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Antique Power Assoc. - Tractor Ride
Southold Town Board - Letter Board Meeting of March 28, 2023 RESOLUTION 2023-311 Item# 5.13 oy"Of F Baa ADOPTED DOC ID: 19010 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-311 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 28, 2023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to LI Antique Power Association to hold a Fundraiser Tractor Ride on April 30th, 2023, provided they adhere to all conditions on the application and permit and to the Town of Southold Policy for Special Events. 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: Greg Doroski, Councilman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated March 29, 2023 Page 27 ®- QosfFO[,�-c DENIS NONCARROW �� O�s� Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® otl` Fax(631)765-6145 MARRIAGE OFFICER '�' RECORDS MANAGEMENT OFFICER �ol .��� Telephone oldt -nny.g00 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 29, 2023 Long Island Antique Power Association PO Box 1134 Riverhead,NY 11901 To Whom It May Concern: The Southold Town Board, at its regular meeting held on Tuesday, March 281h, 2023 granted permission to LI Antique Power Association to hold a Fundraiser Tractor Ride on April)3 0th, 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, 631-765-2600, as soon as possible, to coordinate traffic control. Very truly yours, Denis Noncarrow Southold Town Clerk Enc. DENIS NONCARROW �� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ip 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 RECEIVED TOWN OF SOUTHOLD MAR 14 2023 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EV-9NT Southold Town Clerk Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Date of Submission Name of Event Name of Organization: Is this a Not-For-Profit Event. es/No Contact's Name: Mailing Address: ( I�- y�>—"j`� �.�u �� Gv\ Contact's Phone Number: Contact's Email Address: Event Location and Site Diagram: ��S`f �dL�� �1y �sfy) (Use additi nal paper if necessary) Event Date(-): (Include set u and shutdown times and dates) Nature of Event: U (Please attach a detailed description to this application) Time Period (Hours)of Event: From y�� to © iM Maximum Number of Expected Attendees: Specify any special requirements (i.e. road closure, police presence): 0 1 C.Q C 0 V% �0u"N o �� .O 6c,>n5 (6S � �s�. Td �Goc'`cQ- If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 I l Mailing Address to Send Event Permit to: l Ute``�`� cc"j r Event Fees: WaA r V $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) 5250 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 m�of Authorized Person filling out Signa of uthorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 ,acoRo® CERTIFICATE OF LIABILITY INSURANCE DATE 03/07/2023 Y) 03/07/2023 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(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: EPIC Kirk Farm Family Casualty Insurance Company PHcON o Ext: 631-727-7767 ac No;631-727-7941 18 First Street E-MAIL Y ADDRESS: karla.a ala american-national.com 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 INSURER D 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 FF POLICY EXP LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MM POLICY DD/YEYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 3101X1843 12/22/202212/22/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX PREMISESS OCCUR DAMAGE (RENTED 100 000 Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1 PES � LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDT I RETENTION$ $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEF-1 N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLU DED? (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,maybe attached If more space Is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED Event date is April 30th with a rain date of May 7th. 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 53095 Rout 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Southold, NY 11971 Kirk Associates LTD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Born, Sabrina From: Born, Sabrina Sent: Tuesday, March 14, 2023 1:48 PM To: Blasko, Regina; Flatley, Martin; Ginas, James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; McGivney,Julie; Mirabelli, Melissa; Paul DeChance; Squicciarini,James Subject: LI Antique Pwr Assoc. Spec. Evnt Attachments: Sp Ev-LI Antique Pwr Ass_20230314132800.pdf Please provide approval/disapproval and a cost analyst. Thank you, Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk 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: Sp Ev-LI Antique Pwr Ass_20230314132800.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 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/14/23 Receipt#: 308773 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 4/30/23 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#2177 $250.00 Long, Island Antique Power Assc. Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Long, Island Antique Power Assc. Po Box 1134 Riverhead, NY 11901 Clerk ID: SABRINA Internal ID:4/30/23 Born, Sabrina From: Flatley, Martin Sent: Tuesday, March 14, 2023 2:18 PM To: Born, Sabrina; Blasko, Regina; Ginas,James; Goodwin, Dan; McCullough, Lillian; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; McGivney,Julie; Mirabelli, Melissa; DeChance, Paul; Squicciarini,James Subject: RE: LI Antique Pwr Assoc. Spec. Evnt Attachments: Tractor RideCA2023.xls I have no objections to this event being held as in the past. 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: Born,Sabrina <sabrina.born@town.southold.ny.us> Sent:Tuesday, March 14, 2023 1:49 PM 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.southo Id.ny.us>; Orientale, Michael<michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; McGivney,Julie <juliem@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Squicciarini,James <jacks@southoldtownny.gov> Subject: LI Antique Pwr Assoc. Spec. Evnt Please provide approval/disapproval and a cost analyst. Thank you, Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk Southold Town Clerk's Office 53095 Route 25 i 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: Sp Ev-LI Antique Pwr Ass_20230314132800.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 Town of Southold Police Department Special Event Cost Analysis Event: 9th Annual Ride For A Cause (Tractor Ride) I Date(s): April 30, 2023 Location: I Mattituck-Cutchogue n Reg Hours OT Hrs Hrly Wage Total Comments PoficeOfficrs =;'k X Reg Hours -1( �Hrly Wage Total Comments PO Onufrak 3 $217.47 Traffic Reg Hours OT Hrs Hrly Wage Total Comments TC Officer TC Officer TC Officer TC Officer TC Officer gipment Costs '.. D Vehicles #of vehicles $/hr Total 1 $10.00 $30.00 $90.00 Command Van Marine Patrol Boats ,Total Department Cost for Event 7 Prepared by Chief M. Flatley 3/14/2023 Page 1 J Southold Town Board - Letter Board Meeting of May 23, 2023 ON) RESOLUTION 2023-458 Item# 5.19 +;< ADOPTED DOC ID: 19154 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-458 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 23, 2023: 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 3/14/23 $ 250.00 PO Box 1134 Riverhead, NY 11901 Mattituck-Laurel Civic Assn. 2/17/23 $ 250.00 PO Box 465 Mattituck,NY 11952 L'' 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 May 24, 2023 Page 37 ----- - ---- Vendor No. Clieck::No:. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Bnteredby LA, , 0 , 6V114qY�- Cf c � Audtt Date;;. Vendor Telephone Number /y J own..Clerk. Invoice Invoice Invoice Net Purchase Order _ Number Date Total Discount Amount Claimed Number Descript'on of Goods or Services General Gedger:Furid and Account Number U�. S�O�� L T1030 I I i i I i Total 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 w' o subs itution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the qu tities hpn' f ave been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discre ancies d nd payment is approved. Signature Title:Deputy Town Clerk Signature Company Name Date Title:R&=Lty Town Clerk Date