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HomeMy WebLinkAboutLongo, Joseph Southold Town Board - Letter Board Meeting of May 23, 2023 RESOLUTION 2023-457 Item# 5.18 t ADOPTED DOC ID: 19153 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-457 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 23, 2023: WHEREAS Joseph Longo supplied the Town of Southold with a refundable Clean-up Deposit fee in the amount of$250.00, and no Traffic Control fee was necessary . RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the total amount of$250.00 to Joseph Longo, 226 E 6th Street,New York,NY 10003. Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Sarah E. Nappa, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell 1 Generated May 24, 2023 Page 36 Oat ELIZABETH A.NEVILLE,MMC ' r Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ate.. Fax(631)765-6145 MARRIAGE OFFICER „ , .. '`ti. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ? www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APR - 4 MICATION FOR FILMING/STILL PHOTOGRAPHY �q PERMIT NO: P1ease49M;bAjpTAD`Nn Clerk APPLICATION DATE: 03/30/2023 NAME OF APPLICANT: Joseph Longo MAILING ADDRESS: 226 E 6th St, NY, NY, 10003 PHONE: BUSINESS:.- HOME:, 718-679-5966 NAME OF ORGANIZATION/COMPANY:: MAILING ADDRESS: PHONE: FAX: DESCRIBE TYPE OF ACTIVITY (e.g. Motion Picture, Commercial, Television. Catalog, Magazine, etc.): Short Film DATE(S) AND TIMES) OF PROPOSED FILMING/PHOTOGRAPHY: May 8, 2023 PROPOSED LOCATION(S) OF FILMING/PHOTOGRAPHY: (attach additional sheet, if necessary) Oregan Rd between Depot Ln and Mill Ln NAME OF PERSON IN CHARGE AT SITE:. Louis Anania & Pauline Glomaud-Murmann NUMBER OF PERSONS AT LOCATION (cast& crew included): 15 NUMBER AND TYPE OF VEHICLES AT LOCATION:.. 3 cars TYPE OF SPECIAL EQUIPMENT: ANY SPECIAL REQUIREMENTS:. Signature Return to: Southold Town Clerk Southold Town Hall 53095 Main Road P.O. Box 1179 Southold,NY 11971 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits, claims,demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection with the performance of filming or still photography by the Applicant, his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition, the Applicant will name the Town as an additional insured on any applicable policies. 03/30/23 Signature Date Joseph Longo Printed name Director/Producer Title 1 TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NOTE: All payments must be cash or certified check Applicant: 5 �I 1 oym ` IM'rt Not DOY1 ' S hor f-Ri n Date Received: 4 I k4 I z3 J Completed application $100 nonrefundable application fee V/ Certificate of insurance that evidences a public liability insurance policy - covering the town as an additional insured in the amount of$1,000,000 (one million dollars)per occurrence for the duration of the filming or still photography. v/ Indemnification agreement stating the applicant agrees to assume all liability for and will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of / said filming or still photography. V Forward completed application to Chief of Police for approval or disapprovaj and determination if Traffic Control Fee is required •/ Approved Disapproved No Fee Required Fee in the amount of$ required Forward certificate of insurance and indemnification agreement to Town Attorney fpr approval 7 Approved Disapproved COLLECT FEES AS FOLLOWS: Permit Fees (Prior to issuance of permit): JFilm Fee - $100 per day of each day covered by the permit J Cleanup deposit: Separate certified check for $250 for each day covered by the permit. Traffic control fee - $1000 for each day covered by the permit if required by the Chief of Police. NOTE: Additional funds may be required by Police if it is determined that $1000 per day fee will be expended prior to the termination of the permit period. Beach Parking fee - $10 per vehicle, per day between May 1 and September 30. ISSUED PERMIT Countersign application Issue permit with name of applicant, locations(s), date(s), and time(s) NOTIFICATION of ISSUED PERMIT Chief of Police / Chief Building Inspector Fire Marshal Code Enforcement Officer Superintendent of Highways Superintendent of Parks and Recreation REQUEST FOR EXTENSION OF PERMIT Forward extension permit request to Chief of Police If granted, collect additional $100 per day filming fee Amend permit to indicate granted extension period COMPLETION OF PERMIT PERIOD Chief of Police to provide applicant with statement of cost for providing Traffic Control and police coverage. (Refund overpayment or collect for additional costs within 30 days of termination of permit) Superintendent of Highways inspections locations listed on permit and determine if cleanup efforts by town personnel is required. *If cleanup is required, Superintendent will provide Town Clerk with a statement of actual costs. (Refund overpayment or collect for additional costs within 30 days of termination of permit) *If not cleanup is required, Superintendent of Highways will notify Town Clerk and Town Clerk will remit the $250 certified check to applicant. DENIS NONCARROW �� �G.j, Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 COD Z Southold,New York 11971 REGISTRAR,OF VITAL'STATISTICS Q .�` Fax(631)765-6145 MARRIAGE OFFICER y RECORDS MANAGEMENT OFFICER ��,( .�� Telephone oldt -nny.g00 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY . PERMIT #079 Issued to: Joseph Longo (We're Not Done Yet Film) Date: - May 8, 2023 Time: 7:00 AM — 7:00 PM Location: Oregon Road between Depot Lane and Mill Lane, Cutchogue Permit No. 079 Issue Date: April 20, 2023 Denis Noncarrow Southold Town Clerk (Town Seal) DENIS NONCARROW h� ®�.j, .Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 C.000 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 8 ® Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��1 .��® Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 20, 2023 Pauline Glomaud-Murmann 246 Clinton Street Brooklyn,NY 11201 Dear Pauline, Your filming application has been approved for filming on May 8, 2023 from 7:00 AM to 7:00 PM with no rain date, on Oregon Road between Depot Lan and Mill Lane in Cutchogue. Please find your Filming/Still Photography Permit#079 enclosed. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. Should you need any assistance or have to make any changes to your permit,please contact our office promptly. Very truly yours, Sabrina M. Born Deputy Town Clerk Encl. Born, Sabrina From: Pauline Glomaud-Murmann <pmurmannl9@gmail.com> Sent: We April 19, 2023 3:33 PM To: Born, Sabrina Cc: Louis Anania;jlongo679@gmail.com; noahgaynor@icloud.com Subject: [SPAM] - Re: [SPAM]-- Re: [SPAM] - Re: [SPAM] - Re: Filming Permit Update Great! Please send permits to: Pauline Glomaud-Murmann 246 Clinton Street Brooklyn, NY 11201 Thanks so much Sabrina! All the best, Pauline On Wed,Apr 19, 2023 at 3:03 PM Born, Sabrina <sabrina.born town.southold.ny.us>wrote: Hi Pauline, I just received the check this afternoon. What address would you like me to mail the permits to? i Thank you, I .SaP�nuaa7?2�'0� Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 . 1 Born, Sabrina From: Louis Anania <louisanania@gmail.com> Sent: Wednesday,April 19, 2023 3:58 PM To: Born, Sabrina Cc: Pauline Glomaud-Murmann;jlongo679@gmail.com; noahgaynor@icloud.com Subject: Re: [SPAM] - Re: [SPAM] - Re: [SPAM] - Re: Filming Permit Update Hi Sabrina, We will be filming on May 8th starting at around 7 am -7 pm. Thanks, Louis On Wed,Apr 19, 2023 at 3:45 PM Born, Sabrina <sabrina.born@town.southold.ny.us>wrote: Hi Pauline, i Also, please confirm the date and time of filming. I need this before I can issue your permit. Thank you, j i Sabrina M. Born i 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 1 . o�vg�FfO(��o DENIS NONCARROWc� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 CA Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS O � � Fax(631)765-6145 MARRIAGE OFFICER y RECORDS MANAGEMENT OFFICER �0,� �a0 Telephone oldt -nny.g00 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING PERMIT INVOICE Joseph Longo 226 E 61h Street New York,NY 10003 Nonrefundable Filming Permit Application $100.00 Filming Fee @ $100 per day $100.00 *Clean-up Deposit @ $250.00 per day $250.00 TOTAL DUE $450.00 *Clean up deposit will be returned after filming is complete. Born, Sabrina From: Born, Sabrina Sent: Monday,April 10, 2023 12:48 PM To: 'jlongo679@gmail.com'; 'noahgaynor@icloud.com'; 'louisanania@gmail.com'; 'pmurmannl9@gmail.com' Cc: Rudder, Lynda Subject: Filming Invoice-Longo Attachments: Filming Invoice_20230410115435.pdf Good Afternoon, Please see the attached invoice in regards to your filming permit. Payment must be received before the permit can be issued. If you have any questions,please don't hesitate to call our office. Thank you, ,�aenuia?yl�a� 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 1 7 ® DATE(MM/DD/YYYY) A�(:>R o CERTIFICATE OF LIABILITY INSURANCE 04/10/2023 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). CONTPRODUCER NAME: Darrell Rivers Workers Insurance Agency LLC HO"o Ext): 619 578-3048 Enc No 228 Park Ave. S#36206 E-MAIL New York, NY 10003 ADDRESS: drivers@wrapbook.com INSURERS AFFORDING COVERAGE NAIC# Phone No. 845 367-9679 Fax No. INSURER A: ZAI-Zurich American Insurance Company 16535 INSURED INSURER B: ZII-Zurich American Insurance Company of Illinois 27855 Joseph Longo 226 E 6th St INSURER C New York, NY 10003 INSURER D: INSURER E: Phone No. 718 679-5966 Fax No. INSURER F: COVERAGES CERTIFICATE NUMBER:1028029 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 LIMITS LTR TY PE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY ZAI X COMMERCIAL GENERAL LIABILITY FLM5427513-00 05/01/2023 05/12/2023 EACH OCCURRENCE $DA AGE TO RENTED 1 000 OOO CLAIMS-MADE FRI OCCUR X X 'REM MSES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY 1:1 PRO-JECT ❑ LOC PRODUCTS-COMPIOP AGG $ 1,000,000 OTHER: ZAI AUTOMOBILE LIABILITY FLM5427513-00 05/01/2023 05/12/2023 E. .ccideDt51NGLE LIMIT $ 1 000 000 ANY AUTO X BODILY INJURY(Per person) $ Included OWNED SCHEDULED BODILY INJURY(Per accident) $ Included AUTOS ONLY AUTOS HIREDNON-OWNED FLM5427513-00 05/01/2023 05/12/2023 PROPER-%tMa pa.Am $ 125,000 ZAI X AUTOS ONLY X AUTOS ONLY Per accident MuA ra a X AUTO PHYSICAL $ nAMAGE UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC0740477-00 05/01/2023 06/30/2023 X STATUTE _ERH ZII AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y� E.L.EACH ACCIDENT $ 1,000.00 OFFICER/MEMBEREXCLUDED? Y N/A (Mandatory In NH) Proof of Workers E.L.DISEASE-EA EMPLOYEE $ 1,000,00 0 If yes,describe under DESCRIPTION OF OPERATIONS below Com ensatlon Insurance only. E.L.DISEASE-POLICY LIMIT $ 1,000,00 ZAI Inland Marine FLM5427513-00 05/01/2023 05/12/2023 See Attached DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES Coverage Location: United States&Canada Certificate Holder is named as an Additional Insured and Loss Payee as their interests may appear. Production We're Not Done Yet All coverages expire at 12:01 a.m.Standard Time. CERTIFICATE HOLDER CANCELLATION Southold Town SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 Main Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southhold, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. United States Of America AUTHORIZED REPRESENTATIVE Phone No. 1631 765 1800 Fax No.631 765 6145 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD This certificate of insurance does not affirmatively or negatively amend,extend,or alter the coverage afforded by the insurance policy. DATE(MM/DD/YY) ADDITIONAL COVERAGE DETAILS 04/10/2023 INSURED Joseph Longo The following is attached to and made part of certificate number 1028029. Policy Details Coverage Limit Deductible Inland Marine Company: Zurich American Insurance Company Policy Number: FLM5427513-00 'Period: 05/01/2023-05/12/2023:11 Day(s) Miscellaneous Rented Equipment 450,000 3,500 Owned Equipment Excluded Props,Sets&Wardrobes Excluded Rented Furs,Jewelry,Art&Antiques Coverage Excluded Negative Film,Videotape and Digitalized Image Excluded Faulty Stock,Camera&Processing Excluded Faulty Stock,Camera&Processing-Broad Form Excluded Extra Expense Excluded Third Party Property Damage 250,000 1,500 Office Contents Excluded Cast Coverage Cast Extra Expense Excluded Cast Covered Person Extension(no sickness) Excluded Cast Covered Person Extension Aggregate(sickness) Excluded Cast Covered Person Extension Per Person(sickness) Excluded Cast Family Bereavement Extension Excluded Animal Death,Illness,Injury Excluded Animal Extra Expense Excluded Hired/Non-Owned Physical Damage-Aggregate 500,000 Hired/Non-Owned Physical Damage-Per Vehicle 125,000 10%of loss,$1,500 minimum, $7,500 maximum Rental Cost Reimbursement Excluded Civil Authority Excluded Agency And Talent Re-Shoot Costs Excluded Strikes or Civil Protest Excluded Waiver of Subrogation Excluded Coverage Extension Endorsement Coverage Extension Endorsement Excluded Cinema Production Enhancement Endorsement Cinema Production Enhancement Endorsement Excluded Unattended Vehicle Exclusion See Exclusion Terrorism Included 'All coverages expire at 12:01 a.m.Standard Time. Coverage is not afforded for stunts&pyrotechnics except for those declared,scheduled and accepted by the insurance company(s). For a complete listing of coverages,terms,conditions and exclusions,please view your policy. APM CERT-DETAILS 1205 Certificate Number 1028029 + DATE(MM/DD/YY) SCHEDULE OF FORMS 04/10/2023 Insured: Joseph Longo This Schedule of Forms is attached to and made part of certificate number 1028029,as of 04/10/2023 at 12:17 PM PT,and lists the forms included in the policy(s)and subsequent endorsement(s)at the time this certificate was issued. Form# Ed. Name Entertainment Production Package Notices U-GU-319-F 0109 Important Notice-In Witness Clause U-GU-874-A 0611 Notice of Disclosure for Agent and Broker Compensation UGU873ACW 0611 Disclosure Statement U-GL-1197-A CW 0104 Asbestos Exclusion Endorsement U-GU-1191-ACW 0315 Sanctions Exclusion Endorsement Common UGU727ACW 0806 Commercial Insurance Policy UGU1292ACW 0422 Notice Of Important Provisions UGUD310A 0193 Common Policy Declarations UGU619ACW 1002 Schedule of Forms and Endorsements UGU621ACW 1002 Schedule Of Named Insured(s) UGU618ACW 1002 Schedule Of Locations IL0017 1198 Common Policy Conditions UABI100ACW 0117 Schedule Of Productions UABI105ACW 0117 Non-Insured Production Entity Exclusion UABI101ACW 0117 Definition Of Employee UAB100ACW 0117 Minimum Earned Premium Endorsement IL0185 0808 New York Changes-Calculation Of Premium IL0003 0908 Calculation of Premium U-GU-630-ECW 0120 Disclosure of Important Information Relating to Terrorism Risk Insurance Act Inland Marine UABMD104ACW 0117 Commercial Inland Marine Declarations Entertainment Program UGU619ACW 1002 Schedule of Forms and Endorsements CM0001 0904 Commercial Inland Marine Conditions UABM133ACW 0117 Common Conditions,Exclusions And Definitions UABM105ACW 0117 Miscellaneous Equipment Coverage Form UABM109ACW 0117 Third Party Property Damage Coverage Form UABM185ACW 0618 Unmanned Aircraft Endorsement UABM165ACW 0117 Vehicle Physical Damage Limit And Rate Schedule(Non-Owned,Hired,Loaned Or Donated Land Vehicles) UABM111ACW 1217 Vehicle Physical Damage Coverage Form UABM102ACW 0117 Schedule Of Productions UABM103ACW 0117 Loss Payable Endorsement UABM12BACW 0117 Excluded Property Endorsement UABM114ACW 0117 Unscheduled Production,Presentation Or Event Exclusion UABM100ACW 0117 Stunt,Animal Exposure And Pyrotechnic Exclusion UABM116ACW 0117 Unattended Vehicle Limitation CM0104 0915 New York Changes IL0268 0114 New York Changes-Cancellation and Nonrenewal IL0183 0808 New York Changes-Fraud Endorsement U-GU-767-BCW 0115 Cap on Losses From Certified Acts of Terrorism General Liability UABLD10OBCW 0119 Commercial General Liability Coverage Part Declarations UGU619ACW 1002 Schedule of Forms and Endorsements CG0001 0413 Commercial General Liability Coverage Form CG2011 1219 Additional Insured-Managers of Lessors of Premises CG2012 1219 Additional Insured-State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorizations CG2026 1219 Additional Insured-Designated Person or Organization CG2028 1219 Additional Insured-Lessor of leased equipment CG2404 0509 Waiver of Transfer of Rights of Recovery Against Others to Us U-GL-1327-BCW 0413 Other Insurance Amendment-Primary And Non-Contributory UABL12BACW 0117 Additional Insured-Owners Or Lessees Scheduled Person Or Organization Primary and Noncontributory Coverage UABL121ACW 0117 Limited Stationary Aircraft Coverage CG2109 0615 Exclusion-Unmanned Aircraft CG2106 0514 Exclusion-Access or Disclosure of Confidential or Personal Information and Data-Related Liability-With Limited Bodily Injury Exception U-GL-1178-A-CW 0703 Asbestos Exclusion CG2147 1207 - Employment Related Practices Exclusion U-GL-1517-BCW 0413 Collection or Distribution of Material or Information in Violation of Law Exclusion UABL131ACW 0117 Non-Performing Animal Exclusion UABL102ACW 0117 Property Damage To Rented Premises Exclusion UABL129ACW 0117 Assault And Battery Exclusion UGL1250ACW 0905 Abusive Act Liability Exclusion UABL122ACW 0117 Newly Acquired Or Formed Entity Exclusion UABL107ACW 0117 Exclusion-Insureds Conducting Media,Entertainment,Or Internet Type Operations UABL130ACW 0117 Informational Content Exclusion UABL135ACW 0117 Media Content Exclusion UABL137ACW 0117 Cross Suits Exclusion UABL138ACW 0117 Personal And Advertising Injury-Exclusion Of False Arrest,Detention,Imprisonment,Libel,Slander,Right Of Privacy,Advertising Idea,And Copyright,Trademark Or Trade Secret UABL106ACW 0117 Unscheduled Production,Presentation Or Event Exclusion APA-CERT-FORM LIST 0914 Certificate Number:1028029 Page 1 of 2 DATE(MM/DD/YY) SCHEDULE OF FORMS 04/10/2023 Insured: Joseph Longo This Schedule of Forms is attached to and made part of certificate number 1028029,as of 04/10/2023 at 12:17 PM PT,and lists the forms included in the policy(s)and subsequent endorsement(s)at the time this certificate was issued. Form# Ed. Name UABL103ANY 0517 Stunt,Pyrotechnic And Animal Exposure Exclusion-New York CG2132 0509 Communicable Disease Exclusion IL0268 0114 New York Changes-Cancellation and Nonrenewal CGO104 1204 New York Changes-Premium Audit CG2621 1091 New York Changes-Transfer of Duties When a Limit of Insurance is Used Up UABL105ANY 0117 Commercial General Liability Changes-New York U-GU-767-BCW 0115 Cap on Losses From Certified Acts of Terrorism Automobile U-CA-531-B 0208 Notice Regarding Terrorism Premium(for Commercial Automobile Ins) UCAD60ODNY 1021 Business Auto Declarations-New York UGU619ACW 1002 Schedule of Forms and Endorsements CA0112 0121 New York Changes In Business Auto And Motor Carrier Coverage Forms CA0001 1120 Business Auto Coverage Form IL0183 0808 New York Changes-Fraud Endorsement CA0102 0498 New York Changes-For Hire Autos CA2232 1118 New York Mandatory Personal Injury Protection Endorsement CA2048 1013 Designated Insured Workers'Compensation Policy Policy form assignment to be handled by insurance carrier. Disclaimers This Certificate of Liability Insurance includes the Type of Insurance,Limits,and Schedule of Forms in effect as of 04/10/2023 at 12:17 PM PT.It does not affirmatively or negatively amend,extend,or alter the coverage afforded by the insurance policy nor confer any rights upon the certificate holder.You may be required to request an updated certificate in the event of subsequent policy modifications. The information included in this certificate that has been provided by Abacus Insurance Brokers,LLC is for your information only,and does not create a contract or agency relationship between the certificate holder or any insured and Abacus Insurance Brokers,LLC.By accepting this certificate the certificate holder acknowledges that Abacus Insurance Brokers,LLC is not the agent of the certificate holder or any insured,but is solely the agent of the listed carrier(s).Abacus Insurance Brokers,LLC makes no representation whether the coverages listed herein are appropriate for the certificate holder or any insured.Please review the listed coverages carefully and direct any questions to your broker.For a complete listing of coverages,terms,conditions and exclusions,please view the referenced Policy(s). APA-CERT-FORMLIST 0914 Certificate Number:1028029 Page 2 of 2 Date(MMIDDNYYY) Certificate Verification 04/10/2023 Insured: Joseph Longo Abacus provides an efficient website lookup tool for certificate holders to verify the authenticity of certificates of insurance. 1. Navigate to the website and input the verification code OR Scan the QR code. 2. The actual certificate issued through the Abacus Platform will download. 3. Compare the details of the downloaded certificate to the certificate presented by the client. Website Verification Code, www.abacus.net/verify-certificate 0E0FM81 A8D [9 r M D . About Certificates Issued through the Abacus.net Platform • Abacus requires that all certificates be issued through the Abacus Platform. Certificates issued outside of the Abacus Platform are invalid. • Certificates may be issued through the Abacus Platform by either the named insured(if registered through the Abacus Platform)or their Abacus registered insurance broker. • Certificates with any stray marks,cross outs or alterations of any sort are invalid. • Each certificate is numbered and correlates to the document issued through the Abacus Platform. APA-CERTVER 0917 Certificate Number.1028029 Page 1 of 1 CHASEO Terms and Conditions (Remitter and Payee): * Please keep this copy for your record of the transaction * The laws of a specific state will consider these funds to be "abandoned" if the Cashier's Check is not cashed by a certain time - Please cash/deposit this Cashier's Check as soon as possible to RECEIVED prevent this from occurring - In most cases, the funds will be considered "abandoned" before the "Void After" Date APR 19 2023 * Placing a Stop Payment on a Cashier's Check - Stop Payment can only be placed if the Cashier's Check Southold Town Clerk is lost, stolen, or destroyed -We may not re-issue or refund the funds after the stop payment has been placed until 90 days after the original check was issued * Please visit a Chase branch to report a lost, stolen, or destroyed Cashier's Check or for any other information about this item FOR YOUR PROTECTION SAVE THIS COPY Customer Copy CASHIER'S CHECK 1738837939 04/18/2023 Void after 7 years Remitter: LOUIS ANANIA $** 450.00 ** Pay To The SOUTHOLD TOWN CLERK Order Of: Drawer: JPMORGAN CHASE BANK,N.A. Memo:-------------------------------------------------------------------- NON NEGOTIABLE Note:For information only.Comment has no effect on bank's payment. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/19/23 Receipt#: 309560 Quantity Transactions Reference Subtotal 1 Application Fee- Non-Refund 79a $100.00 1 Clean-Up Deposit 79c $250.00 1 Daily Filming Permit 79b $100.00 Total Paid: $450.00 Notes: We're Not Done Yet FilmWe're Not Done Yet FilmWe're Not Done Yet Film Payment Type Amount Paid By CK#1738837939 $450.00 Louis Anania Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Longo, Joseph 226 E 6th St New York, NY 10003 Clerk ID: SABRINA Internal ID:79b Born, Sabrina From: Born, Sabrina Sent: Monday,April 10, 2023 2:18 PM To: jlongo679@gmail.com'; 'noahgaynor@icloud.com'; 'louisanania@gmail.com'; 'pmurmannl 9@gmail.com' Cc: Rudder, Lynda Subject: Filming Permit Update Importance: High Hello, Please see the comments from the Town Attorney's Office below. This must be corrected before we can issue the permit. 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 From: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Sent: Monday, April 10, 2023 1:20 PM To: Born, Sabrina <sabrina.born@town.southold.ny.us> Subject: RE: 2nd Request- Filming Appl.-Longo The insurance certificate needs to name Town of Southold as additionally insured and correct it to Southold Town from " Town Hall " Melissa M Mirabelli Secretary to the Town Attorney Town of Southold Southold Town Hall Annex 54375 Route 25 ( Main RD) P.O. Box 1179 Southold,NY 11971 Office (631) 765-1939 i Fax (631)765-6639 This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ******************************************************************************************* From: Born, Sabrina <sabring.born @town.southold.ny.us> Sent: Monday, April 10, 2023 11:40 AM To: McGivney,Julie<iuliem southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.nv.us>; DeChance, Paul <pauld southoldtownny.gov>; Squicciarini,James<iacks@southoldtownny.gov> Subject: 2nd Request- Filming Appl.-Longo Please provide approval/disapproval (certificate of insurance & indemnification agreement). Thank you, 5a4"dn out 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 From: Born,Sabrina Sent: Friday, April 7, 2023 10:56 AM To: Baylinson, Lester<lesterb@town.southold.nv.us>; Blasko, Regina <rblasko@town.southold.nv.us>; Bloom, Arthur <arthurb@southoldtownny.goy>; Flatley, Martin <mflatlev@town.southold.nv.us>; Foote, Nancy <nancv.foote town.southold.nv.us>; Ginas,James<jginas@town.southold.nv.us>; McCullough, Lillian <lillianm@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownnv.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Rudder, Lynda <Ivnda.rudder@town.southold.nv.us>; Sepenoski,John <iohnsep@town.southold.nv.us>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; McGivney,Julie <iuliem@southoldtownnv.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.nv.us>; Paul DeChance <pauld@southoldtownnv.goy>; Squicciarini,James<iacks southoldtownnv.gov_> Subject: Filming Appl.-Longo Attached: filming application from Joseph Lingo. Please provide approval/disapproval and cost analyst, if any. Thank you, Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk 2 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: Filming App-Longo_20230407103230.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. 3 ACCO O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/06/2023 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 CONTANAME:CT Darrell Rivers Workers Insurance Agency LLC P"°NE Ego619 578-3048 a/c Na 228 Park Ave. S#36206 E-MAIL New York, NY 10003 ADDRESS: drivers wra book.com INSURERS AFFORDING COVERAGE NAIC# Phone No. 845 367-9679 Fax No. INSURER A: ZAI-Zurich American Insurance Company 16535 INSURED Joseph Longo INSURERS: ZII-Zurich American Insurance Company of Illinois 27855 226 E 6th St INSURER C: New York, NY 10003 INSURER D: INSURER E: Phone No. 718 679-5966 Fax No. INSURER F: COVERAGES CERTIFICATE NUMBER:1027346 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICYNUMBER MM/DD/YYYY) (MMIDD/YYYYI LIMITS ZAI X COMMERCIAL GENERAL LIABILITY FLM5427513-00 05/01/2023 05/12/2023 EACH OCCURRENCE $ 1.000,000 DAMAGE TO—RENTED CLAIMS-MADE a OCCUR X X PREM SES Ea occurrence) $ 100,00 MED EXP(Any one person) $ cj 000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1.000.000 X POLICY ]PEC [—]LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: I $ ZAI AUTOMOBILE LIABILITY FLM5427513-00 05/01/2023 05/12/2023 EO,MNED ccdentsINGLELIMIT $ 1,000,000 ANY AUTO X BODILY INJURY(Per person) $ Included OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ Included HIRED ZAI X AUTOS ONLY X AUTOS ONLY FLM5427513-00 05/01/2023 05/12/2023 PROPccidenDAMAG M.."r a $ 125,000 X AUTO PHYSICALDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ ZI I WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N WC0740477-00 05/01/2023 06/30/2023 X STATUTE OERH ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) Proof of Workers E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below Compensation Insurance only. E.L.DISEASE-POLICY LIMIT $ 1 000 Q00 ZAI Inland Marine FLM5427513-00 05/01/2023 05/12/2023 See Attached DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Coverage Location: United States&Canada Certificate Holder is named as an Additional Insured and Loss Payee as their interests may appear. Production We're Not Done Yet All coverages expire at 12:01 a.m.Standard Time. CERTIFICATE HOLDER CANCELLATION Town Hall 53095 Main Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southhold, NY 11971 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. United States Of America AUTHORIZED REPRESENTATIVE Phone No. 1631 765 1800 Fax No.631 765 6145 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD This certificate of insurance does not affirmatively or negatively amend,extend,or alter the coverage afforded by the insurance policy. Born, Sabrina From: Joseph Longo <jlongo679@gmail.com> Sent: Saturday,April 8, 2023 11:46 AM To: Born, Sabrina Cc: noahgaynor@icloud.com; louisanania@gmail.com; pmurmannl9@gmail.com; Rudder, Lynda Subject: Re: Filming Application-We're Not Done Yet Hi Sabrina, Below we've included some of the details that I spoke with Lynda Rudder and Captain Ginas about for our film shoot. • We will not require any roads to be shut down for any period of time. We will put folks in orange vests on either side of where we are shooting just for precautionary purposes. • There will be no Lighting at all. • Most of the shooting will be done with handheld camera when outside of the car but there is a potential for one or two tripod shots. Let me know if you need any more information. Hope you have a good holiday weekend! All the best, Joseph On Fri,Apr 7, 2023 at 12:01 PM Born,Sabrina <sabrina:born@town.southold.ny.us>wrote: Good Afternoon, I The Chief of Police had a couple of questions regarding your filming application. Will you require the roadway to be shut down for any period of time for your shoot and will there be any type of special equipment used (i.e. cameras on tripods, lighting, etc.)? i Thank you, i „a a�ruxa��on�x i Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk . 1 Born, Sabrina From: Flatley, Martin Sent: Monday, April 10, 2023 11:59 AM To: Born, Sabrina Subject: RE: Filming Appl.-Longo Then I have no objections to this permit being approved Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-31.15 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 Sent: Monday,April 10, 2023 8:18 AM To: Flatley, Martin; Baylinson, Lester; Blasko, Regina, Bloom,Arthur, Foote, Nancy; Ginas,James; McCullough, Lillian; Noncarrow, Denis; Norklun,Stacey; Rudder, Lynda;Sepenoski,John; Spiro, Melissa; McGivney,Julie; Mirabelli, Melissa; DeChance, Paul; SS uicciarini,James Subject: RE: Filming Appl.-Longo Hi Martin, This is Joseph Longo's response to your question: Hi Sabrina, Below we've included some of the details that I spoke with Lynda Rudder and Captain Ginas about for our film shoot. • We will not require any roads to be shut down for any period of time. We will put folks in orange vests on either side of where we are shooting just for precautionary purposes. • There will be no Lighting at all. • Most of the shooting will be done with handheld camera when outside of the car but there is a potential for one or two tripod shots. Let me know if you need any more information. Hope you have a good holiday weekend! All the best, Joseph From: Flatley, Martin <mflatley@town.southold.ny.us> Sent: Friday, April 7, 2023 11:32 AM To: Born, Sabrina <sabrina.born@town.southold.ny.us>; Baylinson, Lester<lesterb@town.southold.ny.us>; Blasko, Regina <rblasko@town.southold.ny.us>; Bloom,Arthur<arthurb@southoldtownny.gov>; Foote, Nancy <nancy.foote@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; McCullough, Lillian <lillianm@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Rudder, Lynda <lynda.rudder@town.southold.ny.us>;Sepenoski,John <johnsep@town.southold.ny.us>; 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@southoIdtownny.gov> Subject: RE: Filming Appl.-Longo I have no objection to this permit being approved, however, if they require the roadway to be shut down for their shoot (they cannot block the roadway on their own),there will be a cost involved for traffic control by our department. 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 <sabring.born town.southoId.ny.us> Sent: Friday,April 7, 2023 10:56 AM To: Baylinson, Lester<lesterb@town.southold.nv.us>; Blasko, Regina <rblasko@town.southold.ny.us>; Bloom, Arthur <arthurb@southoldtownnv.gov>; Flatley, Martin <mflatlev@town.southold.nv.us>; Foote, Nancy <nancv.foote town.southold.nv.us>; Ginas,James<iginas@town.southold.nv.us>; McCullough, Lillian <lillianm@southoldtownnv.gov>; Noncarrow, Denis<denisn southoldtownnv.Bov>; Norklun, Stacey <Stacey.Norklun@town.southo Id.nv.us>; Rudder, Lynda <Ivnda.rudder@town.southold.nv.us>; Sepenoski,John <iohnsep(a@town.southold.nv.us>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; McGivney,Julie <luliem@southoldtownnv.gov>; Mirabelli, Melissa <melissa.mirabelliCcDtown.southold.nv.us>; DeChance, Paul <pauld@southoldtownny.gov>; Squicciarini,James<iacks@southoldtownnv.gov> Subject: Filming Appl.-Longo Attached: filming application from Joseph Lingo. Please provide approval/disapproval and cost analyst, if any. Thank you, 2 Rudder, Lynda From: Pauline Glomaud-Murmann <pmurmann19@gmail.com> Sent: Wednesday,April 5, 2023 2:40 PM To: Rudder, Lynda Cc: Joseph Longo; noahgaynor@icloud.com; Louis Anania Subject: [SPAM] - Re: [SPAM] - Re: Short Film Permit -We're Not Done Yet Attachments: WNDY-filming app for email - SIGNED.pdf Hi Lynda, No worries! Here is the original email: This is Louis Anania,we spoke earlier last year about a filming permit for a short film, and you have recently spoken to our director,Joseph Longo, about what exactly we're doing. CC'd is Joseph, my co-producer Pauline Murmann, and our associate producer Noah Gaynor. To go over,our short is called We're Not Done Yet, and we are seeking a permit for a small driving scene we are filming. We will be beginning the drive around Mill Lane and Oregon Road, Mattituck, NY 11952 and will end our route on Oregon Road between Alvahs and Depot Lane,Cutchogue, NY 11935.This is about 1.5 miles. Just to clarify,we will be shooting in early May, currently our scheduled date is May 8th, but, as Joseph told you,that may change.We will let you know as soon as we can. Attached is: •the permit application •a map of the proposed route and location We are finalizing our insurance today, and will be ready to send a COI out immediately after. Let us know where to make it out to.We can also send you a copy of our quote, if needed. Let us know what else you need currently, or if you have any questions. Best and thanks, Louis 1 I wf ' ruck Ending Poln �`�.^"• ®Maty Environ' Browder'S Sirtla® � "�" • • � ` ,% 'Reolly Good St6 .<,;":,; �:„y"a< .°•� f; .`..,��r• s° lt`—ar Glairo� at}• Sacred Heart C �° 'Emmis Garden Growers ««"6ya !;p �Ballie Beach Srnut Lodpe �' • Jeff er¢ori Temple �,• 1•- Church of God In Chdat, t Rocs H�II „�/' Vineyorde PL, ' \� Old Red Sam \ .•�• i , Matell Acek` S @ WalrwayAcesoSrte; StnftingPoini "Sy � !� ' ' SaturFarma® /}�✓{( ' t. ...v�, ".. . y \, ..casae i\ ” Goole �•��\ ''.;;..�� �'`:., .. $,.,'.,YYaS�J' "^i,. c 'i� `.i3 $ ':• LandomR Enviionmenlc � � ;\ w>a.«eipacooaw•uxw&n« � � - _-•"�-- � v ...�_ um. new s.•ai«ae.r twom On Wed,Apr 5, 2023 at 2:37 PM Rudder, Lynda <Ivnda.rudder@town.southold.ny.us>wrote: Hi Pauline, I just found this email in my spam. Could you please send me the original email? It must have gone to spam and was deleted. i 1 I From: Pauline Glomaud-Murmann <pmurmann19@gmail.com> Sent:Wednesday,April 5, 2023 1:29 PM To: Rudder, Lynda<Ivnda.rudder@town.southold.nv.us> j Cc:Joseph Longo<jlongo679@gmail.com>; noahgaynor@icloud.com; Louis Anania <louisanania@gmail.com> Subject: [SPAM] - Re: Short Film Permit-We're Not Done Yet Hi Lynda, hope you're well. I'm just following up on our email below to see if you received everything. Let us know! i Many thanks, i Pauline On Thu, Mar 30, 2023 at 2:01 PM Louis Anania <louisanania@gmail.com>wrote: Hi Lynda, 2 i This is Louis Anania,we spoke earlier last year about a filming permit for a short film, and you have recently spoken to our director,Joseph Longo, about what exactly we're doing. CC'd is Joseph, my co-producer Pauline Murmann, and our associate producer Noah Gaynor. i To go over,our short is called We're Not Done Yet, and we are seeking a permit for a small driving scene we are filming. 'v We will be beginning the drive around Mill Lane and Oregon Road, Mattituck, NY 11952 and will end our route on Oregon Road between Alvahs and Depot Lane, Cutchogue, NY 11935.This is about 1.5 miles. i I Just to clarify,we will be shooting in early May, currently our scheduled date is May 8th, but, as Joseph told you,that may change. We will let you know as soon as we can. i i Attached is: • the permit application • a map of the proposed route and location We are finalizing our insurance today, and will be ready to send a COI out immediately after. Let us know where to make it out to.We can also send you a copy of our quote, if needed. Let us know what else you need currently, or if you have any questions. Best and thanks, Louis i i Pauline Glomaud-Murmann 3 WERENOTDONE YET- Producer The Ethical Thief- Producer BabyDo//s- Producer (646) 241-6740 Pauline Glomaud-Murmann WERENOTDONE YET- Producer The Ethical Thief- Producer BabyDolls- Producer (646) 241-6740 4 Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Audtt.:Date:;;;;;:.:...... .:' Vendor Telephone Number D V D � oWn C Ierk:,:.. . Invoice Invoice Invoice Net Purchase Order Number Date Total ,�� Discount Amount Claimed Nu e Description of Goods or Services GeneralLedger Fandand Account Number 'sem iso•w s-0•oo - C�G4,�✓ T:1:03Q Total Payee Certification Depar ent Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the eri s above specifi have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condit' n wit ut substituti ,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that th quantit' s thereof e b rifted with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or di crepanci s noted, d p me is approved. Signature Title:Deputy Town Clerk Signature Company Name Date Title: own Clerk Date