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Home My WebLink AboutShamrock Shuffle 5K Southold Town Board- Letter Board Meeting of February 13, 2024 RESOLUTION 2024-1,53 Item# 5.14 �a ADOPTED DOC ID: 19966 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-153 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 13,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Mattituck-Cutcho_gue Athletic Booster Club o use the following route for its 2024 Shamrock -baffle SjK on Sunday, March.lZth,e2Q24, beginning on the eastern side of Tasker Park on Carroll Avenue, right onto County_Road 48, right onto Old North Road (a)Wesnofske Farms, right onto Ackerly Pond Lane, right onto flower Road, right onto Route 25 to the finish at Greenport Brewery,provided they follow all the conditions in the Town's Policy for Special Events on Town Properties. The fees have been waived for this event with the exception of the clean-up deposit. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [5 TO 01 MOVER: Brian O. Mealy, Councilman SECONDER:Anne H. Smith, Councilwoman AYES: Mealy, Smith, Krupski Jr, Doherty, Evans RECUSED: Greg Doroski Generated February 14, 2024 Page 28 Southold Town Board - Letter Board Meeting of March 26,`2024 RESOLUTION 2024-290 Item# 5.26 ADOPTED, DOC ID: 20092 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-290 WAS ADOPTED AT THE REGULAR MEETING OF THE'SOUTHOLD TOWN BOARD ON MARCH 26,2024: 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 North Fork Chamber of Commerce & 1/23/2024 $250.00 Cutchogue Fire Dept. c/o Joseph Corso 2520 Fairway Drive Cutchogue,NY 1193 5 Mattituck=Cutcho-gue Athletic-Boostei Club 2/7/2024 ��$1,500.00 41-5 Vff1age-Ln:`- - Mattituck,NY 11952 �L ��, Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Brian O. Mealy, Councilman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans Generated March 27, 2024 Page 49 01 DENIS NONCARROW �' .�, Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 15, 2024 Attn: Michelle Clark Mattituck-Cutchogue Athletic Booster Club 415 Village Lane Mattituck,NY 11952 Dear Ms. Clark, The Southold Town Board, at its regular meeting held on February 13, 2024 has granted permission to the Mattituck-Cutchogue Athletic Booster Club to hold its 3`d Annual Shamrock Shuffle 5K on Sunday, March 17t", from 8:30 AM to Noon. A certified copy of the resolution is enclosed. An insurance policy naming the Town of Southold as additionally insured has been filed with this office. Please be sure to contact Captain Grattan at the Police Department, 631-765-2600, as soon as possible, to coordinate traffic control. Very truly yours, Denis Noncarrow -.Southold Town Clerk Encl. DENIS NONCARROW Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O .� Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER - - �tho�dtpwnn�guv .°ti., FREEDOM OF INFORMATION OFFICER ,b PZ L OFFICE OF THE TOWN CLERK c50!'F E B - 7 2024 TOWN OF SOUTHOLD y T ry APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVF;NT Please provide ALL of the information reoueste'd Below.Incomplete applications WILL NOT be- reviewed. Date of Submission 2 J7 2 �f Name of Event 3 ' IbV l L te-21 cSha—mpve-L Cyh-ue -*-C- Name of Organization; Is this allot-For-Profit Event o� n Contact's Name: l ai-/e— Mailing Address: q[J- V j 11 0-a g Z'n �- Contact's Phone Number: Contact's Email Address: 64ajtj Aw t4bvOS-�ee i/ ,:, OD gwt&-c I • COvYL Event Location and Site Diagram: S-r;e GL`f'fZCCG1Q� (Use additional paper if.necessary) Event Date(s): /ICI QLtrc-A �� 20 -`f (Include set up and shutdown times and dates) Nature of Event: (Please-attach a detailed description to this application) Time Period(Hours)of Event: From �'-3D r2h to A(PO tJ Maximum Number of-Expected Attendees: 15V - 2-00 Specify any special requirements (i.e. road closure,police presence): 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: 44 0' V i l o_q L_ I,v] /Vl ai 1 .�✓� I��i�` �. Event Fees: $250 for events with less than 1000 expected attendees c vo -Ve. •2 $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(ONUS) $250 or more Clean-up deposit all other events f/CERTIFICATE OF INSURANCE REQUIRED: Not less than$2,000,000 naming the Town of Southold as an additional insured. 5e c G ' ***NOTE: PLEASE SEE ATTACHED REVISED, ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. _ tyl 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. 2 s •.'ss �._ s�w�a `! , Amw t � - Ile r • (� 1.1rC.11,1 ao 1 e • i •Doi ' . 10 1 r �J '. 1 S it f, � • �• - Peconic, NY US 11958 Description Mattituck-Cutchogue Athletic Booster Club Shamrock Shuffle. Sunday March Race proceeds to benefit the Mattituck- Cutchogue Booster Club Senior Scholarship Fund. � p Race begins at 10:00am C'c-p d Day-of registration starts at 8:30am at Tasker Park on Carroll Ave. Finish at: Greenport Harbor Brewery & Restaurant (42155 Main Rd, Peconic, NY 11958) Race Fees: Adults: $30 online registration $35 day-of Mattituck-Cutchogue Students: $15 online registration $20 day-of Guaranteed t-shirts to the first 200 registrants! Overall Top Males and Females Top Males and Females in Age Groups: 8 and under, 9-12, 13-15, 16-19, 20-24, 25-29, 30- 340 35-391 40-44, 45-491 50-54, 55-59, 60-64, 65- https://runsignup.com/Race/NY/Peconic/MattituckAthleticBoosterClubShamrockShuffie5K 1/2/24, 9:22 PM Page 2 of 6 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 endomemen s. PRODUCER RRAPCT Neefus Stype Agency PHC No Ext: 631 722-3500 1 FAJCC,No:(631)722-3591 711 Union Ave. Aquebogue,NY 11931 E .lnfo@nsainsure.com INSURER 8 AFFORDING COVERAGE NAIC# INSURER •U.S.Liability Insurance Co 25895 INSURED INSURER B: Mattituck-Cutchogue Athletic Booster Club SUR PO Box 1241 INSURER D: Mattituck,NY 11952 INSURER INSURER F: COVERAGES CERTIFICATE UM 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 SUBR POLICY NUMBER POLICY EFF POLICY EV.LM LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3,000,000 CLAIMS-MADE �X OCCUR X SE 1103844 31,712024 3/19/2024 DAMAGE TO RENTED 100,000 MED EXP(Any one rson 1,000 PERSONAL&ADV INJURY 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 X POLICY JECT LOC PRODUCTS-COMP/0P AG0 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) HIRED NON.OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PERTLITE OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORMARTNERIEXECUTIVE O NIA E.L.EACH ACCIDENT �Cd�R1MF,M�HR EXCLUDED?f9E.L.DISEASE-EA EMPLOYE Iffyyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY OMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) 3117/24Shamrock Shuffle at Tasker Park Carrol Ave Southold NY 11971 Certificate holder is listed as additional Insured in respect to general liability per 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 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 117 Southold,NY 11971 AUTHORIZED REPRESENTATIVE {"•t ACORD 25(2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 URCT Neefus Stype Agency PHONE FAX 711 Union Ave. ArC,Na,En:(631 722-3500 Arc No:(631)722-3591 Aquebogue,NY 11931 ''"A' .lnfo@nsainsure.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:U.S.Liability Insurance Co 25895 INSURED INSURER B: Mattituck-Cutchogue Athletic Booster Club INSURER C PO Box 1241 INSURER D: Mattituck,NY 11952 INSURER 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 133LTYPE OF INSURANCE ADDLSUBR POVCYNUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3,000,000 CLAIMS-MADE ❑X OCCUR X SE 1103844 3/1712024 311912024 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any oneperson) 1,000 PERSONAL&ADV INJURY 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 pqPOLICY❑jEpT LOC PRODUCTS-COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMMD SINGLE LIMB ANY AUTO BODILY INJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOSSCHEDULED � p BODILY INJURY(Per accident) HIRED ONLY AUTOS ONLY P PPEE AMAOEAUTO $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LIIAS CLAIMS-MADE AGGREGATE DED I I RETENTION$ WORKERS COMPENSATION PER I OTH- AND EMPLOYERS'LIABILITY Y I N IA ER ANY PROPRFIIEETOERRMARTNER/EXECUTIVE EL EACH ACCIDENT (M1AanAetory In NHI EXCLUDED? NIA E.L.DISEASE-EA EMPLOYE Ryes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ifmore space Is required) 3117124Shamrock Shuffle at Tasker Park Carrot Ave Southold NY 11971 Certificate holder is listed as additional insured in respect to general liability per written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Strong Island Running Club THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 9 ACCORDANCE WITH THE POLICY PROVISIONS. 22 Buckingham Meadow Rd East Setauket,NY 11733 AUTHORED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 MATTATH-01 GANCONA CERTIFICATE OF LIABILITY INSURANCE DATE A E( ,2 2osa� 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. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 02/07/24 Receipt#: 322435 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 03/17/2024 $1,500.00 Total Paid: $1,500.00 Notes: Payment Type Amount Paid By CK#5686 $1,500.00 Mattituck-cutchogue, Athletic Booster Cl Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Mattituck-cutchogue, Athletic Booster Club Po Box 1241 Mattituck, NY 11952 Clerk ID: DIANAF Internal ID:03/17/2024 ' I Noncarrow, Denis From: Flatley, Martin Sent: Wednesday, February 7, 2024 10:56 AM To: Franke, Diana; Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven; McCullough, Lillian; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Born, Sabrina Subject: RE: Special Event: 3rd Annual Shamrock Shuffle 5K Attachments: Shamrock5kCA2024.xis I have no objections to this event being approved. My cost analysis is attached. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 M 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: Franke, Diana<dianaf@town.southold.ny.us> Sent:Wednesday, February 7, 2024 9:13 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Goodwin, Dan<dang@southoldtownny.gov>; Grattan,Steven <sgrattan@southoldtownny.gov>; McCullough, Lillian<lillianm@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> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Born,Sabrina <sabrina.born @town.southo Id.ny.us> Subject:Special Event: 3rd Annual Shamrock Shuffle 5K Good Morning, Please see attached the Application for a Special Event Permit from Mattituck-Cutchogue Athletic Booster Club received on 02/07/2024. Please provide approval or disapproval and cost analysis. Thank you, Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 Town of Southold Police Department Special Event Cost Analysis Event: Shamrock Shuffle 5K Run Date(s): March 17, 2024 Location: I Peconic Area �Patrol�All4cation for,Eve_nt_ Reg Hours OT Hrs Hrly Wage Total III Comments NoW 'Po alit ce Officers°_„w PO Merlo �M7 2 $142.98 PO Creighton 2 $55.84 ;Special Patrol.; ,w ;-LL, ,_ - d•: _., Reg Hours OT Hrs Total Comments ?Bicycie.Patro•,,_I,w,_ Highway "Patrol P.O. Onufrak 3 $226.38 P.O. Flatley 3 $226.38 Ma neUnits T�raWj Cc ontroli ARM, Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 TC Officer#2 TC Officea TC Officer TC Officer Eq iuiu Went Costs PD Vehicles #of vehicles $/hr Total 4 $20.00 $200.00 $200.00 Command Van Marine Patrol Boats Total Department Cost for Event = $851.58 Prepared by Chief M. Flatley 2/7/2024 Page 1 Franke, Diana From: Flatley, Martin Sent: Wednesday, February 7, 2024 10:56 AM To: Franke, Diana; Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven; McCullough, Lillian; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Born, Sabrina Subject: RE: Special Event: 3rd Annual Shamrock Shuffle 5K Attachments: Shamrock5kCA2024.xls I have no objections to this event being approved. My cost analysis is attached. Martin Flatley, Chief of Police Town of Southold Police Department 41405 State Route 25 Peconic, N.Y. 11958 Tel: 631-765-3115 'f 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: Franke, Diana<dianaf@town.southold.ny.us> Sent:Wednesday, February 7, 2024 9:13 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Goodwin, Dan<dang@southoldtownny.gov>; Grattan,Steven <sgrattan@southoldtownny.gov>; McCullough, Lillian<lillianm@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> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Born,Sabrina <sabrina.born @town.southo Id.ny.us> Subject:Special Event: 3rd Annual Shamrock Shuffle 5K Good Morning, Please see attached the Application for a Special Event Permit from Mattituck-Cutchogue Athletic Booster Club received on 02/07/2024. Please provide approval or disapproval and cost analysis. Thank you, Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1 Franke, Diana From: Franke, Diana Sent: Wednesday, February 7, 2024 9:13 AM To: Blasko, Regina; DeChance, Paul; Flatley, Martin; Goodwin, Dan; Grattan, Steven; McCullough, Lillian; Mirabelli, Melissa; Norklun, Stacey, Orientale, Michael; Spiro, Melissa Cc: Noncarrow, Denis; Sabrina Born (sabrina.born @town.southold.ny.us) Subject: Special Event: 3rd Annual Shamrock Shuffle 5K Attachments: SpecEvent. Matt-Cut Athl Booster Club.pdf Good Morning, Please see attached the Application for a Special Event Permit from fMattituck-Cutchogue Athletic_-Booster Club received on 02/07/2024. Please provide approval or disapproval and cost analysis Thank you, �ia�ra p�rm�ke Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 1