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HomeMy WebLinkAboutBoy Scout Trout 6 Annual Car Show Vendor No. ClieckNo € Town f Southold, N Y New York-- Payment Voucher o Vendor Name Vendor Address Eriteiedli: > ' € € i€ ...................y................................................. ....................................................................... ..............:....................................................... .mat o €:[:€ s:': €':ip .::...:..:.: . ...:.::::::::.:.:: ...................................................................... Vendor Telephone Number, J 3 3 a 13 , ..................... N i 1�5g �4 ��.. .. . ..................Vendor Contact ..................................................... ...................................................................... ...................................................................... Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General. ddgdr Eund aiid At:t u I umlier P .........................g...................................................... - ...........::::::::..:......:::...::::::.....................:::::::: C : �h �i r .... .... ... :::::: Cutb - Payee Certification Department Certification — -----The undersigned(C-laimant)-(-Acting on-behalf of the-above-named-claimant)------ --- ----I hereby certify-that-the-materials-above-specified-have-been received by me-- -- ------------ --- does hereby certify that the foregoing claim is true and correct,that no part has in good conditionwithout substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due a3 owing,and That taxes ofi m wh�ct�the Town is exemp are excluded. or discrepancies note8,and-pa mentis approved. Signatu Signature Company Name Date Titl� Date U:Z,:3 gUFFO(, RESOLUTION 2023-792 ADOPTED DOC ID: 19490 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-792 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 12, 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 therefore be it RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the amount of the deposit made to the following Name Date Received Amount of Deposit Cutchogue Fire Department 6/09/2023 $250.00 260 New Suffolk Rd. Cutchogue,NY 11935 Southold Boy Scout Troop 6 3/28/2023 $250.00 PO Box 67 Peconic,NY 11958 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Sarah E. Nappa, Councilwoman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell I i i Southold Town Board - Letter Board Meeting of April 25, 2023 RESOLUTION 2023-392 Item 5.10 ADOPTED DOC ID: 19091 I THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-392 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 25,2023: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Boy Scout Troop 6 to hold its Annual Car Show, setting up Friday, September 1 st, 2023 at 5 PM. The event will be held on Saturday; September 2nd, 2023 from 9 AM to 4 PM and will be taken down on Sunday, September 3rd, 2023 by 5 PM. The event will be held at the Peconic Lane Community Center, Peconic Lane, Peconic, provided they file with the Town Clerk a Two Million Dollar Certificate of Insurance naming the Town of Southold as an additional insured and comply with all the provisions of the Town's Special Permit Policy. All fees associated with this approval shall be waived, with the exception of the clean-up deposit. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell I I I Generated April 26, 2023 Page 18 i DENIS NONCARROW �� G� Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ,� .ATelephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 28, 2023 1 Southold Boy Scouts Troop 6 PO Box 67 Peconic,NY 11958 To Whom It May Concern: The Southold Town Board, at its regular meeting held on Tuesday, April 25`h, 2023 granted permission to Boy Scout Troop 6 to hold its Annual Car Show on September 2"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, 631-765-2600, as soon as possible, to coordinate traffic control. Ve ruly yours, Denis Noncarrow Southold Town Clerk Enc. DENIS NONCARROW �5.+ �°�� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS d ® Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER dt" v), Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www southoldtldtownnygov E CL','��.:. b V i17 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAR 2 8 2023 APPLICATION FOR A PERMIT TO HOLD A SPECIAL E'VE`NT Southold ;fir%vin Clerk Please provide ALL of the information requested below.Incomplete applications WILL NOT be reviewed. Date of SubmissionI i I a©ate Name of Event�c w ,�>Cc cAn too c1d1 -o� co-C -L(\Qt,) Name of Organization: ; � � =4, S CdU-kS 1 COCA? (P Is this a Not-For-Profit Event?Yes/No ♦/fS Contact's Name: - eZe," wo e Mailing Address:-,-?. 0 . O,6 k 1 158 Contact's Phone Number: Cp ,7�— t3 Contact's Email Address: Event Location and Site Diagram: O'C-O kk(NA S pi+ � x 1 oa, (Use additional paper if nec ary) Event Date(s): 9� k 193 m - 2k (Y) (Include set up and shutdo n times and dates) Nature of Event: \. (ro l0 Co-C SINo L73 (Please attach-a d tailed description to this plication) Time Period(Hours)of Event: From q AM to Maximum Number of Expected Attendees: q 0 C) '1 Specify any special requirements(i.e. road closure, police presence): 5\r)O l.� - Zen Ce, am t-nd If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 I Mailing Address to Send Event Permit to: D, Jho KV 65 Event Fees: V Y V $250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Clean-up Fees (Can NOT be waived): $1,500.00 Clean-up for Bicycle and/or Running Special events (ONLY) $250 or more Clean-up deposit all other events CERTIFICATE OF INSURANCE REQUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant, the Town Board may waive in whole or in part any of the application requirements. I 2 ACC>EF CERTIFICATE OF LIABILITY INSURANCE DATE(b1M1DDlYYYY) 11i I • 03/11/22 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 ADDITIONALINSURED,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 endorsements. PRODUCER CONTACT NAME: Laura Craig Marsh 8:McLennan Agency LLC 8144 Walnut Hill Lane,16th Floor ' PHONE ,972-770-1402 AAC N.I.-972-770-1699 Dallas TX 75231 no aDRess: laura.crai marshmma.com INSURERS AFFORDING COVERAGE NAICA INSURER A..Evanston Insurance Company 35378 INSURED BSALFLCA INSURER B: Boy Scouts of America,National Council and NI of its affiliates and subsidiaries oy Scouts of America,Suffolk County Council INSURER C: ne Independence Hill,Suite 202 INSURERD: armingville,NY 11738 INSURER E INSURER F COVERAGES _ CERTIFICATE NUMBER:525827147 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FERiOD 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 TYPEOFINSURANCE ADDLSUBR POLICYEFF POLICY EXP LTR POLJCYNUMBER MMIDDI'll'ym (MMIDDIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY V3130009136 311/2022 3/1/2023 %HOCCURRENCE $1000,000 CLAIMS-MADE PDOCCUR PREMISES occurrence $1,000,000 MED EXP(Anyone person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $10,000,000 POLICY❑PRO- JECT 7 LOC PRODUCTS-COMP/OPAGG $ OTHER. S AUTOMOBILE LIABILITY COMB NED SINGLE LIMIT $ Ea ldant ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPE%DAMAGE $ AUTOS ONLY AUTOS ONLY ar acoldent $ A X UMBRELLALIAB OCCUR V3XEC0009135 311/2022 3/1/2023 EACH OCCURRENCE $6,500,000 EXCESSLIAB HCLAIMS-MADE AGGREGATE $13,000,000 DEO I J RETENTION $ WORKERS COMPENSATIONPER. OTH- AND EMPLOYERS'LIABILITY YIN STATIrTE E ANYPROPRIETORIPARTNEWEXECUTIVE ❑ NIA E.LEACH ACCIDENT $ OFFICERIMEMBEREXCLUDEDI (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ ifyyaass describe under OESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached Nmore apace Is required) Certificate holder is named as an additional insured by virtue of a written or oral contract or by the issuance/existence of a permit or certificate of insurance but only with respect to operations by or on behalf of the Insured,or to facilities of,or facilities used by the Insured and then only of the limits of liability specified in such contract for the event specified.Primary and Non-Contributory applies as required by written contract or agreement Waiver of Subrogation applies when required by written contract or agreement. Sexual Molestation coverage is incorporated in the policy and addressed by endorsment and is subject to the policy period,terms,limits and conditions of the policy. Certificate holders include directors,officers,agents,owners,volunteers,mortgagees and landlords as required by written contract or agreement. For.All Official Scout Activities CERTIFICATE HOLDER CANCELLATION Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 Route 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIMD REPRESENTATIVE ©1968 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/28/23 Receipt#: 309038 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 9/1/23-9/3/23 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1138 $250.00 Southold, Boy Scout Troop #6 Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold, Boy Scout Troop#6 PO Box 67 Peconic, NY 11956 Clerk ID: SABRINA Internal ID: 9/1/23-9/3/23 Born, Sabrina From: Born; Sabrina Sent: Tuesday, March 28, 2023 2:15 PM To: Blasko, Regina; DeChance, Paul; Flatley, Martin; Ginas,James; Goodwin, Dan; McGivney, Julie; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; Squicciarini, James Subject: Special Event-Boy Scouts Troop 6 Annual Car Show Attachments: Sp Ev-Sthld Boy Scouts C_20230328140431.pdf Please provide approval/disapproval and a cost analysis, if any. Thank you, Sod ui47WSante Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Sox 1179 Southold,NY 11971 Ph: 631-765-1800 ext. 1226 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: Sp Ev-Sthld Boy Scouts C_20230328140431.pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Born, Sabrina From: Flatley, Martin Sent: Tuesday, March 28, 2023 3:17 PM To: Born, Sabrina; Blasko, Regina; DeChance, Paul; Ginas, James; Goodwin, Dan; McGivney, Julie; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa; Squicciarini, James Subject: RE: Special Event-Boy Scouts Troop 6 Annual Car Show Attachments: CABoyScoutShow23.xls I have no objections to this event being approved. My Cost Analysis report is attached Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s)and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,you are hereby notified that any review,retransmission,conversion to hard copy,copying,reproduction,circulation,publication, dissemination or other use of, or taking of any action, or omission to take action,in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error,please(i)notify us immediately by telephone at 631.765.2600, (ii)return the original message and all copies to us at the address above via the U.S. Postal Service, and(iii)delete the message and any material attached thereto from any computer,disk drive,diskette, or other storage device or media. From: Born, Sabrina <sabrina.born @town.southold.ny.us> Sent:Tuesday, March 28, 2023 2:15 PM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Ginas,James<jginas@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; McGivney,Julie<juliem@southoldtownny.gov>; Mirabelli, Melissa <melissa.mirabelli@town.southold.ny.us>; Norklun, Stacey<Stacey.Norklun @town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.ny.us>; Squicciarini,James <jacks@southoIdtownny.gov> Subject: Special Event-Boy Scouts Troop 6 Annual Car Show Please provide approval/disapproval and a cost analysis, if any. Thank you, saevu'"V eaw Sabrina M. Born Sub-Registrar& Deputy Town Clerk Senior Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 1 Town of Southold Police Department Special Event Cost Analysis Event: Boy Scout Troop 6 Car Show Date(s): September 2, 2023 Location: Peconic Community Center Patollocatio or Event ? w Reg Hours OT Hrs Hrly Wage Total Comments Police¢Offtcers °: �'��� :CRU='';°.777 _•s ,r Reg Hours OT Hrs Hrly Wage Total Comments Bi y,,Patrols Hiig Iuuay�Patrol �y � Marin2e Unts�'��a T . Traffic C.ontro ;�_•,r•> -,_,;_ • Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 1 8 $18.64 $149.12 TC Officer#2 TC Officer TC Officer TC Officer Equipment Costs <r. •,; ` i.M "�: a�,. - ry :� ':w ' ,,. ' �, ,r.._ PD Vehicles #of vehicles Total 1 $10.00 $80.00 1 $80.00 Command Van Marine Patrol Boats Total Department Cost for Event = $229.12 Prepared by Chief M. Flatley 3/28/2023 Page 1