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HomeMy WebLinkAboutNorth Fork Country Club Southold Town Board - Letter Board Meeting of August 15, 2023 3 RESOLUTION 2023-685 Item# 6.11 ADOPTED DOC ID: 19369 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-685 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 15, 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 Cutchogue-NS Historical Council 4/07/2023 $250.00 PO Box 714 Cutchogue,NY 11935 Southold Yacht Club 5/16/2023 $500.00 PO Box 546 Southold,NY 11971 North Fork Country Club 5/5/2023 $250.00 PO Box 725 Cutchogue,NY 11935 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated August 16, 2023 Page 26 i Vendor No. C1ieck No,i Town of Southold, New York - Payment Voucher Vendor ame f Vendor Address _ Entered"byco ..... . [ I Audtt Date. Vendor Telephone Number / Town Clerk Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Numbe Description of Goods or Services General Ledger Fund and'Account Number O Z D�-Da sh s C �✓ -- T103.0;:: i Total Payee Certification Department Certi cation The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materi bo e s fled have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition w' ou su stit on a services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the qua ities 1 of a n verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrep cies o d, ay ent is pproved. Signature Title:Deputy Town Clerk Signature / l Company Name Date Title: own Clerk Date b `�� Southold Town Board - Letter Board Meeting of May 23, 2023 RESOLUTION 2023-445 Item # 5.6 r3 ADOPTED DOC ID: 19141 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-445 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 23, 2023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the North Fork Country Club's Annual Golf Tournament in Cutchogue for a limited closure of Moore's Lane, from the Main Road to the southerly line of the "Country Club Estates" Friday,July 21" from lam to 5pm and Saturday, July 2211, From lam to 2pm. Club will be in touch with Chief Flatley. Event Fee and Clean up fee to be paid. Insurance Certificate has been supplied. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Louisa P. Evans, Justice AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated May 24, 2023 Page 24 DENIS NONCARROW =� OG•y� Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 GOD = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q .�` Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ��,( � Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Stephen Suarez P.O. Box 725 Cutchogue,NY 11935 May 24, 2023 Dear Mr. Suarez, The Southold Town Board, at its regular meeting held on May 23rd, the Town Board granted permission to the North Fork Country Club to hold its Annual Golf Tournament on July 21"and 22,d,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 ly ours, Denis Noncarrow Southold Town Clerk Enc. f DENIS NONCARROW a�d� �f✓y Town Hall,53095 Main Road TOWN CI,ERH o P.O.Box 1179 y 2 Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS d ,' Fax(631)765-6145 MARRIAGE OFFICER , Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERp,( r FREEDOM OF INFORMATION OFFICER - www.southoldtownnygov RECEIV{ED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAY - 5 2023 APPLICATION FOR A PERMIT TO'HOLD A Southold Town Clerk SPECIAL E'V>;NT Please provide ALL of the information reiluested,below.Incomplete applications.WILL NOT be reviewed. Date of Submission. Name of Event -V©I04 L.7 k P S S /A)V r;'A 7 O •�RL. Name of Organization: lV D 2-r# 21G e,O J fj?-4. V e L 0,6 Is this a Not-For-Profit Event?Yes/No yds Contact's Name: S �'�'N1� S UR Q I'L Mailing Address: P tF 6 O K 7A 4- A) 9A //fJj- Contact's Phone Number: b 3/- 7.5 1/- 7/3 4j Contact's Email Address: si r"PJ�e'N G0,Lo N oAi '>A/4 GC , G cwt Event Location and Site Diagram: ).103 / fX /'r/�9 i'`� �� G i L'J�D (nuc' A)7 //,QY.r' (Use additional paper if necessary) Event Date(s): -1 r0 L Y dX / - Z ;(/X D,Z 3 (Include set up and shutdown times and dates) Nature of Event: G L9 .. 0'r/.t- G (Please attach a detailed description to this application) 7:VP A-w ?:oo 1001 7/9Z Time Period(Hours)of Event: From 7 :dD 401 to oy Pon 7/X/ Maximum Number of Expected Attendees:_ j.01 8 Specify any special requirements(i.e.road closure,police presence): Rg�s7 61-PSyAef h—orf LA��, �Af-0�401 e- 09 Kele ,4 If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event Permit to: PC> Event Fees: X_$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. &i F>A.6,L•'� yAAJ Print name of Authorized Person filling out Signature of thorized Person ling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 I,' • O i. • �FessioN x Cowan-,I Peter JGolf Professional f 3 GCSAAM . C591FIED GOLF COURSE SUPERINTENDEW Robert ''► , J' Superintendent r• 'r*;r�r GOLF AssociATEs f :00 NORTFOR-14 ENUNEMAKER ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �—� 4/19/2023 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: Neefus Stype Agency a/co,No,Ext):(631)722-3500 FAX,No:(631)722-3591 711 Union Ave. E-MAIL Aquebogue,NY 11931 ADDR .info@nsainsure.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Illinois National Insurance Co INSURED INSURER B:Granite State Ins Co North Fork Country Club Inc INSURER C:Hartford Fire Insurance Co 19682 PO Box 725 INSURER D: Cutchogue,NY 11935 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 INSD WVD POLICY NUMBER D/YYYYi (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X 02-LX-007509385-22 12/31/2022 12/31/2023 PREMISES DAMAGE TERENTEDoccurrence) $ 300,000 X LIQUOR LIAB SEE REMK MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X PRO- 3,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 Ea accident X ANY AUTO 01-CA-006264551-22 12/31/2022 12/31/2023 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 02-LX-007509385-22 12/31/2022 12/31/2023 AGGREGATE $ DED I X I RETENTION$ 10,000 10,000,000 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X ISTATI TE OE RH ANY PROPRIETOR/PARTNER/EXECUTIVEY/N 12WECAJ7PYT 12/31/2022 12/31/2023 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDE[ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 500,000 If yes,describe under 500,000 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) With respect to the Donald Ross Invitational Golf Tournament on July 21st and July 22nd of 2023,The Town of Southold Is included as Additional Insured with respect to General Liability as required by written contract. 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 The The T Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. 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 P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/09/23 Receipt#: 310125 Quantity Transactions Reference Subtotal 1 Event Fee 7/21-7/22 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#048520 $250.00 North, Fork Country Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: North, Fork Country Club Pob 725 Main Road Cutchoque, NY 11935 Clerk ID: SABRINA Internal ID:7/21-7/22 ' Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/09/23 Receipt#: 310126 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 7/21-7/22 C/U $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#048534 $250.00 North, Fork Country Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: North, Fork Country Club Pob 725 Main Road Cutchoque, NY 11935 Clerk ID: SABRINA Internal ID:7/21-7/22 C/U Born, Sabrina From: Noncarrow, Denis Sent: Friday, May 5, 2023 2:09 PM To: Blasko, Regina; DeChance, Paul; Flatley, Martin; Ginas,James; Goodwin, Dan; Mudd, Jennifer; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Born, Sabrina; Spiro, Melissa Cc: Mudd,Jennifer; Born, Sabrina Subject: NFCC, Don Ross Invitational Attachments: NFCC_20230505135814.pdf Please see special event attached. Please respond as needed. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn@southoldtownny.gov 631-765-1800 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. 1 a Town of Southold Police Department Special Event Cost Analysis Event: North Fork Country Club Tournament Date(s): July 21-22, 2023 Location: Donald Ross Invitational Tournament, NFCC, Cutchogue BUt"'I 'llocat on for;�Euent ^ "" a . Reg Hours OT Hrs _ Hrly Wage Total Comments PohceOfficers"�' Special �, Reg Hours OT Hrs Hrly Wage v Total Comments Bicycle;Ratrol�� ��'� aMacineUnits , gaff. cCo r 1 r + ° „ Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 18 $18.64 $335.52 TC Officer 92 18 $18.64 $335.52 TC Officer TC Officer TC Officer Equipment Costs r T 4 '« PD Vehicles #of vehicles $/hr Total 1 $10.00 $180.00 $180.00 Command Van Marine Patrol Boats Total Department Cost for Event = $851.04 Prepared by Chief M. Flatley 5/10/2023 Page 1