HomeMy WebLinkAboutPolar Plunge RESOLUTION 2024-340
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ADOPTED DOC ID: 20152
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-340 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
APRIL 9, 2024:
WHEREAS the North Fork Cheer Booster Chub has supplied the Town of Southold with a
Clean-up deposit fee in the amount of$250.00 for their Polar Plunge event held on April 6, 2024
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$250.00 to the North Fork Cheer Booster Club, c/o Denise Taormina, PO Box 44,
Laurel, NY 11948.
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Greg Doroski, Councilman
SECONDER:Brian O. Mealy, Councilman
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans
I
Vendor No.
Town of Southold, New York - Payment Voucher
Vendor Name Vendor Address Eiferedaiy
NDY"I�'l I u d /Iw'�t 1cJ(JU ��L�'(J �V• dx '`f Aidit Date '
Vendor Telephone Number
i�p' U ✓ J �t���C�l ' Y\� I �l b Tow.ri Cleik..
Vendor Contact
vn, i aD�rn► n cL
Invoice Invoice Invoice Net Purchase Order
............... ...
Number Date Total Discount Amount Claimed Number Description of Goods or Services :GeneraI tiedder:Fund and:Accouti tt Nii'mbet. ..
�At r y)- 0-3 a:
Payee Certification Department Certification
The undersigned(Claimant)(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 condition without 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 and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved.
A4)XSi gnat �"�` L �/I Signature
Company Name Date �a' Title
I
Southold Town Board - Letter Board Meeting of February 27, 2024
SUPo(t
RESOLUTION 2024-187 Item# 5.16
(A.0"�° a ADOPTED DOC ID: 20004
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-187 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 27,2024:
RESOLVED that the Town Board of the Town of Southold hereby 11rantspermission-for the
North Fork Cheer Booster Clu!b�to hold Polar Plunge]at the New Suffolk Beach on.A,pril'e-
2024,rom 10:00am to 1:06pm. Provided they file with the Town Clerk a Two Million Dollar
Certificate of Insurance naming the Town of Southold as an additional insured and that they
comply with the Town of Southold's Policy for Special events on Town Properties and Roads;
They are also to reach out to Chief Flatleyto review event. Support is for this year only, as the
Southold Town Board continues to evaluate events.
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty, Councilwoman
SECONDER:Brian O. Mealy, Councilmdn
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans
Generated February 28, 2024 Page 34
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DENIS NONCARROW �� G.y Town Hall,53095 Main Road
TOWN CLERK = P.O.Box 1179
o
y Z Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICER �'
RECORDS MANAGEMENT OFFICER �0,� �a� Telephone oldt 76n .gov
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 27, 2024
North Fork Cheer Booster Club
Denise Taormina
Rebecca O'Brien
P.O. Box 44
Laurel New York, 11948
Dear Denise and Rebecca.
The Southold Town Board, at its regular meeting held February 28th, 2024, granted permission
to The North Fork Cheer Booster Club to told its Polar Plunge on Saturday, April 61h, 2024 from
1 Oam to 1:00pm. 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 contact Captain
Grattan at the Southold Town Police Department as soon as possible, to coordinate traffic
control.
If you have any further questions, please do not hesitate to contact the Town Clerk's office at
(631) 765-1800.
Best of 1 with your event.
Since ely, .
is Noncarrow,
own Clerk
Enc.
r � � . .........
DENIS NONCARROW �� � Town Hall,53095 Main Road
TOWN CLERK ® �'S' P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS !
� � Fax(631)765-6145
MARRIAGE �OFFICER ' �°� "` �'� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER �� �'a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION FOR A PERMIT TO HOLD A
SPECIAL EVtNT
Please provide ALL of the information requested below. Incomplete applications WILL NOT be
reviewed.
Date of Submission I ru 73 2(3-7-
i
Name of Event ODS p5
l neezr ' R)1Q
Name of Organization: &W-0\ foLk GwdeK Chi b
Is this a Not-For-Profit Event?Yes/No
Contact's Name: De w [QoP-Mina DP. 9 Ca
Mailing Address: P0 BoX "M Laurel ', kly ITIR O 40Ye, i 11435
Contact's Phone Number: C e 31 - M
o ..
Contact's Email Address: n yak acCe YC 1-r"
Event Location and Site Diagram: u)
(Use additional paper if necessary) - ----
Event Date(s): rl
(Include set up and shutdown times and dates)
FEB 2 9 2024
Nature of Event: '
(Please attach a detailed des iption to this application)
Town U`nrlk
Time Period (Hours) of Event: From 0;00At1, to P imI -- --
Maximum Number of Expected Attendees: A1 rin-
1
Specify any special requirements (i.e. road closure; police presence):
vile nae -* hulmu. f&. to-It a - W lr e aeady rece;yed dAxe -oce
foe this. ,
this. \
��, u'170o:�d G.150 1�!-�,�0 `�� -�oo�y �!r'�hk t M�-�c�n�O S�, c�Jr,n' �ultc+a•'Cl���
--I o r c�,k SR- -JFa.,- 4),a- VQ1of b C)\e-e.T &04 W a j
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: qy��Qal
Event Fees:
$250 for events with less than 10,00 expected attendees
$500 for events with 1000 or more expected attendees
i
Clean-up Fees (Can NOT be waived):
$1,500.00 Clean-up for Bicycle and/or Running Special events (ONLY)
J $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.
Dew 1 �Uryhin�l
Print name of Authorized Person filling out Signature of Authorized Person filli�pplicati��._
application
*Upon the request by applicant, the Town Board may waive in whole or in part any of the application
requirements.
2
AID
ASS CIATION
INSUPANCE
MANAGEMENT INC
MEMBER CERTIFICATE OF INSURANCE 2/16/24
Thank you for purchasing your insurance from AIM. This is your Member Certificate and should be kept with your permanent records.
Insured#: NY209486
NAMED INSURED MEMBER- Named Insured&Mailing Address PRODUCER NAME
NOFO Cheer Booster Club Inc Education Support Purchasing Group AIM Association Insurance
Attn:Nancy Mullen or Current Officer c/o AIM Management,Inc.
P.O.Box 531 P.O.Box 674051 PO Box 674051
Cutchogue,NY 11935 Dallas TX,75267.4051 Dallas TX,75267-4051
Company/Coverage Policy# Effective Dates Deductible Limits of Insurance
Concert Specialty Insurance GL2023AIM14455 9/19/23-2/14/24 $0 Each Occurrence $1,000,000
Company/Commercial
General Liability
Concert Specialty Insurance GL2023AIM14455 2114/24-9/19/24 $0 Each Occurance $2,000,000
Company/Commercial
General Liability
Concert Specialty Insurance GL2023AIM14455 9/19/23-2/14/24 $0 General Aggregate $2,000,000
Company/Commercial
General Liability
Concert Specialty Insurance GL2023AIM14455 2/14/24-9/19124 $0 General Aggregate $2,000,000
Company/Commercial
General Liability
Concert Specialty Insurance GL2023AIM14455 9/19123-2/14/24 $0 Products-COMP/OPS $2,000,000
Company/Commercial
General Liability
Concert Specialty Insurance GL2023AIM14455 2/14/24-9/19/24 $0 Products-COMP/OPS $2,000,000
Company/Commercial
General Liability
Personal&Advertising Injury $2,000,000
Concert Specialty Insurance GL2023AIM14455 9/19/23-2/14/24 $0 Personal&Advertising Injury $1,000,000
Company/Commercial
General Liability
Damage To Rented Premises $50,000
Concert Specialty Insurance GL2023AIM14455 2114/24-9/19/24 $0 Damage To Rented Premises $50,000
Company/Commercial s
General Liability
Concert Specialty Insurance GL2023AIM14455 9/19/23-9/19/24 $0 Medical payments-any one person $5,000
Company/Extended Medical
Payments
Concert Specialty Insurance D02023AIM12382 9/19/23-9/19/24 $0 Aggregate $1,000,000
Company/Professional Liability
(Directors&Officers Liability)
Retro-active Effective Date: 9/19/20
AID
ASSOCIATI N
INSURANCE
MANAGEMENT INC
Town of Southold is added as an additional insured to the General Liability Policy only.
Event:Polar Plunge New Suffolk Beach
Date:April 6,2024;10 a.m:12 p.m.
Certificate Holder: This member certificate,together with the common policy conditions,coverage
part(s),coverage form(s),and endorsements,if any,complete the above numbered
Town of Southold policy. Copies of the Master Policies are available upon request or may be printed at
53095 Main Rd. www.aim-companies.com
Southold,NY 11971
AUTHORIZED REPRESENTATIVE
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/21/24 Receipt#: 323086
Quantity Transactions Reference Subtotal
1 Event Fee 4.6.2024 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#267 $250.00 North Fork Cheer Booster
Club inc,
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: North Fork Cheer Booster Club inc,
22355 County Road 48
Cutchogue, NY 11935
Clerk ID: DENISN Internal ID:4.6.2024
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 02/21/24 Receipt#: 323087
Quantity Transactions Reference Subtotal
1 Clean-Up Deposit 4.6.24 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#266 $250.00 North Fork Cheer Booster
Club inc,
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: North Fork Cheer Booster Club inc,
22355 County Road 48
Cutchogue, NY 11935
Clerk ID: DENISN Internal ID:4.6.24
i
Noncarrow, Denis
From: Flatley, Martin
Sent: Wednesday, February 21, 2024 3:01 PM
To: Noncarrow, Denis; Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven;
Mudd,Jennifer; Mirabelli, Melissa; Norklun, Stacey; Orientale, Michael; Born, Sabrina;
Spiro, Melissa
Cc: Douglass,Janet; Foote, Nancy
Subject: RE:April 6th Event/NF Cheer
Attachments: NFBoosterPlunge.xls
I have no objections to this event being approved. My cost analysis report is attached. I will set up a hotline now for the
complaints of illegal parking in the New Suffolk hamlet.
Martin Flatley, Chief of Police
Town of Southold Police Department
41405 State Route 25
Peconic, N.Y. 11958
Tel: 631-765-3115
N
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: Noncarrow, Denis<denisn@southoldtownny.gov>
Sent:Wednesday, February 21, 2024 2:20 PM
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>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Mirabelli, Melissa
<meIissa.mira bell i@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey
<Stacey.Norklun@town.southo Id.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Born,Sabrina
<sabrina.born@town.southold.ny.us>; Spiro, Melissa<Melissa.Spiro@town.southold.ny.us>
Cc: Douglass,Janet<janetd@town.southold.ny.us>; Foote, Nancy<naincy.foote@town.southold.ny.us>
Subject:April 6th Event/NF Cheer
Please see event attached and respond as needed.
Thank you
Denis Noncarrow
Southold Town Clerk.
Town of Southold, New York
www.southoldtownny.gov
denisn southoldtownny.gov
631-765-1800
1
Town of Southold Police Department
Special Event Cost Analysis
Event: NF Booster Club "Freezin for a Reason" Polar Plunge
Date(s): April 6, 2024
Location: New Suffolk Beach
Polat " ,,All atio Event,
V.,
Wage Total Comments
rw
Reg Hours 1011T Hrs �Hrly
Reg Hours OT Hrs Total Comments
Ni;gliMla- WAt"147-
Marine GIF I
HM 11 Kirincic 1.5 $68.67
1.5
HM Dimon $68.23
1.5.5
WAQ&
OEM,,00—c Mpt—rdf.
. j&tq% JlRaeg Hours OT Hrs Hrly Wage Total Comments
TC Officer#1
TC Officer#2
TC Officer
TC Officer
TC Officer
5W
�r4f of vehicles
kwhiWee"mM Costs
PD Vehicles
les $/h r Total
Command Van_
-Marine Patrol Boats 1.5 $90/hr $135.00 $135.00
,Total Department Cost for Event = -- $261.90
Prepared by Chief M. Flatley 2/21/2024 Page 1