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Southold Village Merchants 4th of July Parade
DENIS NONCARROW �� �.j, Town Hall,53095 Main Road TOWN CLERKp P.O.Box 1179 CO3 a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICERT' RECORDS MANAGEMENT OFFICER ,� ,y�� .Aad Telephone 765-18 FREEDOM OF INFORMATION OFFICER 7P www•southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 28, 2022 Carol Scott Joan Tyrer Southold Village Merchants PO Box 1356 Southold,NY 11971 - Dear Ms. Scott& Ms, Tyrer: The Southold Town Board, at its regular meeting held on March 1, 2022, granted permissi to the Southold Village Merchants to hold its annual 4th of July parade on Monday J r 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, Lynda M Rudder Southold Deputy Town Clerk Enc. Southold Town Board -Letter Board Meeting of March 1, 2022 RESOLUTION 2022-209 Item# 5.14 ADOPTED DOC ID: 17841 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-209 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 1,2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Southold Village Merchants for their 24th Annual 4" of July Parade in Southold, on Monday, July 4, 2022,belzinning at 12:00 noon from Boisseau Avenue to Tuckers Lane along Route 25,provided they closely adhere to the Town's policy regarding Special Events. All fees associated with this event have been waived with the exception of the clean-up deposit. L �v Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E.Nappa, Councilwoman SECONDER:Brian O. Mealy, Councilman AYES: Nappa,Doroski,Mealy, Doherty, Evans, Russell Generated March 2; 2022 Page 23 le RECEIVED SOUTHOLD VILLAGE MERCHANTS P.O. Box 1356 F 2V Southold, NY 11971 outhold Town Clerk February 21, 2022 FEBE C Ec'- W E DD 2 3 2022 Mr. Scott Russell, Supervisor ' Town of Southold SUPERVISOR'S OFFICE P.O. Box 1179 TOWN OF SOUTHOLD Southold, NY 11971 Dear Scott: Ourrou is sponsoring our TWENTY FOURTH Annual Fourth of July Parade on Monday July e 9 p on the Main Road in the village of Southold from 12:00 to 1:00pm. We request permission from the Town Board to hold this Parade: We are in the process of securing insurance through the North Fork Chamber of Commerce and will send you a copy when it is received. We ask that Route 25-Main Road be blocked off from Boisseau Avenue to Tuckers Lane for the time of the Parade. We invite you and the Town Board and other officials to march in the Parade. We would be proud to have you join us. Yours truly, v` Carol Scott Joan Tyrer 4`. ELIZABETH A. NEVILLE, MMC ® Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER , , ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �,� ��' www.southoldtovmny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK CEIVED TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A fjQ1d:'�0 Cle ft SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. !'- Date of Submission .i , s� Name of Event l Name of Organization: Is this a Not-For-Profit Event?Yes/Nr0 Ce-7 1 Contact's Name: J1 Mailing Address: a V 9 1 Contact's Phone Number: Lk-�•r? S O O Contact's Email Address: •,j 2 %CZ —d ccQT D Cd Event Location and Site Diagram: ' fia,���4�5�'PG•�J IJC-1 04A L(j -� (Use additional paper if necessary) Event Date(s): iY- (Include set up ai shut own times and dates) Nature of Event: :a)-aI--<2.i (Please attach a detailed description to this application) Time Period (Hours) of Event: From Maximum Number of Expected Attendees: Y'l� J Specify any special requirements (i.e. road closure, police presence): i-eej ��`� �c J C--(Jl-,c a l/)� 1 c + i 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 Permit to: C, ) 1 I k Event Fees: ( i'1 $250 for events with less than 1000 expected attendees P 1.Q(i � U $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 CERTIFICATE OF INSURANCE REQUIRED: Not less than $2,000,000 naming the Town of Southold as an additional insured. C ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. J L4 Print name of Authori ed Person filling out Si -ture of Authorized Person ODing out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 \ , 102/25/2022 ATE(MM/DD/YYYY ) .rW-- CERTIFICATE OF LIABILITY INSURANCE 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 be endorsed. If SUBROGATIONIS 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: MCMANN PRICE AGENCY INC 12120205 PHONE (631)477-1680 FAX (631)477-8930 PO BOX 2065 (AIC,No,Ext): (AIC,No): GREENPORT NY 11944 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire Insurance Company 19682 INSURED INSURER B: THE NORTH FORK CHAMBER OF COMMERCE INSURER C: PO BOX 1415 SOUTHOLD NY 11971-0938 INSURER D: 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 EXP LIMITS LTR INSR WVD MMIDDIYYYY MMIDD/Y WY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $300,000 PREMISES Ea occurrence X General Liability MED EXP(Any one person) $10,000 A X 12 SBA BH8373 11/25/2021 11/25/2022 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑PRO- E-1 LOC PRODUCTS-COMP/OP AGG $4,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I ER ANY YIN E.L.EACH ACCIDENT PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008,attached to this policy.RE:With respect to the 4th of July Parade on July 4,2022 CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 1179 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED SOUTHOLD NY 11971-0959 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD a U, Town of Southold Police Department Special Event Cost Analysis Event: Southold Village Merchants July 4th Parade Date(s): July 4, 2022 Location: Southold Village ;Patrol Allo anon for Event` Reg Hours OT Hrs _Hrly Wage Total Comments ;pohce Offi�cers` � LT Grattan 2.5 $236.35 PO Joe Crosser 2.5 $108.90 PO Krause 2.5 $66.87 S 'R ka s a. : ....�° ... ... .� Reg Hours OT Hrs Comments CRU " PO Chenche 2.5 $170.90 PO Sanders 2.5 $137.97 Bicycle�Patrol °� •t..= �►w'i�"y`P'atral �� ��a PO Onufrak 2.5 $181.22 PO Flatley 2.5 $181.22 MariineU,►its M12� '� rv- Reg Hours OT Hrs—" Hrly Wage To Comments TC Officer#1 2.5 $18.00 $45.00 TC Officer#2 2.5 $18.00 $45.00 TC Officer#3 2.5 $18.00 $45.00 TC Officer TC Officer Equipment Costs ' O PD Vehicles #of vehicles $/hr Total 10 $10.00 $250.00 $250.00 Command Van Marine Patrol Boats Total Department Cost for Event = $1,46 .43 Prepared by Chief M. Flatley 2/28/2022 Pagel J :" .: DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/28/2022 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 be endorsed. If SUBROGATIONIS 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: MCMANN PRICE AGENCY INC 12120205 PHONE (631)477-1680 FAX (631)477-8930 PO BOX 2065 (AIC,No,Ext): (AIC,No): E-MAIL ADDRESS: GREENPORT NY 11944 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire Insurance Company 19682 INSURED INSURER B: THE NORTH FORK CHAMBER OF COMMERCE INSURER C: PO BOX 1415 SOUTHOLD NY 11971-0938 INSURER D: 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 EXP LIMITS LTR INSR WVD MMIDDIYYYY MMIDD/Y WY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED $300,000 PREMISES Ea occurrence X General Liability MED EXP(Any one person) $10,000 A X 12 SBA BH8373 11/25/2021 11/25/2022 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 JECT POLICY 1:1 PRO- Fx LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT We accident ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIABOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L.EACH ACCIDENT PRO P RIETO R/PARTN E R/EXECU TI V E OFFICER/MEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008,attached to this policy.RE:With respect to the twenty fourth annual Fourth of July parade being held on Monday,July 4th,2022.Parade route will be from Boisseau Avenue to Tuckers Lane on Route 25 in Southold from 12:00 PM to 1:00 PM. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO Box 1179 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED SOUTHOLD NY 11971-0959 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �u��03� CGZDGa.�ze�> ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/28/22 Receipt#: 294434 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 4th of July $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#127 $250.00 Southold, Village.Merchants Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold, Village Merchants Po Box 1356 Southold, NY 11971 Clerk ID: DENISN Internal ID:4th of July Vendor No. Cheek NoX. Town of Southold, New York - Payment Voucher Vendor NVendor Ad ss Entered by Audit Date::`: ..; Vendor Telephone Number / (/ a�ol Town Clerk; 7,1 Invoice Invoice Invoice j Net Purchase Order Number Dae Total Discount Amount Claimed Number Description of Goods or ServicesGeneral.Ledger Fund and Account;Number �S�b/ Sd �. T;1 030 4: ..... ...... ... . ........ ... ............................ 7 ........... .......... ........... .............. X. ........ .............. X:.:.X.X............. ....... ..... ......................— .................. ............ ... X ......... ...................... ............ ............... ......... ........ .......... .................... d. ............ Total Payee Certification De artme t C tifica ion The undersigned(Claimant)(Acting on behalfofthe above named claimant) I hereby certify that th materials a ov spec' ed ave been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condi ion without u�titu 'on,t e services properly been paid,except as therein stated,that the balance therein stated is actually performed and that ti qu, titles of ave b en verified ' e exceptions due and owing,and that taxes from which the Town is exempt are excluded, or di cre ncies of ,a d pay ent is roved. Signature Title:Deputy Town Clerk Signature Company Name Date Title: Town Clerk Date Southold Town Board - Letter Board Meeting of July 19,2022 RESOLUTION 2022-609 Item# 5.16 ADOPTED DOC ID: 18270 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2022-609 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 19,2022: 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 Mattituck Chamber of Commerce 5/31/2022 250.00 PO Box 1056 Mattituck,NY 11952 New Suffolk Civic Association 4/13/2022 250.00 PO Box 642 New Suffolk,NY 11956 Oysterponds Historical Society 3/18/2022 250.00 PO Box 70 Orient NY 11957 Southold Village Merchants 2/28/2022 250.00 PO Box 1356 Southold NY 11971 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E. Nappa, Councilwoman SECONDER:Jill Doherty, Councilwoman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated July 20, 2022 Page 34