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HomeMy WebLinkAboutOrient Fire Department Memorial Day Parade I r I RESOLUTION 2023-345 ADOPTED DOC ID: 19044 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-345 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 11,2023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Orient Fire Department to use the following route for its Annual Memorial Day Parade in Orient on Monday, May 29, 2023 beginning at 7:00 AM to begin at the Firehouse and take Tabor Road to Orchard Street to Navy Street to Village Lane to Main Road and back to the Firehouse, provided they follow all the conditions in the Town's Policy for Special Events on Town Properties and subject to the applicant's compliance with all executive orders of the State of New York.. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell r � Town Hall,53095 Main Road DENIS NONCARROW TOWN CLERK ` `` P.O.Box 1179 Uar ;. Southold,New York 11971 � REGISTRAR OF VITAL STATISTICS . Fax(631)765-6145 MARRIAGE OFFICER ``pgTelephone(631)765-1800 RECORDS MANAGEMENT OFFICER "p/ www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK. TOWN OF SOUTHOLD MAR 3 0 2023 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL E'VtNT Plwise provide ALL of the information reofuested below:Ineamplete applidations WILL NOT be reviewed. Date of Submission Name of Event / O (�1tifflfgjd ,` l cZ�`�z� �---- Name of Organization: &t Is this allot-For-Profit Event? o Contact's Name: Zijfflker Mailing Address:0 ��N% 6 Contact's Phone Number: a�� -Sr]� //r l �� r Contact's Email Address: ori 1�eLE by ► -s. MC--; Y I Sle Event Location and Site Diagram: — �z �� A 1 (Use additional paper if necessary) Lq Event Date(s): A1&;V-1 oZ ` (Includes set up And shutdown ti es�annd dates) Nature of EvenJZpO t (Please attach a detailed descri tion to this application) Time Period(Hours)of Event: From �, �i)A- to !1 00 AM . Maximum Number of Expected Attendees: I-CN 0 Specify any special requirements (i.e. road closure, police presence): i°a `6f "I �' r C M v N i TO , " 1 ae1/1 S J I I�,. W o V vat ems— P �A- � (�� � �� �_ i it If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Af Mailing Address to Send Event Permit to: `�Ry I '!�ka v 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 RhQUI tb; 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. l Print name of Authorized Person filling out Signature a uthor ed Perso fil ' g out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 1 V '`L r Co P S . OR � O d CEM .- CENTRAL CE tf. Y. C . c, i 0 l0-to �C O KING r O 4c - i1 �C3 `rw ibool a.rA Tt J�v P'Av 4 s: TID AA Po ej A.b I IF* TD / OC Y z ORIEFIR-01 CFRITZ ACORO� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/27/2023 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 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 CONT AMEACT Cassandra Fritz Lupton&Luce,Inc. PHONE 225 Howell Ave (A/C,No,Ext):(631)727-4114 245 (AIC,Na):(631)727-7138 Riverhead,NY 11901 E-MAIL Cassandra@luptonandluce.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Arch Insurance Group 11150 INSURED INSURER B: Orient Fire District INSURER C _ _ 23300 Main Road INSURER D: Orient,NY 11957 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I SD WVD POLICY NUMBER M DNYYYI (MM/DD1YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEEX]OCCURX MEPK10405503 9/15/2022 9/15/2023 DAMAGE TO RENTED 300,000 RE Iv(v ISE_S�Ea occu rence)_ $ _ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY F—I jE o F-1 LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (F_a_accident) $ ANY AUTO MEPK10405503 9/15/2022 9/15/2023 BODILY INJURY(Per person) $ _ OWNEDX SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNEp PROPERTY DAMAGE AUTOS ONLY AUTOS ONLrr Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE MEUM09312703 9/15/2022 9/15/2023 AGGREGATE $ 10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NSTTALU ANY PROPRIETOR/PARTNER/EXECUTIVE F-1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Memorial Day Parade Certificate holder is included as additional insured per provisions of attached endorsement#GL2014 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Main Southold ACCORDANCE WITH THE POLICY PROVISIONS. Rd PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Southold Police Department Special Event Cost Analysis Event: Orient Fire Department Memorial Day Parade Date(s): May 29, 2023 Location: I Orient Village 7 77,777`7' Patrol Allocafion,for.•"E"vent .;• Reg Hours OT Hrs Hrly Wage Total Comments Police_—6ffi6'e_'_W -P.O. Mele 1 1 $46.93 7pi R'egHours JOTHrs I Comments z 7" Bicycle Patrbf7'..7-1, Kv !ji OhWA yOkjrd PO Onufral­­ 1 $72.49 Marine Units mm 7 77 bjjfr-&'lF7—7,7777, -7 ' Fa—f Traffic_C Reg Hours FOTHrs Hrly Wage Total Comments TC Officer 1 $18.64 $18.64 TC Officer TC Officer TC Officer TC Officer - ui OS 77-PD� 7, ps Vehicles #of vehicles $/hr ::L Total 3 $10.00 $30.00 $30.00 Command Van Marine Patrol Boats ,Total Department Cost for Event = $168.06 Prepared by Chief M. Flatley 3/30/2023 Page 1 Mudd, Jennifer From: Mudd,Jennifer Sent: Thursday, March 30, 2023 11:34 AM To: Blasko, Regina; Flatley, Martin; Ginas,James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; DeChance, Paul; McGivney, Julie; Mirabelli, Melissa; Squicciarini,James Cc: Born, Sabrina; Franke, Diana Subject: Orient Fire Department - Memorial Day Parade Attachments: Special Event- Orient Fire Dept (Mem Day Parade).pdf Please see attached. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 1 Mudd, Jennifer From: Flatley, Martin Sent: Thursday, March 30, 2023 12:10 PM To: Mudd,Jennifer, Blasko, Regina; Ginas,James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; DeChance, Paul; McGivney, Julie; Mirabelli, Melissa; Squicciarini, James Cc: Born, Sabrina; Franke, Diana Subject: RE: Orient Fire Department - Memorial Day Parade Attachments: Orient FD Memorial Day Parade2023.xls I have no objections to this event being approved. 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 fi 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: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Sent:Thursday, March 30, 2023 11:34 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James <jginas@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; McGivney,Julie <juliem@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny,us>; Squicciarini,James <jacks@southoldtownny.gov> Cc: Born, Sabrina <sabrina.born @town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us> Subject: Orient Fire Department- Memorial Day Parade Please see attached. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk r Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/30/23 Receipt#: 309074 Quantity Transactions Reference Subtotal 1 Event Fee 05/29/2023 $250.00 -1 Event Fee 05/29/2023 -$250.00 Total Paid: $0.00 Notes: r d � Payment Type Amount Paid By 1 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Orient, Fire Department 23300 Main Road Orient, NY 11957 Clerk ID: JENNIFER Internal ID: 05/29/2023 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/30/23 Receipt#: 309287 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 5/29/2023 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1764 $250.00 Orient, Fire Department Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Orient, Fire Department 23300 Main Road Orient, NY 11957 Clerk ID: JENNIFER Internal ID:5/29/2023 DENIS NONCARROW �� G.j� Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 W 2 Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS Q � .F Fax(631)765-6145 MARRIAGE OFFICER 'f' Q� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �Ol `1►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Burke Libert Orient Fire Dept. 23300 Main Rd. Orient NY 11957 April 13, 2023 Dear Burke The Southold Town Board, at its regular meeting held on April 11th,-the Town Board granted permission to Orient Fire Department to hold its Memorial Day Parade on Mary 29th 2023 . 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. Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Orient Fire Department 23300 Main Road Orient NY 11957 Audit Date Vendor Telephone Number Town Clerk Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number 5/6/2023 250.00 250.00 23-518 Clean up DE eposit Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition ut substit ion,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the antiti they have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or d' crepanci s no I ,and pa ent is approved. Signature Title Signature Company Name Date Title Gi..i G `'/ Date —:;' Southold Town Board - Letter Board Meeting of June 6, 2023 RESOLUTION 2023-518 Item# 5.12 oy�0fa� ADOPTED DOC ID: 19214 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-518 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 6,2023: WHEREAS the following groups have supplied the Town of Southold with a re-fundable Clean- up Deposit fee, for their events and i WHEREAS the Southold Town Police Chief, Martin Flatley, has informed the Town Clerk's office that this fee may be refunded,now therefore 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 Orient Fire Department 3/30/23 $ 250.00 23300 Main Road Orient,NY 11957 Bike Shows USA 2/2/23 $ 1500.00 230 Smith Hughes Road Narrowsburg,NY 12764 CAST 2/22/22 $ 1500.00 EventPower 98 Southdown Rd. Huntington,NY 11743 CAST 2/10/23 $ 1500.00 EventPower 98 Southdown Rd. Huntington,NY 11743 Mark MacNish 4/7/2023 $ 250.00 Cutchogue New Suffolk Historical Society PO Box 714 Cutchogue,NY 11935 Mattituck American Legion 1/30/23 $ 250.00 Generated June 7, 2023 Page 23 ORIENT FIRE DISTRICT 23300 Main Road', Orieir t, NY 11957 31-32.3.,,,244,5 - FAX 631,323,,,.970 oo@ientfired@olltouriline.net Supervisor Scott Russell May 18, 2023 Town of Southold P.O. Box 1179 Southold, NY 11971 Dear Supervisor Russell, This letter is similar to the one sent to you and the Town Board in April 2022 with no satisfaction. The Board of Fire Commissioners supports the Orient Fire Departments participation in the annual Memorial Day Parade to be held on May 29, 2023 which is an event that has taken place for decades. The last leg of the parade heads north on Village Lane to the Civil War Monument on the corner of Main Road and Village Lane. Then the route goes from the monument on Main Road to the Firehouse on the corner of Main and Tabor Roads. This procession lasts about 20 minutes which includes Fire Department members and community participants. Main Road must be closed for this short period of time with no one lane going past to protect Department marchers and community participants. As it has done in the past,the Fire Department will communicate with the Cross Sound Ferry of the closing so it does not impede on holiday travelers. This is similar to any parade that is held in the Town of Southold, as it may inconvenience travelers but it is for a short period of time. Thank you in advance for your cooperation on this important matter. Sincerely, Donald R. Sayre, District Secretary cc: Southold Town Board RESOLUTION 2023-345 ADOPTED DOC ID: 19044 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-345 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 11,2023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Orient Fire Department to use the following route for its Annual Memorial Day Parade in Orient on Monday, May 29, 2023 beginning at 7:00 AM to begin at the Firehouse and take Tabor Road to Orchard Street to Navy Street to Village Lane to Main Road and back to the Firehouse, provided they follow all the conditions in the Town's Policy for Special Events on Town Properties and subject to the applicant's compliance with all executive orders of the State of New York.. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell DENIS NONCARROW 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.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAR 3 0 2023 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL E'V#,NT ' Ple,,se provide ALL cif the inforniation requested below'Iueatuplete anlilications WILL NOT be reviewed. Date of Submission Name of Event I / D AIT— Name of Organization: Is this a Not-For-Profit Event? o Contact's Name: �yR%if � (J Mailing Address: Contact's Phone Number: "3` "-S9 cr r7 Contact's Email Address: bur,ke.Lf 14y ►"r- �✓1 z �d� Event Location and Site Diagram: r4 A- �-e 1 V `� -�� (Use additional paper if necessary) fi is , Event Date(s) oZ (Include set tip-And shutdown ti es and dates) Nature of Event: t f (Please attach a detailed descri tion to this application) Time Period(Hours)of Event: From rj, � to !g, 0(] Maximum Number of Expected Attendees: Specify any special requirements (i.e. road closure,police presence): c mt--;C 44 v N 1 To S, �J� _ BVILIOS 8 I f L� ��� ' r If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Ah Mailing Address io Send Event Permit to: 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. Print name of Authorized Person filling out Signatur uthor ed Perso fil ' gout application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 y to (D ORI 46- v P S. ••Y1' CE M A � CENTRAL CEM. Y. C . �- �+ zo LO c ti tttN � � S tom/S1 err' <3 `V,I+`V30. CZE Tt 0 r o Gr v QOJ �O ti-AV 67- • TID . o u / ac Y z ORIEFIR-01 CFRITZ ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MIYYYY) � 3/27/122D023 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 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 Cassandra Fritz NAME: Lupton&Luce,Inc. PHONE 225 Howell Ave (A/C,No,Ext):(631)727-4114 245 (AIC,No):(631)727-7138 Riverhead,NY 11901 E-MAIL Cassandra@luptonandluce.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arch Insurance Group 11150 INSURED INSURERS: Orient Fire District INSURERC: 23300 Main Road INSURER D; Orient,NY 11957 INSURERE: 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 INSD ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD M DD M DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCURMEPK10405503 9/15/2022 9/15/2023 DAMAGE TO RENTED 300,000 X PREMISES(Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY❑JECT FJ LOC PRODUCTS-COMP/OP AGO $ 10,000,000 OTHER: $ A AUTOMOBILE LIABILITY L �BI�" n SINGLE LIMIT $ 1,000,000 ANY AUTO MEPK10405503 9/15/2022 9/15/2023 BODILY INJURY Perperson) $ OWNEDIX SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X H�RED NON-OWNEg Pe�aC., tDAMAGE $ A TOS ONLY AUTOS ONL A X UMBRELLA LIAR I X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE MEUM09312703 9/15/2022 9/15/2023 AGGREGATE $ 10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN TAT T_ ANY PROPRIETOR/PARTNER/EXECUTIVE [_1 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Memorial Day Parade Certificate holder is included as additional insured per provisions of attached endorsement#GL2014 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Main Southold ACCORDANCE WITH THE POLICY PROVISIONS. Rd PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Southold Police Department Special Event Cost Analysis Event: Orient Fire Department Memorial Day Parade Date(s): May 29, 2023 Location: I Orient Village Patrol"Allocation for."Event Reg Hours OT Hrs Hrly Wage Total Comments Police Officers P.O. Mele 1 1 $46.93 Special Patrat ' " Reg Hours OT Hrs Comments Bicycle Patrol-- K-9.Unit . Highway,Patrol__ ,..__ PO Onufrak 1 $72.49 Marine""Units . Traffic"Cpntrol Reg Hours OT Hrs Hrly Wage Total Co1.mments TC Officer 1 $18.64 $18.64 TC Officer TC Officer TC Officer TC Officer Equipment Cpsts . - - PD Vehicles #of vehicles $/hr Total 3 $10.00 $30.00 $30.00 Command Van Marine Patrol Boats Total Department Cost for Event = $166.06 Prepared by Chief M. Flatley 3/30/2023 Page 1 Mudd, Jennifer From: Mudd, Jennifer Sent: Thursday, March 30, 2023 11:34 AM To: Blasko, Regina; Flatley, Martin; Ginas,James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; DeChance, Paul; McGivney, Julie; Mirabelli, Melissa; Squicciarini,James Cc: Born, Sabrina; Franke, Diana Subject: Orient Fire Department- Memorial Day Parade Attachments: Special Event - Orient Fire Dept (Mem Day Parade).pdf Please see attached. Thank you, Jew Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 1 Mudd, Jennifer From: Flatley, Martin Sent: Thursday,.March 30, 2023 12:10 PM To: Mudd, Jennifer; Blasko, Regina; Ginas, James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; DeChance, Paul; McGivney,Julie; Mirabelli, Melissa; Squicciarini, James Cc: Born, Sabrina; Franke, Diana Subject: RE: Orient Fire Department- Memorial Day Parade Attachments: Orient FD Memorial Day Parade2023.xls I have no objections to this event being approved. 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. From: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Sent:Thursday, March 30, 2023 11:34 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James <jginas@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Orientale, Michael<michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; McGivney,Julie <juliem@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Squicciarini,James <jacks@southoldtownny.gov> Cc: Born, Sabrina <sabrina.born@town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us> Subject: Orient Fire Department- Memorial Day Parade Please see attached. Thank you, Jew Jennifer M.Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/30/23 Receipt#: 309074 Quantity Transactions Reference Subtotal 1 Event Fee 05/29/2023 $250.00 -1 Event Fee 05/29/2023 -$250.00 Total Paid: $0.00 Notes: jj Payment Type Amount Paid By O VI/1 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Orient, Fire Department 23300 Main Road Orient, NY 11957 Clerk ID: JENNIFER Internal ID:05/29/2023 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/30/23 Receipt#: 309287 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 5/29/2023 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1764 $250.00 Orient, Fire Department Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Orient, Fire Department 23300.Main Road Orient, NY 11957 Clerk ID: JENNIFER Internal ID:5/29/2023 DENIS NONCARROW =� G.j� Town Hall,53095 Main Road TOWN CLERK p- P.O.Box 1179 ca = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q .F Fax(631)765-6145 MARRIAGE OFFICER 'j' Q`' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��l �a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Burke Libert Orient Fire Dept. 23300 Main Rd. Orient NY 11957 April 13, 2023 Dear Burke The Southold Town Board, at its regular meeting held on April l lth,_the Town Board granted permission to Orient Fire Department to hold its Memorial Day Parade on Mary 29" 2023 . 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.