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HomeMy WebLinkAboutMacari Vineyards 2021-51 RECEIVED Q OCT 7 2021 3 Southold Town Clerk 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: Melissa Mirabelli Secretary to the Town Attorney Date: October 6, 2021 Subject: Special Event Macari Vineyards With respect to the above-referenced matter, I am enclosing the original application with committee comments and resolution of Town Board approving event. If you have any questions regarding the enclosed, please do not hesitate to call me Thank you. Cc: Denis Noncarrow /mm Enclosures Southold Town Board - Letter Board Meeting of October 5, 2021 RESOLUTION 2021-781 Item 4 5.23 y3pf Baa ADOPTED DOC ID: 17434 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-781 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 5, 2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Macari Vineyard, to hold Special Event 2021-51 at the Macari Vineyard , 24385 Main RD, Cutchogue, New York as applied for in Application Mac-2a for small birthday party on October 10, 2021 from 2PM to 5PM. All parking must be contained on site. 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: Sarah E. Nappa, Councilwoman SECONDER:James Dinizio Jr; Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell Generated October 6. 2021 Page 33 Special Events Committee Application Summary and Recommendation Application name: Address: 43main eu 6nul t1935" Application number: roac— ;acL, Date of Event: l o ( Q Time: 5 PM Date Received by Town Clerk: -I 1 ag l oho a- Date Received by Committee: Q Nature of Event (S): _ hrlbdau Committee Comments Received by: �K Denis Noncarow Melissa Spiro Leslie Weisman Missy Mirabelli Chief Flatley August Ruckdeschel- County/LQL r Heather Lanza X James Easton Mike Verity Claire Glew Bill Duffy Kevin Webster Committee Recommendation's: Approve as applied Approve with Additional conditions: Hold Public Hearing Deny Special Event No: aut"a"' �-- 5 Resolution No: a0a1 - Date: � TOWN OF SOUTHOLD omn Code EChaptkr 205«g hJic Eine inrrie t ra ecW eve t5,' SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applicatiaris for a Special'Event Permit are subject-bo`ail inter-deparfmental"coordinated review by the Southold Towri'loard,Town Attorney,Town`Asses"sirs;'Land Preervatipn,Building,Planning,Zoning Biiard of Appeals.and Poliee.Departizients;and the Suit jk Gourity l lanning;Conimission. Apyliea#io- fee: ' 1%,00*_per applioativn.Up to, '—(6):riitiltiple events of the,seme type,"occurring over a-penod dibree months;may be permitted on onie(1)application for a fee of$150:00' however, specific detaiils of tach event musfbe'includedwith.this,application. All lieafii�ras yu l�e:.sm itled:at, leas` 60' uswes1 ilri bel' a th �e east. A licauts are ert eourAgea to su mit olgea Boris' s e fl'I` as c�ssi e., nv'° n d, licati n tha "is•n # u 'szti9 r an r ev Brie a ri r-fa,th' ($. laeduled eveaat.ima e'e"e t d ' " n 'Bei to a a#e rtocessiiaa" ems 2' (1.0 by the of t e o �Ier ,Uuless a waiver i5:obfi ned-. 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 'bbtain:d6xnments on all applications from relevant Town, County and/or State _agencies and ;will forward eoitipleted applications to the Town Board with a recommendation as to -wheflier'to grant or deny`the,applicatipn. The Town reserves the tight to,request additional information from an applicant to address issues related to the health, safety,and welfare of the community. N'616 is&Pgrmit=&t Wt redl,� 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. n .0 e of res"tlential-'r °e for prot such a AA -u'e'.fora'eddi s or other event'.is,`iahibit d. '1119 riO4feationLis deemed c� Bile#e rlaace all the f®Ylowireg rec tii exriera#s are alniniited t€�tie'Town Cler . PMeac and case rel, is oxa• ftihe. olinwa b 'clYec @' ;o'#I# e owes end's' .n, bele A completed application form signed by the owner and the event manager. Applications without P aperty owner's signature/approval will be rejected. FEE: Is the application being submitt6d at least 60 days before the event[ ]Yes [./I'No If Yes,Fee of$ has been submitted If No,Fee of$ 2 6 has been submitted Updated 8/7/2018 owner of the property where the special event is proposed to take place must provide Zn-le applicant/ F F rlifcafe•of'inrance not less than 2 million dollars naming the Town bf Soutfiaid as anadd!"anal j lu re' 0 A ParkingT, ent`Plari: 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) Events for three hundred (300) or more people require submission and approval of a traffic•-canirol aeceptalii�tci the Town of ISou#fiold AND a qualified traffic controller must be provided at the event:(Sbe gliplication 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. Activities assagWed With vufddor .public_eVenis.are strictly prohibited frOul talrirrrg plr c* yori`,'dand pieservxdd=th►augh the,$, le,�af developricertt rights�a the"Tal�rtr 4�S;vretf�trd�d�iatt6�aan,o,�tlyFtake place on land preservi'�!thrAitgl alae sale of iteueToprrt�ift ri"/its to the.Coac�st��.`ofriffalle�vitlt'a,percit issuers by t)te,Sujffvlk'Cduiarrilndrrsreattee�. If food is tv,lie seiv al,7f ntzast;be eat$redf•antl prepareif"aff=gite.hy food vends�rs who hold a permit to L operate issueii by t1te.Stiffritk.Couisty Bu>eau of Paclilic:�ealtlt"Food Protection Unit. Updated 8/7/2018 IL APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT gas a ''-;of the;' t d heljoy,,hk6filWehe.a -..a OI` k Special Event Permit# Applicant(s)name.' Date of Submission1917 1 Name of Event 0.x,.1O-PlRtnv : SCTM#'s 1000-Section 1 LSA Block 1'0 Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: i +! Ctlelc'vx'Avt,, (Please attach a 06d'description tit EACH event to this application) Time Period(Hours) of Event: From "�. to , Town Services requested: ( )Yes (/'No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time% 2:2S' Number of cars,expected Is a Tent or other temporary structure being used? [14'Y'es[ ]No If yes provide sizes) Will food be served?[/<es [ ]No If yes provide number and name(s)of food vendor(s) tt" iC �ltJ 5' LC?V� Lr—,r_ Updated gmo 18 PC, (iL t e Suffolk County permit#(s) 115 4(P"L Will other vendors be on the premises during the event? Yes [VNo If yes how many? Describe Type of vendor(s) Property Owner(name/address): Contact Person and Contact TelX 1�7(, QA R, 2-9 IN 0 e-mail address Event Location:Street-Hamlet Address:— %Ack'%n 'y (2LAdA.tctvq_, l3 Q, SC Mailing Address to Send Event Permit to: Have-Jany of the development rights been sold q.-Town of Southold Yes No and/or Suffolk County Agriculiur4Program? `Yes. No Tfy-e-stoeither-orbbth.-alsoindicate6iltbiD ,a6gh-ed-plan,the boundaries cif the reserved area tit o,—h*lifchthe e�rentl6l]6ke,oace 3 ME JW_U S T -THISAPPLICAtf-ON TFIT&, T,_R,_'XF#Ie,'CbiXIR0L PLAN,flee-heist Do* A-Ii-afldfigX1-ventPlan rphy bg,a'sney- (fin cy, site plan aid/6r A`erifil'i G#aWe'EajW'­6'f mM the-sti'hiect"ortiiLefoLINDICA-TE��ONtItF,-Pi,AiX--ALi,-of ehil ng i4or,ma-iion: A parking/event-pian 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 Cpntrol• laia 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;udlified traffic controller multi b'e or—ayided.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. 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 know144104, 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 during the hours of the permitted special evat" al'.'eny and all inspections necessary in connection with this Special Event. Print name of Owner _ igit�ature a O+xmer Print name of Authorized Person/Representative Si" ' _ i;of Authorized Person/Representative PERMISS10 'T3jk'F0s � WTN -C }hIIlr1GEC[ 1315: 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 i I r iii it.d •n ANY T r., a r-'Ri f Waw- _ 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°Irrior to fhesciiedulacl 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 J k 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of IIealth regulations. 9. M0-activ itie `,ass0c'a ted with-,th' , eiit.`includin g but not liin" ed,to P.ark ing i n grressftCes aces _tentW'or{tempora`ry stntctute(s),,or--tt.m 6rarvsanitaiy facilifies,, lfall,b6 conducted ori Town of Southold ha Purcse of Deve16-Vwent Rights-laiYd' 10. 90 a" i ` ' m-a 'at'dwith-this event, O but-,n t ftmited,t ar in - e8s e access. emuQ or temparar structures` or-iemporary sanitary facilities, Niall be'conducted on..Suffalk County P u`c a F,, of Development i h la6l w46ut 6nnit i§91ed by th6': R Cobnrdittee. 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 tmobstntcted 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 CONDITIONSf 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 ACA _ VINEYARDS' t:enx r� - ,r•a°.•ct.r ,-m gnu°V'� September 27th,2021 Southold Town ZBA 53095 Route 25 Southold,New York, 11971 To Whom It May Concern: Macari Vineyards, located at 24385 Main Road, Cutchogue,New York, 11935 will be hosting an intimate birthday celebration on Sunday, October 10th,2021.. We are requesting expedited approval of this Special Events Permit from the Town of Southold so we may finalize arrangements. The guest that is hosting the celebration has requested the rental of an outdoor tent to provide a COVID-safe space for the guests in attendance. Macari Vineyards and Winery sincerely appreciate your assistance in this matter. I erely, Al° Sandra Macari y. � s CERTIFICATE OF LIABILITY INSURANCE r ATE(MWDD/YYYY) 09123/2021 THIS CERTIFICATE IS ISSUED AS A (NATTER 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 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 confor rights to the certificate holder In lieu of such endorsement(s). PRODUCER COrITAG EILEEN CUSHIMA GEORGE FORMES PHONE Q31»7924104 r„ uo�;03i-7?2-LIQ 1116 MAIN ROAD � L E#LEEt+I.CIjS_4M AtV1E GAN-'NATIbNAL:Gt7ha1 POBOX 2336 ............. ,w'?....�_.......:_...,_.W .,....�.._ INxSURsy AFFORDtIac cbWERAcE MAIC z . AQUE80GUE, NY 1 i93i Ntsut f° IAILY'C ASOALT`i'INS C0 r INSURED T tNsuRER 61, 1 MACARI VINEYARDS AND WINERY LTD -'INsuwl TtcA 150 BERGEN AVE JrrsuitR _ PO BOX 2 MATTITUCK, NY 11952 INSURER F ,COVERAGES. ZERTIFICAfE'NUMBER: REviSION 14UPr1BER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL6w HA§JE 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 iLTRl!'aR+ TYPE OF INSURANCE — tltn wyn'$ N �OIiOY NUbS2F14 3 iR94170D+Y YYF 1 4 60tfYYY, LIMITS I COdAMERCIALGEPtERrAL Ok81UTY # )( :3101 X3749 `C}9# 512021109115/202211 SAO-h CCCUFMN&E S � Q __� z:LAiVS-MkCF 1 OCCUR $ .a�'t� 16- 2z $'T f ..�.,.,....._. XX' COMf�1ERCIAL POLICY___.._,. j 1 WED=XP�c�eC�'=� g _ 7. I j1 iGEN--AGGREGATE LACT APP_�,ES PER {`gE HxZ.i�+di�<'6�"�-'i�°t1°A-k�" X.nOUCY LOC, { a 4 SRCtTu •Ce.E�CF�C =g 2d_Q(}(} A AUTOMOBILE LIABILITY ?315X4856 611512021160-115/20221i I a %.'.��uTC ___ C I ;e�Or_•r„iJL'rRt I?er Gersnol '' 1 ALL OWNEi 'SCriLGULFD ' ( ' t AUTOS (_X I AUTOS 1 I 3 BODILY If,}URY(Pe,ax,dn.L S niRED AUTOS AUTOS 1 F i ItP3S 4 A uMaRELu41A8 - CCUR 3152E2279 ,'091151202 1'0611512022ziE t ;a " CU EACH is ,t's101000 U 6XCESSAB ��.-y-„v__..�u..'.,. �»..�_~�����•�� ,i.nC-.54.1 DCi ? t ! I AGGREGATE I CED t RaiEurtc,:; iWORKeRsCOMPERSATIO?i i °9 r ?£ 1 gTH. f ANO EMPLOYERS'LIABILITY YINI iANY-FIOPR,ETOR,PARTtiER,'c XEC,.T,E1- t , y EL EACH A N/Ai.C..^.Etti S =0%;,CERIM E'JEER EXCL(ZED� ' `. (Mandatary In NH) LJ; c L =is E'er A f YEx IIs desk c- ser i?S;R11111 MOF,tF+ERATiT:!S tt'avkl i a I i€L DISEASE•POLICS LIV„T 111 OF-SCRIPT)ON OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schsdula,may Ce attached Irmore space It roqulrod) CERTIFICATE HOLDER AS ADDITIONAL INSURED EVENT OF OCTOBER 10,2021 CERTIFICATE HOLDER dANcpLLATJOft 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. 53095 RTE 25 SOUTHOLD, NY 11971 AUTHORIZeDREPAU TA11+im r 7l sV ©1888.2b 4 ACORD CORPORATION. All rights reserved. ACORD 25(2014(011 The ACORD name and loon are registered marks of ACORD , � K Mirabelli, Melissa From: Allegue, Lauren <Lauren.Allegue@suffolkcountyny.gov> Sent: Thursday,,September 30, 2021 11:00 AM To: Mirabelli, Melissa; Spiro, Melissa; Glew, Claire;Webster, Kevin; Easton,James Cc: Amakawa,Andrew; Ruckdeschel,August Subject: RE: Special Event - Macari Vineyard Hi Ms. Mirabelli, We do not have objections or comments to this Special Event since the property and surrounding adjacent properties are not on SC PDR land. �,'40EVU Lauren Allegue Planning Aide Suffolk county ttlJ y Dept of Economic Development and Planning - 100 Veterans Memorial Highway,2nd Floor 9 Hauppauge,NY 11788 { (631)853-6044 ti From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent:Thursday,September 30, 202110:53 AM To: Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Allegue, Lauren <Lauren.Allegue@suffolkcou ntyny.gov> Cc:Amakawa,Andrew<And rew.Amakawa @suffolkcountyny.gov>; Ruckdeschel,August <August.Ruckdeschel@suffoIkcountyny.gov> Subject:Special Event- Macari Vineyard ATTENTION:This email came from an external source Do not open attachments or click on links from unknown senders or unexpected emails. Please send comments thank you Melissa 1V1. Kirabelli 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 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. z Mirabelli, Melissa From: Noncarrow, Denis Sent: Thursday, September 30, 2021 11:00 AM To: Mirabelli, Melissa;Weisman, Leslie; Lanza, Heather; Flatley, Martin; Duffy, Bill;Verity, Mike Subject: RE: Special Event Macari - late Looks fine to me.Small event. Denis Noncarrow Government Liaison Officer Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-5806 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication From: Mirabelli, Melissa Sent:Thursday,September 30, 202110:52 AM To: Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject:Special Event Macari- late Here is another special event application this is for Macari vineyards for small birthday party 10/10/2021. Please send me comments C !Melissa Al. 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 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 1 Mirabelli, Melissa From: Leslie Weisman Forward Sent: Thursday, September 30, 2021 11:03 AM To: Mirabelli, Melissa Cc: Weisman, Leslie; Lanza, Heather, Flatley, Martin; Duffy, Bill;Verity, Mike; Noncarrow, Denis Subject: Re: Special Event Macari - late I'm okay with this one. Leslie Sent from my iPad On Sep 30, 2021, at 10:51 AM, Mirabelli, Melissa <melissam@southoldtownny.gov>wrote: Here is another special event application this is for Macari vineyards for small birthday party 10/10/2021. Please send me comments &64( I,/ Melissa At 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 ***************************************************************************************** This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ***************************************************************************************** <macari spec evnt_20210930103811.pdf> 1 Mirabelli, Melissa From: Spiro, Melissa Sent: Thursday, September 30, 2021 11:08 AM To: Mirabelli, Melissa Subject: RE: Special Event - Macari Vineyard Tax parcel 109.4-13.1 is not preserved land. Melissa S. From: Mirabelli, Melissa Sent:Thursday,September 30,202110:53 AM To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Allegue, Lauren <Lauren.Allegue@suffolkcountyny.gov> Cc:Amakawa,Andrew<And rew.Amakawa @suffolkcountyny.gov>; Ruckdeschel,August <August.Ruckdeschel@suffoIkcountyny.gov> Subject:Special Event- Macari Vineyard Please send comments thank you Melissa I!. lVirabelli 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 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* 1 Mirabelli, Melissa From: Flatley, Martin Sent: Thursday, September 30, 2021 12:00 PM To: Mirabelli, Melissa;Weisman, Leslie; Lanza, Heather, Duffy, Bill;Verity, Mike; Noncarrow, Denis Subject: RE: Special Event Macari - late I have no objections to approval of this 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:Thursday,September 30, 202110:52 AM To:Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: Special Event Macari-late Here is another special event application this is for Macari vineyards for small birthday party 10/10/2021. Please send me comments Ct 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 ******************************************************************************************* i This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* z Mirabelli, Melissa From: Easton,James Sent: Thursday, September 30, 2021 3.59 PM To: Mirabelli, Melissa Subject: RE: Special Event - Macari Vineyard I have no objections to this event taking place. James Easton Fire Marshal, Town of Southold Oma' $' aFOLIN JaesE,�southoldtownny.�gov oGy� m(W)631-765-1802 N � o a® PRIVELECED AND CONFIDENTIAL CO1llIti1UNICATIO.,V COA'FIDENTIALM'NOTICE: This electronic mail r transmission is intended only for the use of the individual or entity to ithich it is addressed and may contain con/idential information belonging to the sender which is protected by privilege. If you are not the intended recipient,you are herebh notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this iglbrination is strictly prohibited If yozi have received this transmission in error,please noti the sender immediately by e-mail and delete the original message. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent:Thursday,September 30, 202110:53 AM To:Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Allegue, Lauren <Lauren.Allegue@suffolkcountyny.gov> Cc:Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov>; Ruckdeschel,August <August.Ruckdeschel@suffolkcountyny.gov> Subject:Special Event- Macari Vineyard Please send comments thank you 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 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. • 4 � IN Mirabelli, Melissa From: Glew, Claire Sent: Thursday, September 30,2021 12:53 PM To: Mirabelli, Melissa Cc: Webster, Kevin Subject: RE: Special Event - Macari Vineyard There are no exemptions on this property. Also there isn't a map included in the application. From: Mirabelli, Melissa<melissam@southoldtownny.gov> Sent:Thursday,September 30, 202110:53 AM To: Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>; Glew, Claire<Claire.Glew@town.southold.ny.us>; Webster, Kevin<kevin.webster@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>;Allegue, Lauren <Lauren.Allegue@suffolkcountyny.gov> Cc:Amakawa,Andrew<And rew.Amakawa @suffolkcountyny.gov>; Ruckdeschel,August <August.Ruckdeschel@suffolkcountyny.gov> Subject:Special Event- Macari Vineyard Please send comments thank you ^1 [�Telissa Ili Alirabelli 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 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* i Mirabelli, Melissa From: Lanza, Heather Sent: Friday, October 1, 2021 9:16 AM To: Mirabelli, Melissa;Weisman, Leslie; Flatley, Martin; Duffy, Bill; Verity, Mike; Noncarrow, Denis Subject: RE: Special Event Macari - late Very small,plenty of parking on site. Ok with me. From: Mirabelli, Melissa Sent:Thursday,September 30, 202110:52 AM To: Weisman, Leslie<lesliew@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>; Duffy, Bill<billd@southoldtownny.gov>;Verity, Mike <Mike.Verity@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: Special Event Macari-late Here is another special event application this is for Macari vineyards for small birthday party 10/10/2021. Please send me comments B y- llfelissa 41. i1firahelli 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 ******************************************************************************************* This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. 1 . 1 BUF�`M` RESOLUTION 2021-781 ADOPTED DOC ID: 17434 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2021-781 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 5,2021: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Macari Vineyard,to hold Special Event 2021-51 at the Macari Vineyard , 24385 Main RD, Cutchogue, New York as applied for in Application Mac-2a for small birthday party on October 10, 2021 from 2PM to 5PM. All parking must be contained on site. 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. tet. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E.Nappa, Councilwoman SECONDER:James Dinizio Jr, Councilman AYES: Nappa, Dinizio Jr, Doherty, Ghosio, Evans, Russell �MA RI VI NEYARDSL inr,T i r�na-ic u;isi avc •rv,�aa<`+dS September 27th, 2021 Southold Town ZBA 53095 Route 25 Southold, New York, 11971 To Whom It May Concern: Macari Vineyards, located at 24385 Main Road, Cutchogue,New York, 11935 will be hosting an intimate birthday celebration on Sunday, October 10th, 2021. We are requesting expedited approval of this Special Events Permit from the Town of Southold so we may finalize arrangements. The guest that is hosting the celebration has requested the rental of an outdoor tent to provide a COVID-safe space for the guests in attendance. Macari Vineyards and Winery sincerely appreciate your assistance in this matter. in erely Ale andra Macari �; r � f - Mz 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 rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit,such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the followingb checkingoff the boxes and signing below. A completed application form signed by the owner and the event manager. Applications without VF operty owner's signature/approval will be rejected. EE: Is the application being submitted at least 60 days before the event Yes [�No ElIf Yes,Fee of$ has been submitted /if No,Fee of$ 2� has been submitted Updated 8/7/2018 The applicant/owner 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) Events for three hundred (300) or more people require submission and approval of a traffic control dna 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. �Idl)� Dated Si at r 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 Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name: c)Q-1 Date of Submission `' Name of Event UN�O"NIN 1 SCTM#'s 1000-Section C G'0Block- M'\ Lot(s) Dates of Each Event: I 1b �. If Multiple Dates are requested, applicant must give all information for all dates. Nature of Event: C4A&c�'_t (Please attach a detailed description of EACH event to this application) Time Period(Hours) of Event: From `� _to C Town Services requested: ( )Yes (/�`No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time: 22Y Number of cars expected_ Is a Tent or other temporary structure being used? [V15Yes [ ]No If yes provide size(s) ZO X Zb Will food be served?[ Yes [ ]No If yes provide number and name(s)of food vendor(s) Lo r^bo, c�)'S L0v f, L0_ne Updated 8/7/2018 PC,(Lc+ Suffolk County permit#(s) I 9 5 4 Will other vendors be on the premises during the event?[ ]Yes [e ]! No If yes how many? Describe Type of vendor(s) � y k � N� Property Owner(name/address): �� �1�t.C�(� � �-� ��:) 6"\x-11'° �, C���0��Q� Contact Person and Contact Tel.# --\u_\1 c.t\n� �e��-\°� (,b1— 2-9� - 01�o e-mail address Event Location: Street-Hamlet Address: CA4 A b O Y A n3s _SCTM Mailing Address to Send Event Permit to: P,C) ° B3-4 el Have any of the development rights been sold t,o4he Town of Southold[ ]Yes [ No and/or Suffolk County Agricultural Program? [ ]Yes [/J 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 nage) A Parking/Event Plan may be a survey, site Plan and/or aerial view (for example Google Earth 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 during the hours of the permitted special event to ake any and all inspections necessary in connection with this Special Event. Print name of Owner Si ature o Owner N, Print name of Authorized Person/Representative Si a of Authorized 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 Lam a 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, tents 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 tents or temporary structure(s), or temporary sanitary facilities. shall be conducted on Suffolk Countti 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 CERTIFICATE OF LIABILITY INSURANCE OA' (MWDDIYYYY) 09/23/2021 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,.subfect to the terms and conditions of the policy,certain policles may require,an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such,endorsomont(s PRODUCER, CO TA 7 HAIMg: EILEEN CUSHMAN GEORGE FORMES PHONE .631-722-4100 101AV"11,Na:631-722.4500 1116 MAIN ROAD E4AAIL .�DogEss:EILEEN.CU$HMAN AMERICAN-NATIONAL.COM PO BOX 2336 INSURERS AFFORDING COVERAGE NAIC 0 AQUEBOGUE, NY 11931 INSURER A:FARM FAMILY GASUALTY'INS CO INSURED INSURER 9: MACARI VINEYARDS AND WINERY LTD 150 BERGEN AVE INSURER C PO BOX 2 INSURER,D: MATTITUCK, NY 11952 INSURER E: INSURER-F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS,-SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ILSR TYPE OF INSURANCE AD LIZ'S n POLICY NUMBER MMIDDY EFF POM1DDfYYYY LIMITS A COMMERCIAL GENERAL LIABILITY X 3101X3749 '09/15/2021 09/15/2022 EACH OCCURRENCE s 1,000,000 CLAIMS-MADE OCCUR 157Up 1 M U.$�.a oaurrengr})_ S 100,000 XX COMMERCIAL POLICY MED EXP(Any one person) S 5.000 1 PERSONAL&ADV INJURY $ 1,000,000 GEN L AGGREGATE LIMITAP'-7IP—L—IIE��S PER GENERAL AGGREGATE $ 2,000,000 X POLICY 1=JECT LLOC {{ PRODUCTS-COMPIOP AGG IS 2,000,000 OTHER i S O A AUTOMOBILE LIABILITY 3152C4956 09/15/2021 09/15/2022�(En mEDSINGLELiMIT S 1,000,000 dentMBINED ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED et awden:) S AUTOS `X AUTOS BODILY INJURY(P HIRED AUTOS NON OOWNED PPROPaeE�RCY OAMAGE 5 A UMBRELLALIAB OCCUR 3152E2279 09_/15/2021 b9/15/2022 EACH OCCURRENCE $ 5,000,000 PEXCESS LIAB CLAIMS-MADE AGGREGATE ES DED 1 1 RETENTIONS S WORKERS COMPENSATION PEAT T 1ORH - AND EMPLOYERS'LIABILITY Y'/N ANY PROPRIETORrPARTNERIEXECUTIVE E L EACH ACCIDENT $ CFFiCEPAIEMBER EXCLUDED'? N I A (Mandatory In NH) E L DISEASE•EA EMPLOYEE 5 It•/es,desbe unser DESCRIPTION OF OPERATIONS below El DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Romarks Schodulo,maybe attached If mato space is roquired) CERTIFICATE HOLDER AS ADDITIONAL INSURED EVENT OF OCTOBER 10,2021 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OFSOUTHOLD ACCORDANCE WITH THE POLICY PROVISIONS. 53095 RTE 25 SOUTHOLD,NY 11971 AUTHORrLEDREPR S TATTVE ta �(.Lv1c,_ @)1988-2M4 ACORD CORPORATION. All rights reserved. ACORD 26(20141011 The ACORD name and l000 are reo)stered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/01/21 Receipt#: 287321 Quantity Transactions Reference Subtotal 1 Event Fee Mac-2a $150.00 1 Late Fee mac-2a1 $250.00 Total Paid: $400.00 Notes: Payment Type Amount Paid By CK#11416 $250.00 Macari, Vineyards CK#11442 $15000 Macari, Vineyards Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Macari, Vineyards 150 Bergen Ave Po Box 2 Mattltuck, NY 11952 Clerk ID: LYNDAR Internal ID mac-gal