Loading...
HomeMy WebLinkAboutMattituck Lions Club Halloween Parade ELIZABETH A. NEVILLE,MMC ®� ®� Town Hall,53095 Main Road TOWN CLERK �� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Cos ® Fax(631)765-6145 MARRIAGE OFFICER �, ®�. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. `Z Date of Submission /y car /Z-C,2-2— Name of Event d4 z L-co a vE-sc-1 i� 0+v2;P—r Name of Organization: MA r r-I y-�2�� �- t��-�� �-L-Lj Is this a Not-For-Profit Event?Yes/No Contact's Name: >C,0-,k t A Mailing Address: 19A i Z ti/ 0-PT-I 'NLlL Contact's Phone Number: q Li 3 -2-3 c; S--* Contact's Email Address: .> A -v� 'Del v *k I- eyr Event Location and Site Diagram: Y`� A--r-T-1 1--f L i 14-e ©EtP'i (Use additional paper if necessary) 5 ' Event Date(s): 10 / 3 t .L Z- (Include set up and shutdown times and dates) Nature of Event: O-. L-L-u e-.j 9��e✓ (Please attach a detailed description to this application) 'J Time Period (}-lours) of Event: From ✓'1 to Maximum Number-of Expected Attendees: Specify any special requirements (i.e. road closure, police presence): 4.1"-0 Le)-. : if If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 n Mailing Address to Send Event Permit to: 55 . Event Fees: $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 CERTIFICATE OF INSURANCE REQUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY' Additional information and requirements may be required as deemed necessary by the Town Board. t Print name of Authorized Perso b filling out Signature of Auth rized Person filling out licatio application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 F'SQ]�GrrOZr7�LiV-I�vnr r� oos j�� x a ssirl}Jo;suoL7dp, a�uo-'Plly. uo1;Q�o��e�urSt OOT ELL ltf�r: - sneiN= _• • • vim' , , J/�j//••�`\�\\ \�.�/ \J � ✓' 1 r <®>) ;es as IC• ' Rudder, Lynda From: Flatley, Martin Sent: Friday, October 28, 2022 3:25 PM To: Rudder, Lynda; Blasko, Regina; Burke,John; Doroski, Melanie; Easton,James; Ginas, James; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: RE: Halloween parade - IMPORTANT -NEEDS ATTENTION TODAY i Hi Lyn, I have no objections to this event being held.We have discussed with MFD and they will be handling the road closure. Patrol will check on to ensure they have enough personnel to complete road closure. Not cost to our department at this time. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,you are hereby notified that any review, retransmission, conversion to hard copy,copying, reproduction,circulation, publication, dissemination or other use of, or taking of any action, or omission to take action, in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error, please (i) notify us immediately by telephone at 631.765.2600, (ii) return the original message and all copies to us at the address above via the U.S. Postal Service, and (iii)delete the message and any material attached thereto from any computer, disk drive, diskette, or other storage device or.media. -----Original Message----- From: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Friday, October 28, 2022 3:16 PM 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.mirabell i@town.southoId.ny.us>; Norklun, Stacey <Stacey.Norklun @town.southold.ny.us>;Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Subject: Halloween parade- IMPORTANT-NEEDS ATTENTION TODAY Importance: High Please review and approve/disapprove and send cost analysis ASAPIII Your message is ready to be sent with the following file or link attachments: matt halloween_20221028151321.pdf 1 Note:'To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 2 DATE(MMIDDIYYYY) ACCW® CERTIFICATE OF LIABILITY( INSURANCE 10/28/2022 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(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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CO;EcT John Adams DSP Insurance Services,Inc. PHONE N., Ex 1-800-316-6705 d+c Nn: 847-934-6186 1900 E. Golf Road, Suite 650 ADDRESS, IionsGlubs@dspins.com Schaumburg, IL 60173 INSURERS AFFORDING COVERAGE NAiCtJ INSURER A: ACE American Insurance Company 22667 INSURED INSURER B: 114SURER C: Mattituck Lions Club Mattituck New York INSURER D: INSURER E: 1149URER 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. INR A D S B POLICY EFF POLICY EXP LIMITS OF INSURANCE POLICY NUMBER MMIDD+YYYY MMIDD+YYYY A GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S 1,000,000 CLAIMS-(MADE OCCUR LIED EXP( one person) S 5,000 X AgaPer Namedlns1 HDOG47352241 09/01/2022 09/01/2023 PERSONAL&AOV INJURY $ 1,000,000 is$2,000,000 GENERAL AGGREGATE S 10,000.000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 2,000,000 X POLICY PRO ECT LOG S A AUTOMOBILE LIABILITY (Ea a1B1 deer SINGLE LIMIT S1,000,000 ANY AUTO BODILY INJURY(Per person) S ALS ED SSCCHiEEDULED OS ISA H10761220 09/01/2022 09/01/2023 BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Per accident S UMBRELLA LiAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAINIS-MADE AGGREGATE S QED RETENTIONS S WORKERS COMPENSATION WG STRT'RYMU- 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR+PARTNER+EXECUTIVE Y� N/A E.L EACH ACCIDENT S MFandatory In NHj EXCLUDED? E.L.DISEASE-EA EMPLOYEE S t4 yyea describe under E.L.DISEASE-POLICY LIMIT S DESG�RIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above:MLC 2022 Halloween Parade The following persons or organizations granting use of real property,including structures thereon are included as Additional Insured(s),but only with respect to General Liability arising out of the use of premises by the insured shown above and not out of the sole negligence of said additional insured. ***Town of Southold*** PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold New York 11971 AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Rudder, Lynda From: Flatley, Martin Sent: Friday, October 28, 2022 3:25 PM To: Rudder, Lynda; Blasko, Regina, Burke,John; Doroski, Melanie; Easton,James; Ginas, James; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Spiro, Melissa Subject: RE: Halloween parade - IMPORTANT -NEEDS ATTENTION TODAY Hi Lyn, I have no objections to this event being held. We have discussed with MFD and they will be handling the road closure. Patrol will check on to ensure they have enough personnel to complete road closure. Not cost to our department at this time. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any review, retransmission, conversion to hard copy, copying, reproduction, circulation, publication, dissemination or other use of, or taking of any action, or omission to take action, in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error, please (i) notify us immediately by telephone at 631.765.2600, (ii) return the original message and all copies to us at the address above via the U.S. Postal Service, and (iii) delete the message and any material attached thereto from any computer, disk drive, diskette, or other storage device or media. -----Original Message----- From: Rudder, Lynda <lynda.rudder@town.southold.ny.us> Sent: Friday, October 28, 202.2 3:16 PM 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: Halloween parade- IMPORTANT-NEEDS ATTENTION TODAY Importance: High Please review and approve/disapprove and send cost analysis ASAPI I I Your message is ready to be sent with the following file or link attachments: matt halloween_20221028151321.pdf 1 Southold Town Board - Letter Board Meeting of November 1, 2022 RESOLUTION 2022-887 Item# 5.22 y . ADOPTED DOC ID: 18535 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-887 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 1, 2022: RESOLVED that the Town Board of the Town of Southold hereby ratifies a resolution granting permission to the Mattituck Lions Club for its Annual Halloween Parade in Mattituck, on Monday, October 31, 2022 beginning at 6:00 PM, provided they adhere to the Town of Southold Policy for Special Events on Town Properties and Roads. All Town fees for this event, with the exception of the Clean-up Deposit, are waived. �L ';�� Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Brian O. Mealy, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated November 2, 2022 Page 32