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HomeMy WebLinkAboutEast End Hospice - Tree of Lights DENIS NONCARROW a� Gy Town Hall,53095 Main Road TOWN CLERK o= P.O.Box 1179 0 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q Fax(631)765-6145 MARRIAGE OFFICER ® Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER 1 '1► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 16, 2022 Debbie Doyle East End Hospice PO Box 1048 Westhampton Beach,NY 11978 Dear Ms. Doyle: The Southold Town Board, at its regular meeting held on November 15, 2022, granted permission to the East End Hospice to hold its annual Tree of Lights Memorial Service on Sunday, December 4, 2022, 1:00 pm to 3:30 pm. A certified copy of the resolution is enclosed. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. Please be sure to contact Captain Ginas, at the Police Department, 631-765-2600, as soon as possible,to coordinate traffic control if required. Very truly yours, 1,2 Sabrina M. Born Deputy Town Clerk Encl. Southold Town Board - Letter Board Meeting of November 15, 2022 RESOLUTION 2022-916 Item# 5.19 ADOPTED DOC ID: 18567 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2022-916 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 15,2022: RESOLVED that the Town Board of the Town of Southold hereby grants permission to East End Hospice to hold its East End Hospice Tree of Lights on the Cutchogue Village Green on Sunday, December 4, 2022 from 1:00 PM to 3:30 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. 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 Generated November 16, 2022 Page 31 T V ELIZABETH A.NEVILLE MMC r;, a"'+ j"•s" `=;:.t`� .' Town Hall,53095 Main Road -T- TOWN CLERK ;S ;' '`�'s°'t : '. i PO.Boz 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS '�l,•:{,,, 'r' ;,�_.,. ;'��� q, ',: Fax 631 765-6145 MARRIAGE OFFICER . `°: `. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICERRECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD NOV 1 O 2022 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL EVENT Please provide ALL ol'rlie infarmxtio❑ rec ucsted hclo►v. Ineum fletc,►>rlicafioirs 1VII1L\'O'1'be reviewed. Date of Submission Gn� �11�(�l�C�. � li�E U� L��� fi�—M•�I`'lU}rtc+.l• Name of Fvcnt -•� - rn 1 Name of Organization: _ RS 1 E I v{' BOS E`�� Is this a Not-For-Profit Event?Yes/No_ �_U����-�5.— --- —- — ` --� Contact's Name:`��:!�� - __.. - �• Mailing Address: Contact's Phone Number:" _��-,,ll.__. Contact's Email Address: 11L_ _a Event Location and Site Diagram: (Use additional paper if necessary,) Event Date(s): - 1-- (include set up and shutdoh Mmes and dates �� 14� C�,•��UITJ �lr�o lac � �-C�i�. Nature of Event: & - to this a licati n) Please attach a de. descript!on PP Time Period(Hours) of Event: From ��—to___-- Maximum Number ofExpected.Attendees: .__�_.�_�O—•- -- Specify any special requirements(1-le.road closure, police presence): ... Revised 815/15 If a"fent or other temporary structure will be used please contact the Southold Town Building Department at631-765-1502 �cc5 i E�nG{ C2, �L FOX Mailing Address to Send Event Permit to: Evens Fees; r`l� $250 for events with less than 1000 expected attendees $500 I'or 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 C'I'I RTll"IC l'1'!' Oh HNISli0�lC'1 'll(.UUIIZIa); Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE- PLEASE Sli,E AATTACI-lrD REVISED r1DOPTED TOWN POLIO ' Additional information and requirements may be required as deemed necessary by'the Town Board. bl� _ _ to - - — in out Sig re o utho zed Person ng out application Print name of Auth oriz Person filling application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 Revised 3/21/16 ' I Client#:3328 EASTEND46 ACORD_ abTERCATE OF LIABTY WSURANCE DRTE(MIAIDDIYYYY) 0410612021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIF.ICATE.DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES IELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ,iEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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.Astatement on this certificate does not confer any rights to the certificate)I older in lieu of such endorsement(s). PRODUCER ' NAMEac Commerclal Support Edgewood Partners Ins.Center AHC No Ex1:631$24-1440• -- alc No 40 Marcus Drive Ala-MDAIL certificates@cookmaran.com 3rd Floor INSURCRIS)AFFORDING COVERAGE NAIC N Melville,NY 11747 INSURER A:Nat'l Union Fire Ins Co Pittsburgh PA 19445 INSURED INSURER B: East End Hospice Inc P.O.Box 1046 INSURER C: Westhampton Beach,NY 11978 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 CONTRACTOR 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 ADO SUER POLICY EFF POLICY E TYPE OF INSURANCE XP LIMITS,LTR POLICYNUP48ER MMID IYYYY MMIDD A X COMMERCIAL GENERAL LIABILITY VHNUHG001102701 0410-VAA, 0410 UEACH OCCURRENCE 31,000,000 CLAIMS-MADE O OCCUR PREr,IIS�S Ea occcuErrenee 51 1 000 1 000 MED EXP(Any oneperson) 550,000 PERSONALE ADV INJURY S1 000,000 Ge,m AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 53 000,000 X POLICY❑JECT EILOC PRODUCTS-COMPIOPAGG 53,000,000 OTHER: S COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY VHNUHA001103601 04161 04/01 p��. Ea accIdenl $1,000,000 ANY AUTO BODILY INJURY(Perpersan) 5 04VNED X SCHEDULED BODILY INJURY(Per accidcni) S AUTOS ONLY AU70S PROPERTY DAMAGE 5 X A'UTOS'ONLY X AUTOS ONLDY 'Pcr acddant S A UMBRELLA LIAB X OCCUR VHNUHX001103701 041011,29 04/01 R EACHOCCURRENCE 55,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DEO I I RETENTION 5 I S WORKERS COMPENSATION PER DTH• AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT Is _ OFFICER/MEMBER EXCLUOED7 N I A (Mondalory In N11) E.L,DISEASE.EA EMPLOYEEI S If yes,describe under DESCRIPTION OF OPERATIONS befo•.v E.L.DISEASE•POLICY LIMIT I S DESCRIPTION,OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 10i,Addillonal Rcmarks Schcdulc,may be atlnched Umbra spice Is'rcqulrcd) 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,NY 11971-0000 AUTHORIZED REPRESENTATIVE I p�yl��-0C r ©198B-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S30105401M301'0485 CCUMM a Born, Sabrina From: Born, Sabrina Sent: Thursday, November 10, 2022 9:18 AM To: Blasko, Regina; Burke,John; Flatley, Martin; Ginas,James; Goodwin, Dan; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Rudder, Lynda Subject: Emailing: E End Hospice Sp Ev_20221110100824.pdf Attachments: E End Hospice Sp Ev_20221110100824.pdf Good Morning, Attached above is a special event application from East End Hospice. Please provide approval/disapproval and cost analyst, if any. Thank you, S 4 W Eau Sub-Registrar& Deputy Town Clerk Account Clerk Typist Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: E End Hospice Sp Ev_20221110100824.pdf 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. . 1 Born, Sabrina From: Spiro, Melissa Sent: Thursday, November 10, 2022 9:25 AM To: Born, Sabrina Subject: RE: Emailing: E End Hospice Sp Ev_20221110100824.pdf This is not considered preserved land. Melissa S. From: Born,Sabrina <sabrina.born@town.southold.ny.us> Sent:Thursday, November 10, 2022 9:18 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>;Goodwin, Dan <dang@southoldtownny.gov>; Hagan, Damon<damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Crientale, Michael <michaelo@southoldtownny.gov>;Spiro, Melissa<Melissa.Spiro@town.southold.ny.us> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Rudder, Lynda<lynda.rudder@town.southold.ny.us> Subject: Emailing: E End Hospice Sp Ev_20221110100824.pdf Good Morning, Attached above is a special event application from East End Hospice. Please provide approval/disapproval and cost analyst, if any. Thank you, sa&&a W, vow Sub-Registrar& Deputy Town Clerk Account Clerk Typist Southold Town Clerk's Office 53095 Route 25 P.O.Sox 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: E End Hospice Sp Ev_20221110100824.pdf 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. 1 Born, Sabrina From: Flatley, Martin Sent: Thursday, November 10, 2022 9:26 AM To: Born, Sabrina; Blasko, Regina; Burke, John; Ginas, James; Goodwin, Dan; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Rudder, Lynda Subject: RE: Emailing: E End Hospice Sp Ev_20221110100824.pdf Received,there is no cost incurred by our department for this event Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 s - 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, (fi)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: Born, Sabrina <sabrina.born@town.southold.ny.us> Sent:Thursday, November 10, 2022 9:18 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John <johnbu@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Rudder, Lynda <lynda.rudder@town.southold.ny.us> Subject: Emailing: E End Hospice Sp Ev_20221110100824.pdf Good Morning, Attached above is a special event application from East End Hospice. Please provide approval/disapproval and cost analyst, if any. Thank you, , 97aw Sub-Registrar& Deputy Town Clerk Account Clerk Typist Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 1 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: E End Hospice Sp Ev_20221110100824.pdf 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. z Rudder, Lynda From: Flatley, Martin Sent: Thursday, November 10, 2022 9:26 AM To: Born, Sabrina; Blasko, Regina; Burke,John; Ginas, James; Goodwin, Dan; Hagan, Damon; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Rudder, Lynda Subject: RE: Emailing: E End Hospice Sp Ev_20221110100824.pdf Received,there is no cost incurred by our department for this event 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: Born, Sabrina <sabrina.born@town.southold.ny.us> Sent:Thursday, November 10, 2022 9:18 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Burke,John<johnbu@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; Hagan, Damon <damonh@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Rudder, Lynda <lynda.rudder@town.southold.ny.us> Subject: Emailing: E End Hospice Sp Ev_20221110100824.pdf Good Morning, Attached above is a special event application from East End Hospice. Please provide approval/disapproval and cost analyst, if any. Thank you, a 6611, Sub-Registrar& Deputy Town Clerk Account Clerk Typist Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 1 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: E End Hospice Sp Ev_20221110100824.pdf 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