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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
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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® -
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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