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Catapano Dairy Farm
RESOLUTION 2023-695 ADOPTED DOC ID: 19381 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-695 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 15, 1023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Catapano Dairy Farm,to hold Special Event 2023-41 at the Catapano Dairy Farm, 33705 North Road, Peconic,New York as applied for in Application CDF 1 a-b for 2V'Anniversary Celebration on September 2, 2023 on rain date September 3, 2023 from 4PM - 8PM. This event is approved with the following conditions: All parking of vehicles for this event must be on premises and no parking on North Road. j Provided they adhere to ALL conditions on the application, 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 or is unable to properly control traffic flow into and out of the event Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O: Mealy, Councilman SECONDER:Sarah E.Nappa, Councilwoman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell O�QgutiFOC�-�OG� c Office of the Town Attorney Town of Southold Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone : 631-765-1939 Facsimile: 631-765-6639 MEMORANDUM To: Mr. Denis Noncarrow, Town Clerk From: Melissa Mirabelli Secretary to the Town Attorney Date: August 22, 2023 Subject:. Special Events —Catapano Dairy Farm (CDF1a-b With respect to the above-referenced matter, I am enclosing the original application with committee comments and resolution of Town Board approval of event. If you have any questions regarding the enclosed, please do not hesitate to call me. Thank you. /mm Enclosures Special Events Committee Application Summary and Recommendation Application name: cc d D tf Address: 93105 NO(* &ad t econ(c����J� Application number: C t)T-- aa-b Date of Event: 01 1,9 a3 rain do q 3 la,3 Time: Date Received by Town Clerk: a3 Date Received by Committee: . Nature of Event (S): 010 " Ann(vem Committee Comments Received by: Government Liaison Lillian McCullough Leslie Weisman Missy Mirabelli Chief Flatley Y, Mikael Kerr- County. Heather Lanza -- Andrew Amakawa-County Mike Verity Fred Visser III Paul DeChance Y( Kevin Webster/ Claire Glew Committee Recommendation's: Approve as applied Approve with Additional conditions: k.(na on MLI Hold Public Hearing Deny Special Event No: L Resolution No: ca0,a CO�ira Dater I ab 3 RECEIVED JUL 2 6 2023lit Town Attorney's Office } == b JUL 2 1 2023 CID Southold Town Clerk TOWN OF SOUTHOLD �['oivu Code Cliapter 208"Public]Entertaittmc�tt and'Speciat events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event,Permit are subject to an inter-departmental coordinated review by the Southold Town Board,Town Attorney,Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments, and the Suffolk County Planning Commission. Application fee: $150.00 per application — up to six (6) multiple events of the same type may be permitted on one (1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applicadons`must be submitted at least60 business dans before the event A,, p0jJca1it91 are encouraged fo subrriitappheatiOns:as.earl i s o(issi0e. Aiiy 6eai0letetl ali01kAtion t uA is lint submitted 6.0 or rdore-business dW peior to the sebedufed ;event may be rejgctedl or subject to s Istte processing fee' fg�`"25d 00 by fhe'Office iif the Tbi�n Clerl� sinless a waiver is obtained: Requesting an expedited review must be submitted in writing to the Town Clerk.The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to . whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health,safety,and welfare of the community. When is a Permit'Reauired? All Special Events,per Southold Town Code Article 1, Section 205-2(Definitions)must obtain a permit. Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any.use ofreside6tial property far nrdfit sitcli as a Venite'for wedditi�ar other events is proliitiite This applitatiidi is deemed complete=once all.the.folloWing:requirements are cnbmitted.to the Town Clerk Fleasa indic�ite stitiff.the bokes and signing.below; N/A completed'.,ap ilication=form,signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. L�%I FE Is the application being submitted at least 60 days before the event[ ]Yes [✓]"No , � �U> .If Yes,Fee of .00 has been submitted LI If No,Fee of$ has been submitted Updated 8/7/2018 LJ The applicant/owner of the property where the special event is proposed to take place must provide a 'certificate of insurance not less than 2 million dollars naming the Town of'Soittl�old'as an additional. /,. tr - RA Parkinsvent Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (Seee application form for details) REvents for three hundred (300) or more people require submission and approval of a,traffic control play acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event.(See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit Updated 8/7/2018 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please''provi&A ,L=ofthe information.reauested below.Incomplete an,niications:V61LL.NOT be reviewed. Special Event Permit# Applicant(s)name: �mlyl aY-_8 Link. Date of Submission Zl 23 Name of Event,'l C' U✓ %i V1 t11Q1V5 SCTM#'s 1000-Section Block- 01- tot(s) l2 •7i Dates of Each Event: If Multiple Dates are requested,applicant must give all information for all dates. Nature of Event: 20 _Yea-y5 f k l t l kv)6 (Please attach a detailed description f6flAC,11 event to this application) Time Period(Hours)of Event: From 14 J9,►r► to 3-0-110 Town Services requested: ( )Yes (v�No If yes,Describe Police Dept. Highway Dept. Describe Services Maximum Number of Persons Attending At One Time 5 CJ Number of cars expected . Is a Tent or other temporary structure being used? [✓fYes[ ]No If yes provide size(s) will food_be served2[ `/fYes [ ]No If yes_provide number and;natne(s).gEfibd'd vendor(s) Will other vendors be on the premises during the event?[Aes [ ]No If yes how many? I Q Describe Type of vendor(s) .' Property Owner(name/address):Runic, r`,a -k-PPV&riP-4 Ly.. 3 S WD&I&.Wd t 0J-/ / y1Y1w 11 of l:V Contact Person and Contact Tel.# e-mail address (it Vt r7 �h�lT.� `� YViQ I:Q ("�CS1M Event Location:Street-Hamlet Address: ,`!f3q-55 Q� °�IJL t'u.rnn-�C1- Ivy 110S-7171 SCTM# LOD o Will any services be requested [ ]Yes allo. If Yes describe Police Highway Other: I Mailing Address to Send Event Permit to: � Qu-ng1C,' 19 5S Updated 8/7/2028 Have any of the development rights been'sold t `.the Town of Southold[ ]Yes [,4eNo and/or Suffolk C6i;nty Agricultural Program? [ J Yes [ No Yves to either--or both also,indicate on:the, attached plan the bonndar es'of the reseeved area tip6n which the event will takelr� ace . YOU1MITST AATTAACH"A PARKING/EYENT PLAN TO THiS APPLICATI(aN W THE kXPECT) D ATTENDANMAS 300 OR ATOREPEOPLE,YOU-MUST.-ALSOAT. ACI4 A TRAT+'FIC CONTROL-PLAN'Qee next nage) A'Pa king/Event Plan spay be Ta survey. cite Haan andhk aerial'vWw fto_�exjariiple oogle Eartltl 6f th"e suhJec:tiro erlY"II"v`DTCAT9'_ I)!'a, E-PLANN ALL44he follo-'Ang.ini'ormation: A parking/event plan showing: (1) The'size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s)that will be in operation during the course of the event and any proposed building,structure,or signs to be erected temporarily for the event. (3) The location of the stage or tents,if any. (4) The designated areas of use for spectators,exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq.ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music,loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. (14) Location of sanitary facilities on site. Traffic ControlPlan Events for three hundred(300)or more people also require submission and approval of a traffic control plan,acceptable to the Town of Southold, AND a,gxWified'traff ic`4on"ller must-be provided Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site,3)How they will direct the entrance, circulation,parking,and exiting of cars on site,and 4)Contact information for use by Southold Town Police. OITTNLR'N SrGNATfIRE:= I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions, and requirements of the Code of the Town of Southold,including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of n:y knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application.. Updated 8/7/2018 Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. .Covolo - f3wAX, Print name of Owner Signature of Owner l� fIYYYI t3Y G Print name of Authorized Person/Representative Signature of Authorized Person/Representative PERM-8;ION IS RERFB fTRANTRD SUB1FC-TTQ'THE FO-L-LO''SING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event.Par_ lciriji is'A ictly'firohibited on ANY Town County or State oatls or Rights of Way. 2. Traffic control at events for three hundred(300)or more people shall be provided by a qualified traffic controller in accordance with the attached,approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, , suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tentproposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review,etc.at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO inclui ittg`buy trot limited to.parking ingresslcsress/acces9 P elisse ofn o lopm n R l ts:laridmTry sariitarir facilities lialt lie condacted'on'I'awn o-f Soiitliold 10.NO'activities associWW `With this event including but.bot Jhbited to pmr—ii n ki mess%egresslaccess. or',t6m6or'irv.,sit ta iliUs sh'al P-umhase of D t `Ri h . Wind- Aith t o r i is i b ah' ' Mk ntv Fai ComiTiitt& 11.Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles,to all public assembly areas, all buildings,all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths Updated 8/7/2018 from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures full compliance with all fire,safety,building,and other Town laws. 14. Music,when outdoors,is required to stop at the time specified in the permit.Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 ;:; •:{. SURVEY OF PROPERTY. AT !,- • •. " O 5 i",f, TOWN OF SOUTHOLD' � SUFFOLK COUNTY,'N.Y,. 7000-74-82=IZ2:. SCALL 1'—V ' • � v' �� -:. .:.:,3° ocmem is�+uo i. N/a/F s:c7mNxa�r�s'•....,�' ..�.`, - ` Y`;=$-J[ - '' __-__ , _sca7aaac:. =;�a -��.<K'.A--:�x�x=-,�,,-mak:... 6m•oi',�. ..... - ` w, uo,0, M."soot N,� N6247'30'W .. .. _ " AOYAMAGE 777L£.AG£NCY,GVG' M IUM+aI'SaU71KY0 :✓ v to AY7RUST;TI7Lc 1NSUBANL£;£p7PANY(AN ALTRUST.ANANQAL£OUPANY i6SG.`K";[A!VR FNi57,M:.CFA.• �. 7` 'Gd.NQ4 ANN;BURK&•Al11}'EA,VSEt,kAf,'. 00 ." .•7� - '{ , FARA7'p4LD/T£AS�•1753"lul::ri',•�?+`;?1;I,jPdE,;AS57Gi45,AS 7NflRiN7i:JifST•NAY.AiPEAP.- � v }r4 ••'.Na±uyt'Nr'.;;... AffjjROAD, �. ;.�:...:b�:,�.yn.a=.=.�..�.�• EA S.00D ACRES _• ' `•�}��*-�' �.��=vim OR 217;751 SQ. FT. -• _ •srr<.air..r. f V 40 �-.,.J✓.t ii.ti ... I ' •PRIDE OITNG NORTH FOO RK• 33705 North Rd.Peconic, NY 11958 • 631.765.8042•www.catapanodair'yfarrn:com. July 21, 2023 Dear Town of Southold, Thank you for considering this special event permit application. We respectfully request that the review for the application be expedited,as we have less than 60 days before we plan to hold this event. The event is to celebrate the farm's 20'anniversary, but it also has an important goal-to raise funds for our farm manager,who is fighting a second battle with cancer and who is in the midst of chemotherapy and radiation treatments. Proceeds from this event will go toward her expenses,as she has been out of work fighting this illness. We decided that Labor Day weekend would be the best possible date for this event,given that we have so many visitors to our town that weekend and it would maximize funds raised. Thank you for considering our application: Sincerely, Connor Burke. Erin Argo Burke Catapano Dairy Farm's Owners DATE(MM/DDIYYYYI Aco' CERTIFICATE OF LIABILITY INSURANCE 1121/2023 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 poiicy(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 NAMEACT ANTHONY RICCI KENNETH MACNISH PHONE:, FAX 631-939 6060 ,Ac No: 631-6934039 859 CONNETQUOT AVE MAIEL ANTHONY.RICCi AMERICAN-NATIONAL.COM SUITE 12 INSURER(S)AFFORDING COVERAGE NAIC# ISLIP TERRACE NY.11752 INSURERA: UNITED FARM FAMILY INSURANCE CO 29963 INSURED INSURER B: BURKE-CATAPANO DAIRY FARM INC INSURERC: 33705 COUNTY ROAD 48 INSURER 0: INSURER E PECONIC NY 11958 INSURER F: EJ 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, LR ADD SUB MM �Y UTR TYPEINSURANE POLICY NUMBER M ,13O YYMOdLIMITS A COMMERCIAL GENERAL LIABILITY Y 3101G7677 11/20/2022 11/20/2023 EACH OCCURRENCE $ 1,000,000 DA CLAIMS-MADE F OCCUR PREMISES Eaocciirrerce . $ 100,000 MED EXP(Anyone person). $ - 5,000 PERSONAL&ADV INJURY_ $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 IPOLICY F_]'JPERGT F__]LOC O" PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER:-- " $ a AUTOMOBILE LIABILITY 310107901 4/4/2023 4/4/2024 COMBINED.51 GLELlMIT, $ 1,000,000 Eo acddontl ._ ANY AUTO BODILY INJURY(Per person). $ OWNEDX SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY HIRED NON-OWNED PROP.ERTY,DAMAGE' $ UTOS XAUTOS ONLY AUTOS ONLY or oc dont- UMBRELLALIAB OCCUR EACHOCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $. DED RETENTION$ $ WORKERS COMPENSATION STATUTE '-ER AND EMPLOYERS'LIABILITY YIN - - -- - -- ANYPROPRIETOR/PARTNEFVEXECUTIVEN NIA E.L.EACH ACCIDENT OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descrtba under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ TTI DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD i01,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED. EVENT-SEPTEMBER 2, 2023 (RAIN DATE - SEPTEMBER 3, 2023). CERTIFICATE'HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 54375 MAIN ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTHOLD, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Catapano Dairy Farm's 20th Anniversary Celebration-Event Description Saturday,Sept.'J,.2023(Rain Date:Sunday,Sept.&2023) 4pm—8pm Events include: Milking demonstration;discussion on cheesemaking Tent(30 x 45)with 5-10 local vendors with handmade items Yoga Bounce house Skincare products demonstration Dinner(prepared by North Fork Shack) Barn dance/square dance from 6pm—8pm with live music Some of the proceeds will benefit Debra Slack,Catapano's Farm manager,who is undergoing cancer treatment. X10 2 6.. BURKE-CATAPANO DAIRY FARM INC 4�4 33705 COUNTY RD 48 1. a PECONIG,NY 11958 21 2 10-4!220 DATEPAY - TOTHE �a ORDER,:OF s �,o v : s DOLLARS T'Bank FOR 11200 L0 26l 1:0 2 20000461: 6500866 ?64118 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/21/23 Receipt#: 313646 Quantity Transactions Reference Subtotal 1 Event Fee PPP-1A $150.00 1 Late Fee PPP-1A.Late $250.00 , Total Paid: $400.00 Notes: Payment Type Amount Paid By CK#1026 $400.00 Peconic, Park Properties Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Peconic, Park Properties Llc 33705 North Rd Peconic, NY 11958 Clerk ID: DIANAF Internal ID:PPP-1A.Late Franke, Diana From: Franke, Diana Sent: Friday,July 21, 2023 3:21 PM To: Mirabelli, Melissa Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Noncarrow, Denis Subject: Special Event: Peconic Parks Properties, LLC Attachments: Spec.Event.B-C.Farms.pdf Importance: High Good Afternoon, Please see attached the Application for a Special Event Permit from Peconic Parks Propeties, LLC/Burke-Catapano Dairy Farms received on 07/21/2023 Thank you, oI lw C5 Qr"'. Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228, Mirabelli, Melissa From: Lanza, Heather Sent: Thursday,July 27, 2023 9:21 AM To: Mirabelli, Melissa;Verity, Mike; DeChance, Paul; Flatley, Martin;Weisman, Leslie Subject: RE: Special Event Catapano Dairy Farm 20th Anniversary Looks like they have enough space for parking cars. Maybe a condition"no parking on CR 48"? From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Wednesday,July 26,2023 5:03 PM To:Verity, Mike<Mike.Verity@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Weisman, Leslie <lesliew@town.southold.ny.us> Subject:Special Event Catapano Dairy Farm 20th Anniversary Please send me questions and or comments Thank you K) Alelissa Af. 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 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. ******************************************************************************************* 1 Mirabelli, Melissa From: Flatley, Martin Sent: Thursday,July 27, 2023 8:16 AM To: Mirabelli, Melissa Subject: RE: Special Event Catapano Dairy Farm 20th Anniversary I have no objections to this event being approved Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 , a 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: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent:Wednesday,July 26,2023 5:03 PM To:Verity, Mike<Mike.Verity@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Lanza, Heather<heather.lanza@town.southold.ny.us>; Weisman, Leslie <lesliew@town.southold.ny.us> Subject:Special Event Catapano Dairy Farm 20th Anniversary Please send me questions and or comments Thank you 1llelissa 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. ******************************************************************************************* J 2 RE: Special Event CDF la-b Kangas, Melissa <Melissa.Kangas@suffolkcountyny.gov> 07/27/2023 at 10:16 AM i From: Kangas, Melissa <Melissa.Kangas@suffolkcountyny.gov> Sent: 07/27/2023 at 10:16 AM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Cc: Amakawa,Andrew<And rew.Amakawa @suffol kcou ntyny.gov>, Kerr, Mikael <Mikael.Kerr@suffolkcountyny.gov>, Hamm, Christina<Christina.Hamm @suffolkcountyny.gov> Good morning Missy, Regarding the Catapano Dairy Farm special event, we do not have any comments as the property is neither SC PDR nor is it adjacent to County holdings. Our new Planner, Christina Hamm,will be reviewing the special event applications moving forward. She is cc'ed on this email, please add her to the special event emails. Thank you, Planner Suffolk County Dept. of Economic Development & Planning Division of Planning & Environment 100 Veterans Memorial Highway, 2nd Floor Hauppauge, NY 11788 631-853-4910 Tel 631-853-4044 Fax Melissa.Kangas@suffolkcountyny.gov i 1 I p r a c t i c e G R E E N Save a tree.Read,don't print,emails. CONFIDENTIALITY NO TICS: This electronic mail transmission is intended solely for the use of the individual/entity to whom it is addressed and may contain confidential information belonging to the sender. If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. From: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Sent: Wednesday, July 26, 2023 5:09 PM To: Visser III, Fredric<fredv@southoldtownny.gov>;Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov.>; Kangas, Melissa<Melissa.Kangas@suffolkcountyny.gov>; Glew, Claire<Clai're.Glew@town.southold.ny.us>; Webster, Kevin <kevin.webster@town.southold.ny.us> Subject: Special Event CDF la-b Send questions and or comments Disclaimer The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful. This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast, a leader in email security and cyber resilience. Mimecast integrates email defenses with brand protection, security awareness training, web security, compliance and other essential capabilities. Mimecast helps protect large and small organizations from malicious activity, human error and technology failure; and to lead the movement toward building a more resilient world.To find out more, visit our website. Mirabelli, Melissa From: Glew, Claire Sent: Monday,July 31, 2023 10:57 AM To: Mirabelli, Melissa Cc: Webster, Kevin Subject: RE: Special Event CDF la-b The Assessors have no issue with this event. Gl. zr&Gl e-�nr Assistant to Assessor Town of Southold Board of Assessors (631)765-1937 (0) (631)765-1356 (F) www.southoldtownny.gov claireg@southoldtownny.gov From: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> Sent: Wednesday,July 26,2023 5:09 PM To:Visser III, Fredric<fredv@southoldtownny.gov>;Amakawa,Andrew<Andrew.Amakawa@suffolkcountyny.gov>; Kangas, Melissa<Melissa:Kangas@suffolkcountyny.gov>; Glew, Claire<Claire.Glees@town.southold.ny.us>;Webster, Kevin<kevin.webster@town.southold.ny.us> Subject:Special Event CDF la-b Send questions and or comments Mirabelli, Melissa From: Mirabelli, Melissa Sent: Friday,August 4, 2023 3:54 PM To: Lanza, Heather;Weisman, Leslie Subject: wording with condition on Catapano Dairy Farm RESOLVED that the Town Board of the Town of Southold hereby grants permission to Catapano Daily Farm, to hold Special Event 2023- at the Catapano Dairy Farm, 33705 North Road, Peconic,New York as applied for in Application CDFla-b for 20t'Anniversary Celebration on September 2, 2023 on rain date September 3, 2023 from 4PM— 8PM. This event is approved with the following conditions: All parking of vehicles for this event must be on premises and no parking on North Road. Provided they adhere to ALL conditions on the application, 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 or is unable to properly control traffic flow into and out of the event Jfelissa Al 11firabelli 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 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. i Inh�; : r r Sent Items <`inbox Compose 1.1-J 1 ...,............ GICLCU�I}CIIIJ; Reply tl Mark Re: Catapano Dairy Farm Event 9/2 4pm-8-pm PLT land Hamm, Christina<Christina.Hamm@suffolkcountyny.gov> 08/08/2023 at 12:36 PM To: Mirabelli, Melissa<melissa.mirabelli@town.southold.ny.us> and 5 others Details I Display Images A For your security, images are not being displayed. Consider this before displaying them. Hello Melissa, With regard to the Catapano/Peconic Park Properties special event(scheduled for 9/2/2023) and use of SCTIVI parcel# 1000-74-2-15, we do not have any comments as the property is neither SC PDR nor is it adjacent to County holdings. Sincerely, CTlN'LWUq.Gti f(a~V Christina Hamm Planner Suffolk County Dept. of Economic Development & Planning Division of Planning & Environment 100 Veterans Memorial Highway, 2-"-d Floor --------------------------------------------- -------- Hauppauge, NY 11788 ----------------------------- I (631) 853-6044 (631) 853-4044 (FAX) From: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Sent:Tuesday,August 8, 2023 11:48 AM To: Lanza, Heather<heather.lanza@town.southold.ny.us>; Weisman, Leslie<lesliew@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>;Verity, Mike <Mike.Verity@town.southold.ny.us> Cc: Hamm, Christina <Christina.Hamm@suffolkcountyny.gov>; Kerr, Mikael <mikael.kerr@suffolkcountyny.gov>; Kangas, Melissa <Melissa.Ka ngas@suffol kcountyny.gov>; Amakawa, Andrew<Andrew.Amakawa@suffolkcountyny.gov> Subject: FW: Catapano Dairy Farm Event 9/2 4pm-8-pm PLT land Hi all. x, RECEIVE JUL 2 1 2023 • L.S Southold Town Clerk TOWN OF SOUTHOLD Town Code Chapter 205 "Public Entertainment and Special Events" SPECIAL EVENT PERMIT INSTRUCTIONS AND APPLICATION FORM Applications for a Special Event Permit are subject to an inter-departmental coordinated review by the Southold Town Board, Town Attorney, Town Assessors,Land Preservation,Building,Planning,Zoning Board of Appeals and Police Departments, and the Suffolk County Planning Commission. Application fee: $150.00 per application — up to six (6) multiple events of the same type may be permitted on one (1) application for a fee of$150.00. However, specific details of each event must be included with this application. All applications must be submitted at least 60 business days before the event. Applicants are encouraged to submit applications as early as possible. Any completed application that is not submitted 60 or more business days prior to the scheduled event may be rejected or subject to a late processing fee of$250.00 by the Office of the Town Clerk, unless a waiver is obtained. Requesting an expedited review must be submitted in writing to the Town Clerk. The Town Clerk will forward all applications to the Special Events Committee for processing. The Committee will obtain comments on all applications from relevant Town,, County and/or State agencies and will forward completed applications to the Town Board with a recommendation as to whether to grant or deny the application. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community. When is a Permit Required? All Special Events,per Southold Town Code Article I, Section 205-2(Definitions)must obtain a permit., Occasional events on private residential properties hosted by the owner thereof that are by invitation such as family gatherings, weddings, graduations, parties or not-for-profit fundraisers do not require permits. Any use of residential property for profit such as a venue for weddings or other events is prohibited. This application is deemed complete once all the following requirements are submitted to the Town Clerk: Please indicate submission of the following by checking off the boxes and signing below. N/A completed application form signed by the owner and the event manager. Applications without property owner's signature/approval will be rejected. & FEE: Is the application being submitted at least 60 days before the event[ ] Yes [ Jl"No XIfYes,FeeofgO()" has been submitted LJ If No,Fee of$ has,been submitted Updated 8/7/2018 ' Y N(The applicant/owner of the property where the special event is proposed to take place must provide a certificate of insurance not less than 2 million dollars naming the Town of Southold as an -additional insure LJ A Parking/Event Plan: consisting of a survey, site plan and/or aerial view of the subject property that includes the locations of on-site parking, sanitary facilities, and tents or other temporary structure(s). (See application form for details) REvents for three hundred (300) or more people require submission and approval of a traffic control Ilan acceptable to the Town of Southold AND a qualified traffic controller must be provided at the event. (See application form for details) Signature of Property Owner on the application authorizing Code Enforcement Personnel of the Town of Southold to enter the subject premises during the hours of the event to ensure compliance with any and all special event permit conditions. My signature below affirms that I have submitted all the information required above in connection with my application. Dated Signature Activities associated with outdoor public events 'are strictly prohibited from taking place on land preserved through the sale of development rights to the Town of Southold, and can only take place on land preserved through the sale of development rights to the County of Suffolk with a permit issued by the Suffolk County Farmland Committee. If food is to be served, it must be catered and prepared off-site by food vendors who hold a permit to operate issued by the Suffolk County Bureau of Public Health Food Protection Unit. Updated 8/7/2018 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Special Event Permit# Applicant(s)name: (?'bV1y%Dr Date of Submission 1,12-1 23 Name of Event e u- �c�0u�►'4 ���h IVQNSa �aVl SCTM#'s 1000-Section -4-L4 Block- d 2 Lot(s) 12 . Z Dates of Each Event: S . 5 CYZU V1 dAIJ�Z If Multiple Dates amn--e,n,re(quested, applicant must give all information for all dates. Nature of Event: l�Dl�iq QAkOMW 099-" �7it.Y" 20 Ye&YS I►� P,t�b11�21YJ (Please attach a detailed description of VACH event to this application) Time Period(Hours) of Event: From 9 1p YvI to 0 12 fVn Town Services requested: ( )Yes (v�No If yes,Describe Police Dept._Highway Dept. Describe Services Maximum Number of Persons Attending At One Time`5 v Number of cars expected Is a Tent or other temporary structure being used? [✓fYes [ ]No If yes provide size(s) Will food be served? [ v6es [ ]No If yes provide number and name(s)of food vendor(s) 1 V moi S'V&aC C� (o 3 1 i-"(o 5'c---> to Q2 Suffolk County permit#(s) Will other vendors be on the premises during the event? [/Yes [ ]No If yes honnw11 many? 5-�� Describe Type of vendors) I,OC.d.Q VEM{�,ITYS '�10� 1N10..�t•A-. C�c-fZ L+VVM (ln or+vDd) Property Owner(name/address):T-�toV11C. r'(aiy�P!3re QCT✓4-iL4 L-,C— 3 •�COV(t S$ Contact Person and Contact Tel.# b'nV%Dy- 17U� 631 tos?_q ala e-mail address mlwo .yl D d a 1k n Q QyVA _j_Q • ('_tf M Event Location: Street-Hamlet Address: 1 u an 1 L' Kim# L0D o `� C�2,� IZ.2 Will any services be requested [ ]Yes allo. If Yes describe Police Highway Other: Mailing Address to Send Event Permit to: 4j7a1171� yzj PC L01',(C.' Updated 8/7/2018 Have any of the development rights been sold to/the Town of Southold [ ]Yes [ No and/or Suffolk County Agricultural Program? [ ] Yes [VI No If yes to either or both, also indicate on the attached plan the boundaries of the reserved area upon which the event will take place. YOU MUST ATTACH A PARKING/EVENT PLAN TO THIS APPLICATION IF THE EXPECTED ATTENDANCE IS 300 OR MORE PEOPLE,YOU MUST ALSO ATTACH A TRAFFIC CONTROL PLAN(see next page) A Parking/Event Plan may be a survey, site plan and/or aerial view ( or example Google Earth) of the subject property.INDICATE ON THE PLAN ALL of the following information: A parking/event plan showing: (1) The size of the property and its location in relation to abutting streets or highways. (2) The size and location of any existing building(s)or structure(s) that will be in operation during the course of the event and any proposed building, structure, or signs to be erected temporarily for the event. (3) The location of the stage or tents,if any. (4) The designated areas of use for spectators,exhibitors,vendors, employees and organizers. (5) Location of all entries and exits. . (6) The location of all fire extinguishers and other fire safety equipment. (7) The location of all temporary utilities to be installed for the event,if any. (8) The layout of any parking area for automobiles and other vehicles and the means of ingress and egress for such parking areas. The parking spaces must allow for 300 sq. ft. per car. (9) A traffic control plan for vehicles entering and leaving the site for the proposed event. (10) Plan for the use of live outdoor music, loudspeakers and other sounds which will be used, if any,and the type and location of speakers and other audio equipment. (11) A description of emergency access and facilities related to the event. (12) Provisions to dispose of any garbage,trash,rubbish or other refuse. (13) Location and description of any additional lighting to be utilized in conjunction with the event. (14) Location of sanitary facilities on site. Traffic Control Plan Events for three hundred(300)or more people also require submission and approval of a traffic control plan, acceptable to the Town of Southold,AND a qualified traffic controller must be provided. Please attached a written description and/or notate on the parking event plan the following: 1)Who will be conducting traffic,2)Where they will be stationed on site, 3)How they will direct the entrance, circulation,parking, and exiting of cars on site, and 4)Contact information for use by Southold Town Police. OWNER'S SIGNATURE: I am the Owner of the Property where this event is to be held and I agree to comply with the laws, rules,regulations, conditions, and requirements of the Code of the Town of Southold, including but not limited to the conditions listed below, as well as all other applicable agency rules and regulations pertaining to the activities under this event. Furthermore,I hereby swear or affirm that the information contained herein and attachments hereto are true and correct to the best of my knowledge, and agree to provide notice to the Town immediately should there be any material changes regarding to this application. . Updated 8/7/2018 Furthermore,I hereby authorize Code Enforcement Personnel of the Town of Southold to enter the property during the hours of the permitted special event to make any and all inspections necessary in connection with this Special Event. Cov%r tov- (3LVAA, Print name of Owner Signature of Owner 0MKM o - 6U/4—Q, Print name of Authorized Person/Representative Signature of Authorized Person/Representative PERMISSION IS HEREBY GRANTED, SUBJECT TO THE FOLLOWING CONDITIONS: 1. By acceptance of this permit, applicant agrees to adequately supervise and direct all parking to be on the premises or at another site, and to provide parking assistants and any additional traffic controls necessary for this event. Parking is strictly_prohibited on ANY Town, County or State Roads or Rights of Way_ 2. Traffic control at events for three hundred(300) or more people shall be provided by a qualified traffic controller in accordance with the attached, approved traffic control plan. 3. One "on-premises" sign not larger than six (6) square feet in size may be displayed not longer than thirty (30) days before this event, and removed immediately after the event. Directional parking signs shall be adequately displayed. 4. Applicant indemnifies and holds harmless the Town of Southold from all claims, damages, expenses, suits and losses including but not limited to attorney's fees arising from activities under this permit. 5. Tent proposals must receive permit approval from the Southold Town Building Inspector before placement on the property and must meet all fire and safety codes. 6. This permit is valid only for the time, date, place and use specified above, and for the designated event. Each additional day will require a separate permit application, fee, and related documents for review, etc. at least 60 business days prior to the scheduled event. 7. Adequate temporary sanitary facilities must be provided by applicant for this event and applicant agrees to remove the temporary facilities from the premises within 48 hours after the day of the event. 8. On-site food preparation is NOT permitted, although food may be catered subject to all Suffolk County Department of Health regulations. 9. NO activities associated with this event, including but not limited to parking, ingress/egress/access. tent(s) or temporary structure(s), or temporary sanitary facilities, shall be conducted on Town of Southold Purchase of Development Rights land. 10. NO activities associated with this event, including but not limited to parking ingress/egress/access, tents or temporary structure(s) or temporary sanitary facilities, shall be conducted on Suffolk County Purchase of Development Rights land without a permit issued by the Suffolk County Farmland Committee. 11. Issuance of this permit does not authorize in any manner the occupancy of any building exceeding the legal limitations under the fire code or other codes which would prohibit such increased occupancy. 12. Access shall be provided for emergency vehicles, to all public assembly areas, all buildings, all work areas and any additional area where emergencies may occur. Two emergency-fire exits and exit paths Updated 8/7/2018 from the building(s) on the property, to a public way or remote safe area, shall remain open and unobstructed at all times. 13. Owner assures fiill compliance with all fire, safety,building, and other Town laws. 14. Music,when outdoors, is required to stop at the time specified in the permit. Placement of the speakers must be in a location that affords the greatest protection from noise intrusion upon adjacent properties. 15. Owner will allow access to Code Enforcement Personnel of the Town of Southold during the hours of the special event to make any and all inspections necessary in connection with this Special Event 16. ADDITIONAL CONDITIONS: ANY VIOLATIONS IN CONNECTION WITH THE CONDITIONS LISTED HEREIN WILL TERMINATE THIS PERMIT. APPROVED Town of Southold Resolution Number: Date Issued: Updated 8/7/2018 err-4a s' a 1-4 'OS LSL`L to &0 _ S3djv 000 S=v3cvv rn --a- QVO&77l1p lN3rvnNcrv= r C �aA (� NV3ddV AVIV 1S3M'1Nf V13HI SV'S.NVSSN WOW SHCSSX=S Sll'1SV31f03XJ WNV-4 , 'dtX)7NI lSOae aNV7 7INOJ3d CJ2IV H138V717-7 MH3 ONV 3N21,'19 NHor YONN O . '� OlON100S dO NN01 !/0/N (ANVdIVOD 7VIONVNfi 15OD&V NV).4NVdlY0.7 3AON3 V 3 3711(1IWACV • 1 7N!ilOFf3OV 371(C 30V1NVAOV O - , -Ol O313l1 N3O M.O£,L4.Z9N N b � >b o _ 0 �,r v � • � ��ra �.. � atlas nb f 3s w - R � . lmrosr 1 G m ao ` .b1 \�\\ Nrl ❑°J _ - - nral 3are \ 1nNdsv m � 'Hz 1 nOr , u 3,00,[0.995 —x—z—x—x—x—x—x—x—x—x—x—x x—z—k£S'LOF _ nru, uvo 3xuwx ofxir !sa——x—x—x—x—x—x—x—x—x—x—x- ' u ''OT IxSMONNrd32OZS V0/N • 4 � O OZOL'OI L3@O/a7 zar-zo-rt-000T \� �, AN ILMDOO Yiojjns � O a7ommoS jO mHoL _ OINOOad ALV f� - A LXSdOXd JO AHAY 1S C3 n ,,cA MU •PRIDE OF THE NORTH FORK- 33705 North Rd. Peconic, NY 11958 • 631.765.8042 • www.catapanodairyfarm.com July 21, 2023 Dear Town of Southold, Thank you for considering this special event permit application. We respectfully request that the review for the application be expedited, as we have less than 60 days before we plan to hold this event. The event is to celebrate the farm's 20'anniversary, but it also has an important goal -to raise funds for our farm manager,who is fighting a second battle with cancer and who is in the midst of chemotherapy and radiation treatments. Proceeds from this event will go toward her expenses, as she has been out of work fighting this illness. We decided that Labor Day weekend would be the best possible date for this event,given that we have so many visitors to our town that weekend and it would maximize funds raised. Thank you for considering our application. Sincerely, Connor Burke Erin Argo Burke Catapano Dairy Farm's Owners ;acorrn CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 7//21 21/2/2023 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 CONTACT NAME: ANTHONY RICCI KENNETH MACNISH PHCN o t. 631-939-6060 FAX No; 631-693-3039 859 CONNETQUOT AVE E- -ADDRESS: ANTHONY.RICCI@AMERICAN-NATIONAL.COM SUITE 12 INSURERS AFFORDING COVERAGE NAIC# ISLIP TERRACE NY 11752 INSURERA: UNITED FARM FAMILY INSURANCE CO 29963 INSURED INSURER B: BURKE-CATAPANO DAIRY FARM INC INSURERC: 33705 COUNTY ROAD 48 INSURER D: INSURER E: PECONIC NY 11958 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 ADDL SUER POLICY NUMBER MM/DDY EFF POLICY EXP LIMITS LTR ' A COMMERCIAL GENERAL LIABILITY Y 310167677 11/20/2022 11/20/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR PREM SES Ea occu encs $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER: $ a AUTOMOBILE LIABILITY 3101C7901 4/4/2023 4/4/2024 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNEDX SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED V NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LU1B CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION SPER TATUTE ETH AND EMPLOYERS'LIABILITY Y/N OFF CER/ME TO REXCLUDEE7 ECUTIVE ❑ N f A E.L.EACH ACCIDENT $ (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) CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED. EVENT - SEPTEMBER 2, 2023 (RAIN DATE - SEPTEMBER 3, 2023). CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 54375 MAIN ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTHOLD, NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Catapano Dairy Farm's 20th Anniversary Celebration- Event Description Saturday,Sept.1,2023 (Rain Date:Sunday,Sept.a 2023) 4pm—8pm Events include: Milking demonstration; discussion on cheesemaking Tent(30 x 45)with 5-10 local vendors with handmade items Yoga Bounce house Skincare products demonstration Dinner(prepared by North Fork Shack) Barn dance/square dance from 6pm—8pm with live music Some of the proceeds will benefit Debra Slack, Catapano's Farm manager,who is undergoing cancer treatment. 'L. � o s PAN DAIRY FARM NC r B RKE=CATH O. U D' 705:COUNTY•R 48-"-`" 33 - E N NY 11958 P CO IC I -220 0. / _DATE PAY 0 0' - TO TFIE - �s ORDER OF t '= [DOLLARS - M&T Bank col �° :• FOR ��. 1YYl�� i t C� !E'0.2 20'000461:: 65-008.66. 7:,6411' 11'00 L0 260 - r. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/21/23 Receipt#: 313646 Quantity Transactions Reference Subtotal 1 Event Fee PPP-1A $150.00 1 Late Fee PPP-1A.Late $250.00 Total Paid: $400.00 Notes: Payment Type Amount Paid By CK#1026 $400.00 Peconic, Park Properties Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Peconic, Park Properties Llc 33705 North Rd Peconic, NY 11958 Clerk ID: DIANAF Internal ID: PPP-1A.Late Franke, Diana From: Franke, Diana Sent: Tuesday,July 25, 2023 11:31 AM To: Mirabelli, Melissa Cc: Noncarrow, Denis; Sabrina Born (sabrina.born@town.southold.ny.us) Subject: RE: Special Event: Peconic Parks Properties. LLC - REVISED APPLICATION Attachments: Spec.Event.B-C.Farms2.pdf. Good Morning, Please see attached the revised Application for a Special Event Permit from Peconic Parks Properties, LLC/Burke- Catapano Dairy Farms received on 07%25/2023 . (EVENT DATE &CERTIFICATE changed). Thank you, 8av"p�Fi-mrke Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 From: Franke, Diana 1 Sent: Friday,July 21, 2023 3:21 PM To: Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us> Cc:Sabrina Born (sabrina.born@town.southold.ny.us)<sabrina.born@town.southold.ny.us>; Noncarrow, Denis <denisn@southoldtownny.gov> Subject:Special Event: Peconic Parks Properties. LLC Importance: High Good Afternoon, Please see attached the Application for a Special Event Permit from Peconic Parks Propeties, LLC/Burke-Catapano Dairy Farms received'on 07/21/2023 . Thank you, Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 Franke, Diana From: Franke, Diana Sent: Friday,July 21, 2023 3:21 PM To: Mirabelli, Melissa Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Noncarrow, Denis Subject: Special Event: Peconic Parks Properties. LLC Attachments: Spec.Event.B-C.Farms.pdf Importance: High Good Afternoon, Please see attached the Application for a Special Event Permit from Peconic Parks Propeties, LLC/Burke-Catapano Dairy Farms received on 07/21/2023 . Thank you, Tana&ranks Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1