HomeMy WebLinkAboutSouthold UFSD Vendor No. Cliecl�aua:; ';.:::: ::: ::
Town of Southold, New York - Payment Voucher
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Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount 'Amount ClaimedNumber Description of Goods or Services : Geneva I edger Fund:aii3 Accoaut'.t lfi..-.b':.
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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.
Signature Title Signatu per)
Company Name Date.
Title �� �1 Date
Southold Town Board - Letter Board Meeting of June 4, 2024
RESOLUTION 2024-498 Item# 5.24
ADOPTED DOC ID: 20315
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-498 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
DUNE 4,2024:
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
C.A.S.T. . 2/07/2024 $1500.00
Attn: Cathy Demeroto
PO Box 1566
Southold,NY 11971
Southold UFSD 4/11/2024 $250.00
Attn: Danielle Donohue
PO Box 470
Southold,NY 11971
Orient Fire Dept. 3/22/2024 $250.00
Attn: Burke Liburt
PO Box 37
Orient,NY 11957
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Anne H. Smith, Councilwoman
SECONDER:Brian O. Mealy, Councilman
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty
ABSENT: Louisa P. Evans
Generated June 6, 2024 Page 46
Town of Southold
P.0 Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 04/16/24 Receipt#: 325734
Quantity Transactions Reference Subtotal
1 Clean-Up Deposit 5/23/24 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#46547 $250.00 Southold, UFSD
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Southold, UFSD
Po Box 470
420 Oaklawn Ave
Southold, NY 11971
Clerk ID: SABRINA Internal ID:5/23/24
Southold Town Board - Letter Board Meeting April 23, 2024 of A
So p
RESOLUTION 2024-368 Item# 5.22
ADOPTED DOC ID: 20179
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-368 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
APRIL 23, 2024:
RESOLVED that the Town Board-of-the-Town of Southold hereby grants permission to the
outhold UFSD to hold a E�olice/F-irefighter/EMS Appr-eciation-D_ay ar:a e on Thursday;May
23rd,202�4 from 9:00am to 10:00am with a walk from Southold High School down Oaklawn
Ave to the Southold Elementary School,provided they adhere to the Town of Southold Policy
for Special Events on Town Properties and Roads. Contact is to be made to Chief Flatley to go
over Police Presence at the event.
L 4
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Louisa P. Evans, Justice
SECONDER:Greg Doroski, Councilman
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans
Generated April 24, 2024 Page 41
DENIS NONCARROW h� Gy Town Hall,53095 Main Road
TOWN CLERK coP.O.Box 1179
y Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145
MARRIAGE OFFICER 'j'
RECORDS MANAGEMENT OFFICER ��,( .��� Telephone oldt nny.gov
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 24, 2024
Attn: Danielle Donohue
Southold Union Free School District
PO Box 470
Southold,NY 11971
Dear Ms. Donohue,
The Southold Town Board, at its regular meeting held on April 23`d, 2024 has
granted permission to the Southold Union Free School District to hold its Police,
Firefighter/EMS Appreciation Day Parade on Thursday, May 23,d, 2024 from 9 AM to 10
AM.
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.
TC Checklist for Parade/5K*Bicycle*/Town Property/Road
Closure Special Events Applications
Name of Organization: 36141h ( � U F"D
IVo[i C"p- j ,
Name of Event:Fl rf,�) fm 5 M a*%a e(s) Event: 5 a 3 a
*No 5K and Bicycle events during the period of June 1 to November 1*
Event fee check(or request to be waived)
Road clean-up check(CANNOT BE WAIVED)
Current Insurance certificate
Application sent for approvals to the following Depts.:/
JPD Hwy V Land Pres. TA Records Mngmnt/TC
V Approval from Chief of Police
Cost Analysis from Chief of Police No
Approval from Land Preservation
Approval from Highway Dept.
TB Resolution for approval (once approval and cost analysis comes from Chief of PD)
Town Board Reso. #: „2ya y 3 L?C
J Approval letter to Or anization's contact person w/copy of TB resolution
pp g
After Event:
Confirmation from Chief of PD to release clean-up fee
TB Resolution to refund clean-up fee
TB Clean-up Reso. #:
Voucher and copy of TB clean-up Reso. to Accounting Dept.
Whole application file to Records Management (include copy of voucher&reso.)
e r -
Noncarrow, Denis
To: ddonohue@southoldufsd.com
Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Grattan, Steven; Mudd,Jennifer
Subject: Special Event.
Good Morning Danielle.
We received a fax on the proposed event. We still need a map of the route, an insurance cert as written in the
application and a check for the clean up .
Once we received these items we can move the application forward.
Let us know if you need help or have any questions.
Thank you
Denis Noncarrow
Southold Town Clerk.
Town of Southold, New York
www.southoldtownnv.gov
denisn@southoldtownny.gov
631-765-1800
CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged
information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is
prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the
intended recipient, please contact the sender and destroy all copies of the communication.
1
1
Town Hadd,68095 MAin.Road
DENIS XONCARROW P.O.Box 1179
TOVVN'CXERK
Southold,New York 11971
REGISTRAR Op VITAL STAnSTICS F0 " Fax ne(6 765-661a
RF7CxIS � a`t+ Telephone(6S1)76a-1S00
1VLAR��YAGE'oF�r'1C�ER ygov
RECORDS NUNAG9WMNT OFFICER prwvPsoutholdtowdti
+� l�i �`� ''
1sR.EE]]OM 00 INFORMATION OFFICER
OFFICE OF THE TOWN CLERK RECEIVED
TOWN OF SOUTHOL))
APPLICATION VOR A PERMIT TO HOLD A
APR 1 1 2024
SPECIAL EVtr4T
Please rbVide•ALL of.the.iufdrmation rc''uesfed U low.�iic Clerk
d. Xet�•s iiesition
reviewed, '
Date of Submission zn
r.
Name of Event
Name of Organization;
Is this a I4ot-For-Profit Event?'Yes/NO
Contact's Name;
Mailing Address: C
Contact's Phone Number: ��
ban,
Contact's Email Address; 1
Event Location and Site Diagram:
(Use additional paper if necessary)
Event Date(s): , 2-
—
Unclude set up and shutdown times and dates)
Nature of Event:•
(Please attach a detailed description to this application)
Time Period(Hours)of Event: JFrD.--.—q—,.—t0-jL-,.
Maximum Number o'F Expected Attendees:
Spe m (Le.road closure,police presence):
ci ara a ecia!re u O
1
i
TO/TO 3Jdd AHViN3W313 Q1OHinos 668999LT69 Tb:ET PZOZ/OT/tO
If aTent 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;
Event sees:
$250 for events with less than 1000 expected attendees � �-'"
$500 for events with 1000 or more expected attendees
Cleanup pees(Can NOT be waived):
$1,500.00 Clean-up for Bicycle and/or Running Special events (ONLY)
��$250 or more Cleanup deposit all other events
CERTIFICATE OF IN'SURANrCE7RL U HII k6; Not less than $2,000,000 naming the rown 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 felting out Signature of Authorizcd Person filling out application
application
*U'pon the request by applicant,the Town.hoard may waive in whole or in part any of the application
requirements.
2
TO/TO 39Vd h8d1N3W313 QIOHinos 668999LI69 66:61 VZOZ/OT/VO
z
• W
N
O
N
® DATE(MM/DD/YYYY) O
CERTIFICATE OF LIABILITY INSURANCE 06/30/2023
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 pollcy(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),
CONTACT
PRODUCER NAME:
NEW YORK SCHOOLS INSURANCE RECIPROCAL PHONE
FAX
A/C No
333 Earle Ovington Blvd. E-MAIL
Uniondale NY,t 1553 ADDRESS:
INSURERS AFFORDING COVERAGE NAICq
INSURERA: New York Schools Insurance Reciprocal 34843
INSURED INSURER B:
Southold UFSD INSURER C:
P.O.Box 470
INsuRERD:
Southold,NY 11791
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TD 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 DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY E%P LIMITS
LTR TYPEOFINSURANCE POLICYNUMBER MMIDD/YYYY MMIODNYYY
ArGEWN'L
MMERCIAL GENERAL LIABILITY X SSP SOU 001 07101/2023 07/01/2024 EACH OCCURRENCE $1,000,000
RENTED
CLAIMS-MADE a OCCUR PRM SES OA AGE TOEaoccurrence $1,000,000
MEDEXP(Anyoneperson) $10,000
PERSONAL$ADVINJURY $1,000,000
GREGATELIMITAPPLIESPER: GENERAL AGGREGATE UNLIMITED
POLICY E jECT LOG PRODUCTS-COMP/OPAGG $1,000,000
X OTHER MBI $
AUTOMOBILE LIABILITY (CEO, IdeDtSINGLE LIMIT
ANYAUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY Per aid t
A UMBRELLA LIAS X OCCUR ECL SOU 001 07/01/2023 07/01/2024 EACH OCCURRENCE $12,000,000
X EXCESSLIAB CLAIMS•MAOE AGGREGATE $24.000,000
DED I I RETENTION E PER $
WORKERS COMPENSATIDN STATUTE ERH-
AND EMPLOYERS'LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $
O FFICERIMEMSER EXCLUDED?
(Mandatory In NHI E.L.DISEASE-EA EMPLOYEE S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Certificate Holder is an Addltional Insured as per the terms stated on Additional Insured Endorsement CG 20 26 04 13-use of the Town's Parks for the
District's events during the policy period.
CERTIFICATE HOLDER CANCELLATION
Town of Southold
54375 Main Road P.O.Box 1179 SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Southold,NY 11971 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE l
G 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
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Born, Sabrina
From: Born, Sabrina
Sent: Tuesday, April 16, 2024 1:45 PM
To: Blasko, Regina; Flatley, Martin; Goodwin, Dan; Grattan, Steven; McCullough, Lillian;
Norklun, Stacey; Orientale, Michael; Spiro, Melissa; Stype,John;Johnson, Benjamin;
McGivney,Julie; Paul DeChance; Squicciarini,James
Cc: Noncarrow, Denis; Mudd,Jennifer
Subject: Southold UFSD PD/FD/EMS Appreciation Day
Attachments: Sthld UFSD Event 20240416134117.pdf
Good Afternoon,
Please provide approval/disapproval and cost analyst.
Thank you,
,SaA&47? haw
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:
Sthld UFSD Event_20240416134117.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
- - - -- --- -- -----------
iOUTHOLD UFSD
ID Vendor-Name Vendor Address• " Date;. Check Amount Check Number,
1174 SOUTHOLD TOWN CLERK SOUTHOLD TOWN HALL 4/16/2024 $250.00 46547
PO BOX 1179
SOUTHOLD,NY 11971-0959
'O Number Budget Account:. _ y Invoice Numhcr: _v _ _ Amount
:40896 A 2020.402-100-100 5/23/24 EVENT-CLEAN UP FEE �250.00
REMOVE DOCUMENT ALONG THIS PERFORATION
See Reverse Side For Easy Opening instructions
--------------- ----- - - ---- - ----------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------
SOUTHOLD UFSD
420 OAKLAWN AVENUE
P.O.BOX 470
SOUTHOLD,NY 11971-0470 RECEIVED`
SOUTHOLD TOWN CLERK
SOUTHOLD TOWN HALL APR 1 6 2024
PO BOX 1179
SOUTHOLD,NY 11971-0959 Southold Town C?P.rk
Check# 46547
Born, Sabrina
From: Flatley, Martin
Sent: Wednesday,April 17, 2024 2:52 PM
To: Born, Sabrina
Subject: RE: Southold UFSD PD/FD/EMS Appreciation Day
Sorry working on two events at the same time. I have no objections to this event being approved. We will have enough
officers participating this event that we will take care of the road closure while there.There will be no extra costs
involved .
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:Wednesday, April 17, 20241:44 PM
To: Flatley, Martin<mflatley@town.southold.ny.us>
Subject: RE:Southold UFSD PD/FD/EMS Appreciation Day
There wasn't anything sent in your last email. I think we're still awaiting your approval/disapproval and cost
analyst. I have the information for the parade route if you want me to forward it to you.
From: Flatley, Martin <mflatlev@town.southold.nv.us>
Sent:Wednesday,April 17, 202411:26 AM
To: Born, Sabrina<sabrina.born@town.southold.nv.us>; Blasko, Regina <rblasko@town.southold.nv.us>; Goodwin, Dan
<dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>; McCullough, Lillian
<lillianm@southoldtownny.gov>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael
<michaelo@southoldtownnv.gov>; Spiro, Melissa<Melissa.Spiro@town.southold.nv.us>;Stype,John
<iohnst@southoldtownnv.gov>;Johnson, Benjamin<beniamini@southoldtownny.gov>; McGivney,Julie
<iuliem@southoldtownnv.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Squicciarini,James
<iacks southoldtownny.�oy>
Cc: Noncarrow, Denis<denisn@southoldtownnv.gov_>; Mudd,Jennifer<iennifer.mudd town.southold.nv.us>
Subject: RE:Southold UFSD PD/FD/EMS Appreciation Day
Martin Flatley, Chief of Police
1
Town of Southold Police Department
41405 State Route 25
Peconic, N.Y. 11958
Tel: 631-765-3115
4
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 <sa bring.born @town.southold.ny.us>
Sent:Tuesday,April 16, 2024 1:45 PM
To: Blasko, Regina <rblasko@town.southold.ny.us>; Flatley, Martin <mflatley@town.southold.nv.us>; Goodwin, Dan
<dang@southoldtownny.gov>; Grattan,Steven<ssrattan@southoldtownny.gov>; McCullough, Lillian
<lillianm@southoldtownnv.gov>; Norklun, Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael
<michaelo@southoldtownny.gov>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Stype,John
<*ohnst@southoldtownny.gov>;Johnson, Benjamin<beniamini@southoldtownny.gov>; McGivney,Julie
<iuliem@southoldtownny.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Squicciarini,James
<iacks@southoldtownny.gov>
Cc: Noncarrow, Denis<denisn@southoldtownny.eov>; Mudd,Jennifer<iennifer.mudd@town.southold.nv.us>
Subject:Southold UFSD PD/FD/EMS Appreciation Day
Good Afternoon,
Please provide approval/disapproval and cost analyst.
Thank you,
.SaG'niKa7?'l�'o�
Sabrina M. Born
Sub-Registrar& Deputy Town Clerk
Senior Account Clerk
Southold Town Clerk's Office
53095 Route 25
P.O. Box 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:
Sthld UFSD Eve nt_20240416134117.pdf
2
Born, Sabrina
From: Donohue, Danielle <ddonohue@southoldufsd.com>
Sent: Wednesday,April 17, 2024 11:38 AM
To: Born, Sabrina
Subject: Re: Parade Route Needed
They are starting at the bus circle of Southold high school and
going to march along Oaklawn until the Elementary School bus
circle. A very short route.
Danielle Donohue
On Wed,Apr 17, 2024 at 11:20 AM Born,Sabrina <sabrina.born@town.southold.nv.us>wrote:
Hi Danielle,
i
i
I'm going to be adding the Southold UFSD's PD/FD/EMS Appreciation Day special event to the next
Town Board meeting on 4/23/24 for approval, however, I'm missing the exact parade route. You had given us
a copy of a map but the route wasn't marked on it. What is your start point, each roadway that the parade will
be marching on and the end point?If you prefer to go over it on the phone, you may call the office at 631-765-
1800.
i
i
I
I
Thank you,
Sa�usa�?2'�'on�
I
Sabrina M. Born
Sub-Registrar& Deputy Town Clerk
Senior Account Clerk
Southold Town Clerk's Office
53095 Route 25
P.O. Box 1179
Southold,NY 11971
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