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HomeMy WebLinkAboutLI Antique Power Association - DENIS NONCARROW �� �y� Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 CO2 = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS B • etl` Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �Q` .�`a® Telephone ldt 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Jude Petroski 150 Arrowhead Ave. Riverhead NY 11901 March 30, 2022 Dear Mrs. Patroski, The Southold Town Board, at its regular meeting held on March 29th,the Town Board granted permissionwkwc� wer Association to have its_8thAnnual Ride for a Cause on SundayWINk 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 Ginas at the Police Department, 765-2600, as soon as possible, to coordinate traffic control. Very truly yours, Denis Noncarrow Southold Town Clerk Enc. RESOLUTION 2022-283 s�� 4ae ADOPTED DOC ID: 17921 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-283 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 29, 2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to LI Antique Power Association to hold a Tractor Ride on May 1 st, 2022,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. All Town fees for this event, with the exception of the Clean-up Deposit, are waived. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans - Sig , ELIZABETH A.NEVILLE4 MAIC Town Hall,53095 Main Road P.O.Box 1179 TOWN CLERK Southold,New York 11971 Fax(63I)765-6145 REGISTRAR OF VITAL STATISTICS !' MARRIAGE OFFICERS �' ,rZ� Telephone(631)765-1800 � � RECORDS MANAGEMENT OFFICER . ° '�` �' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER- OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD MAR 2 2 2022 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL EVENT Please �rovidc aLLI,of the in re urstcd beio�ti'.Iijcirm lett a lications X%11LI.NOT be reviewed. Date of Submission Z2 Name of Event n�-Q\ Q' �P o g�� 1 i 3q Name of Organization: Is this a Not-For-Profit Event? a /No Contact's Name: _ Mailing Address: nd_ m Contact's Phone Number: _ kp-b) - � :- ----- Contact's Email Address: Event Location and Site Diagram: (Use additional paper if necessary) 2 Event Date(s): Include set shutdown times and dates) Nature of Event: __� C1� ration to this ication) (Please attach a detailed description Time Period (Hours) of Event: From � to Maximum Number of Expected Attendees: O Specify any special requirements(i.e. road closure, police presence): Revised 8/5/15 C If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event]�Ormi to. C Event Fe 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) $250 or more Clean-up deposit all other events GE12T,ih1C4TI: OF INSURANCE,IZCOUI1ZED: Not less than$2,000,000 naming the Town of Southold as an,additional insured.. ***;NOTE-. PLEASE SIEE ATTACHED REVISED ADOPTED TO'VVNT POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board, Print name of Authorized Person filling out Signatof Authorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application f requirements. i 2 Revised 3/21/16 Sprint 11�A2 �M 1 0 93%Wl mmikipedia.org T a A10v4K o,.,) r mill 73 Q-F Ll ti ChIOGUE STATIO 40 W�1T �RVILLE f L u Cutchc A CRSS 0�� RZ , 0 `opRo 4/, a /^q��1ee� C 1 km Wikimedia maps CJ I Map data© OpenStreetMap contributors External maps ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �..� 03/17/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must 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 NAME: Eric Kirk Farm Family Casualty Insurance Company PHONE FA 631-727-7767 aIc Ne: 631-727-7941 18 First Street E-MAIL Y DDRESS: karla.a ala american-national.com A Riverhead, NY 11901 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Farm Family Casualty Insurance Company 13803 INSURED INSURER B: Long Island Antique Power Assoc. INSURER C: PO Box 1134 INSURERD: INSURER E: Riverhead NY 11901 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 EFF POLICY EXP LTR INSD WVD POLICYNUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X 3101 X1843 12/22/2021 12/22/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1 PEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I I ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/M EMBER 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 I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is listed as additionally insured. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Rudder, Lynda From: Rudder, Lynda Sent: Wednesday, March 23, 2022 11:14 AM To: Blasko, Regina; Burke,John; Doroski, Melanie; Easton,James; Flatley, Martin; Ginas, James; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: tractor ride Attachments: tractor ride_20220323111758.pdf Importance: High Please provide approval/disapproval and cost analysis,thank you Rudder, Lynda From: Easton,James Sent: Wednesday, March 23, 2022 12:26 PM To: Rudder, Lynda Subject: RE:tractor ride I have no objection to 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: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Wednesday, March 23, 2022 11:14 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: tractor ride Importance: High Please provide approval/disapproval and cost analysis,thank you 1 Rudder, Lynda From: Easton, James Sent: Wednesday, March 23, 2022 12:25 PM To: Rudder, Lynda Subject: RE: Boy Scout Car Show I have no objection to 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: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent:Wednesday, March 23, 2022 8:33 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.ny.us>; Easton,James<jamese@southoidtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: Boy Scout Car Show Please review and supply approval/disapproval and cost analsys 1 Rudder, Lynda From: Easton,James Sent: Wednesday, March 23, 2022 12:26 PM To: Rudder, Lynda Subject: RE:tractor ride I have no objection to 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: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Wednesday, March 23, 2022 11:14 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us>; Norklun,Stacey <Stacey.Norklun@town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject:tractor ride Importance: High Please provide approval/disapproval and cost analysis,thank you 1 Town of Southold Police Department Special Event Cost Analysis Event: 8th Annual Ride For A Cause (Tractor Ride) Date(s): May 1, 2022 Location: Mattituck-Cutchogue Patroocat�on for Event LAll 0 Reg Hours OT Hrs Hrly Wage Total Comments Po ice cOff�cers� Special Patrol _ _ Reg Hours OT Hrs Hrly Wage Total Comments OV , .:Bicycle Pa rot t x ,< , H� a'Pat or 1" PO Onufrak 3 $217.47 �rafflc M COntrfll .":'..�".•4 Reg Hours OT Hrs Hrly Wage Total Comments TC Officer TC Officer TC Officer TC Officer TC Officer 1= UI ment./aoStSi PD Vehicles #of vehicles $/hr Total 1 $10.00 $30.00 $90.00 Command Van Marine Patrol Boats Total Department Cost for Event= $307.47 Prepared by Chief M. Flatley 3/25/2022 Page 1 Rudder, Lynda From: Flatley, Martin Sent: Wednesday, March 23, 2022 3:28 PM To: Rudder, Lynda; Blasko, Regina; Burke,John; Doroski, Melanie; Easton,James; Ginas, James; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: RE:tractor ride Attachments: Tractor RideCA2022.xls I have no objections to this event being held. My Cost Analysis Report 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: Wednesday, March 23, 2022 11:14 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey <Stacey.Norklun @town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: tractor ride Importance: High Please provide approval/disapproval and cost analysis, thank you 1 • 11 . ,: Rudder, Lynda From: Spiro, Melissa Sent: Thursday, March 24, 2022 9:02 AM To: Rudder, Lynda Subject: RE:tractor ride This is not on preserved land. Melissa S. -----Original Message----- From: Rudder, Lynda Sent: Wednesday, March 23, 2022 11:14 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Doroski, Melanie <Melanie.Doroski@town.southold.ny.us>; Easton,James<jamese@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: tractor ride Importance: High Please provide approval/disapproval and cost analysis,thank you 1 50-546/214 2061 L.I.ANTIQUE POWER ASSN.,INC. I` P6 BOX 1134 JUL ='g RIVERHEAD;NY 11901 DATE J p .. .. PAY TO THE ` ' Q 8 ORDER OF DOLLARS` o, ; SUFFOLK,000NTY. NATIONAL-BANK ••,,GOW I®ATpNSldP5 www.5cb.00005M64® - ((n��D.cdm MEMO �V - G A.1��. ivp 40 2.1.40-s 4`641. 1 1° 0 1 196 3 311' 206 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/23/22 Receipt#: 295522 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 5/1/22 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#2061 $250.00 L I, Antique Power Assoc. Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: L I, Antique Power Assoc. P O Box 1134 Riverhead, NY 11901 Clerk ID: LYNDAR Internal ID:5/1/22 Vendor No. Cheek No Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by SAudit Date : .; VendTel��h01 U nTr� ` UU ff`` Town Clerk Vel Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account N.uinbOr 2-o 1--�_ �3 S 31 .zoo -�50•00 Total Payee Certification D e p>Tftm n Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the?th ive specified have been received by me does Hereby certify that the foregoing claim is true and correct,that no part has in good cond' stitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that t qfh e been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or d' er d payt is approved. Signature Title: Deputy Town Clerk Signature Company Name Date Title: Deouty wn RESOLUTION 2022-437 ADOPTED DOC ID: 18103 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-437 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 24,2022: 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 LI Antique Power Assn., Inc 3/23/22 $ 250.00 PO Box 1134 Riverhead,NY 11901 Mattituck-Laurel Civic Assn. 10/8/21 $ 250.00 PO Box 465 Legion Avenue Mattituck,NY 11952 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Sarah E. Nappa, Councilwoman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/23/22 Receipt#: 295522 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 5/1/22 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#2061 $250.00 L I, Antique Power Assoc. Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: L I, Antique Power Assoc. PO Box 1134 Riverhead, NY 11901 Clerk ID: LYNDAR Internal ID:5/1/22