of the Southold Town Code to notify neighbors in advance of event; 4. Coordinate traffic control upon notification of the adoption of a Town Board resolution with Police Captain; 5. No permanent markings be placed on Town, County or State roads or property for the event; 6. Any road markings or signs for the event be removed within twenty-four(24) hours of the completion of the event; and 7. Any parade participants shall not throw candy or other objects at or in the direction of spectators along the parade route but such items may be handed directly to spectators. The Town Board reserves the right to waive or modify any or all of the above guidelines and conditions as�it may'deein appropriate und'ef-the circumstances presented:>,and to'deziy,iY application for a special event that is determined to notrbe,,in the 1�est interest of the residents of the Town of Southold. 4 Revised 3/21/16 r GO O - R I Ft. NT CO -� < CEM . lot. CENTRAL Yo CE M. LO m C� K( NG �O `Tp-boo, CLQ —lb ��• LA. OU '9,p i�lk►.3 SD s' TO �Q 1Op ORIEFIR-01 EKELLERSHON '4�o CERTIFICATE OF LIABILITY INSURANCE DAT4/11515/22021021/ M THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT 225 Howell Ave Inc. PHONE ) AIC,No:(631)727-7138 ac,No,Ezt):(631 727.4114 Riverhead,NY 11901 nI DRlEss:info@luptonandiuce.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Arch Insurance Group 11150 INSURED INSURER B: Orient Fire District INSURER C: 23300 Main Road INSURER D: Orient,NY 11957 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR I MDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE [X]OCCUR X MEPK10405501 9/15/2020 9/15/2021 DAMAGE TO RENTEDnce300,000 MED EXP(Any oneperson) 10,000 PERSONAL 8 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY 1:1JE&- LOC PRODUCTS-COMP/OP AGG $ 10'606'666 OTHER: A AUTOMOBILE LIABILITY EOMaBIcNdED SINGLE LIMIT $ 1,006,006 e ntL ANYAUTO MEPK10405501 9/15/2020 9/15/2021 BODILY INJURY Perperson) $ OWNEDSCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident X AUTOS ONLY X AUTOS ONEp LY Pe�a.dentDAMAGE $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,600,000 EXCESS LIAB CLAIMS-MADE MEUM09312701 9/15/2020 9/15/2021 AGGREGATE $ 10,000,000 DED I I RETENTION$ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY YIN STATUTEI E ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFF15ERIMEMBER EXCLUDED N I A (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE H es,descnbe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) RE:Memorial Day Parade Certificate holder Is Included as additional insured per provisions of attached endorsement#GL2014 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Mato Southold ACCORDANCE WITH THE POLICY PROVISIONS. Rd PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Rudder, Lynda From: Rudder, Lynda Sent: Friday,April 23, 2021 3:30 PM To: Blasko, Regina; Doroski, Melanie; Duffy, Bill; Easton,James; Flatley, Martin; Hagan, Damon; Kruszeski, Frank; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: Orient Fire Dept Attachments: ofd_20210423135025.pdf Your message is ready to be sent with the following file or link attachments: ofd_20210423135025.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Rudder, Lynda From: Easton, James Sent: Monday, April 26, 2021 12:58 PM To: Rudder, Lynda Subject: RE: Orient Fire Dept I have no objections to this event taking place. Thank you, 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: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Friday, April 23, 20213:30 PM To: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Hagan, Damon<damonh@southoldtownny.gov>; Kruszeski, Frank <fkruszeski@town.southold.ny.us>; Mirabelli, Melissa<melissam@southoldtownny.gov>; Norklun,Stacey <Stacey.Norklun@town.southo Id.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: Orient Fire Dept Your message is ready to be sent with the following file or link attachments: ofd_20210423135025.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Rudder, Lynda From: Spiro, Melissa Sent: Friday, April 23, 2021 3:51 PM To: Rudder, Lynda; Blasko, Regina; Doroski, Melanie; Duffy, Bill; Easton,James; Flatley, Martin; Hagan, Damon; Kruszeski, Frank; Mirabelli, Melissa; Norklun, Stacey Subject: RE: Orient Fire Dept This is not preserved land. Melissa S. -----Original Message----- From: Rudder, Lynda Sent: Friday,April 23, 20213:30 PM To: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie <Melanie.Doroski @town.southold.ny.us>; Duffy, Bill <billd@southoldtownny.gov>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Kruszeski, Frank <fkruszeski@town.southold.ny.us>; Mirabelli, Melissa <melissam@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun @town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: Orient Fire Dept Your message is ready to be sent with the following file or link attachments: ofd_20210423135025.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Rudder, Lynda From: Flatley, Martin Sent: Friday, April 23, 2021 4:14 PM To: Rudder, Lynda; Blasko, Regina; Doroski, Melanie; Duffy, Bill; Easton,James; Hagan, Damon; Kruszeski, Frank; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: RE: Orient Fire Dept Attachments: Orient FD Memorial Day Paradenowages.xls I have no objections to this event being approved. My cost analysis is attached. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 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: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Friday, April 23, 20213:30 PM To: Blasko, Regina <rblasko@town.southold.ny.us>; Doroski, Melanie<Melanie.Doroski@town.southold.ny.us>; Duffy, Bill <billd@southoldtownny.gov>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Kruszeski, Frank <fkruszeski@town.southold.ny.us>; Mirabelli, Melissa <melissam@southoldtownny.gov>; Norklun,Stacey <Stacey.Norklun @town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: Orient Fire Dept Your message is ready to be sent with the following file or link attachments: ofd_20210423135025.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Town of Southold Police Department Special Event Cost Analysis Event: Orient Fire Department Memorial Day Parade Date(s): May 31, 2021 Location: Orient Village 77,-,�77, Reg'Ho H�= ii - age Total Comments P.O. Sanders 0.5 0.5 $24.43 $30.53 7 Reg Hours OT Hrs Hrly Wage Comments -SM11---II---W 75 77 PO Onufrak 1 $72.49 $72.49 7, 4111 A ow ��7,,,E7� 7,,Tk �-7Z�2 I'm ,F'--,-,,zx, 0,1 -, WRIN, 01M, (go'da, 76T' Hrs Hrly Wage Total Comments Reg Hours TCOfficer TC Officer TC Officer TC Officer TC Officer 7�111-1-1711-� E -775�'7:7,7,1�,,,•r-7777 s PD Vehicles #of vehicles $/h r Total 2 $10.00 $20.00 $20.00 Command Van Marine Patrol Boats 1-Total Department Cost for Event�- $123.02 1 Prepared by Chief M. Flatley 4/24/2021 Page 1