HomeMy WebLinkAboutOysterponds Historial Society - Heritage Day Parade TC Checklist for Parade/5K*Bicycle*/Town Property/Road
Closure Special Events Applications
Name of Organization: 7P"St
,d S A4briwJ 369�k
Name of Event: �C. Date(s) of Event: tikq 36
U ,
*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.: ' l
'1 V
PD H �/ Land Pres. TA � Records Mn mnt/TC
Hwy g
Approval from Chief of Police
Cost Analysis from Chief of Police
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. #: �0?q-qQY
Approval letter to Organization's contact person w/copy of TB resolution
After Event:
JConfirmation from Chief of PD to release clean-up fee
TB Resolution to refund clean-up fee
TB Clean-up Reso. #: ;�Oaq
Y Voucher and copy of TB clean-up Reso. to Accounting Dept.
Whole application file to Records Management(include copy of voucher& reso.)
ff, *SOS fF0 1/(�0
DENIS NONCARROW r,, �. Town Hall,63095 Main Road
TOWN CLERK P.O,Box 1179
Southold,NeNv York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)766-6145
MARRIAGE OFFICER � �� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny,gov
FREEDOM OF INFORMATION OFFICER
RECEIVED
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
A PR 2 3 2024
APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk
SPI'1CIAL EVtNT '
Please provide ALL of the information requested below. Lrcomplete applications WILL NOT be
reviewed,
Date of Submission 1 � a Q
Name of Events
Name of Organization:
Is this a Not-For-Profit Event 'Yes/No
Contact's Name;
Mailing Address:% ncpy 410,�C`12
Contact's Phone Number:
Contact's Email Address:
Event Location and Site Diagram: 1
(Use additional paper if necessary)
Event Date(s): 3L. CY—' 3 b 1 &Q&
(Include set up and shutdown times and dates)
Nature of Event; O—c>rrN
(Please attach a detailed description to this application)
Time Period (Hours) of Event: From C to ?m
Maximum Number of Expected Attendees: 01
Specify any special requirements (i.e. road closure, police presence): "� � Cb 'Cl G� iy.-
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;u4cA _�
Event Fees;
X $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)r$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 d4na by the Tow ard.
Print name of Authorized Person filling out Signature on 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
Heritage Day — Oysterponds Historical Society
- Parade participants will line up on Oysterponds Lane at 11:30 am on
Sunday.
- The parade will begin at 12 pm - leaving Oysterponds Lane, turning right
onto Rt. 25 then quickly turning right onto Village Lane.
- The parade will continue the end of Village Lane. (by W Bay Avenue)
- Vehicle will disperse to the left, off Village Lane.
Following the parade, there will be a reading of the Declaration of
Independence on the steps of the Old Point School House from
approximately 12:30 — 1:00 pm. If possible, we would like to have the traffic
blocked on Village Lane between Orchard Street and Vincent Street during
this time.
We would like to have No Parking signs posted on Village Lane from the
main road to the Yacht Club one or two days before.
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AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
L.� 04/23/2024
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 HOLI]ER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(Ees)must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement. A statement on this
certificate oes not cot fer rlcihts tot the certificate holder In fleuof such endorsementirs
PRODUCER, HAMTA EVENTS&ATTRACTIONS
K&K INSURANCE GROUP,INC. AI
TFRO No,Exl: 800-553-8368 plc No): 260-459-5624
P.O,BOX 2338
FORT WAYNE,IN 46801 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC N
INSURERA: MARKEL INSURANCE COMPANY
INSURED INSURER B: MARKEL AMERICAN INSURANCE
COMPANY
OYSTERPONDS HISTORICAL SOCIETY INSURER C;
1555 VILLAGE LAND,PO BOX 70 INSURER D;
ORIENT, NY 11957
INSURER E;
INSURER F;
COVERAGES CERTIFICATE NUMBER: C164772 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 POLICY EFF POLICY EXP LIMITS
LTR INSD WVD MMIDD MMIDD
A X COMMERCIAL GENERAL LIABILITY Y MKP0000501350000 3/11/2024 3/11/2025 EACH OCCURRENCE $1.000,000
DAMAGE TO REN
CLAIMS40DE�OCCUR 12:01 AM 12:01 AM PREMISES Ea occurrence $300,000
X NONOWNED/HIRED AUTO MED EXP(Any one person) EXCLUDED
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OPAGG $5,000,000
POLICY ❑PROJECT ❑ PARTICIPPANTSANTS 70
LOC BODILY
OTHER: PROFESSIONAL LIABILITY
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY Ea aceldenl
ANY AUTO BODILY INJURY(Per person)
— OWNED SCHEDULED AUTOS BODILY INJURY(Peraccident)
AUTOS ONLY
HIRED NON-OWNED PROPER DAA AG
X AUTOS ONLY Ix
AUTOS ONLY Peraccldent
B UMBRELLA LIAB X OCCUR Y MKX0000501350100 3/11/2024 3/11/2025 EACH OCCURRENCE $1,000,000
X EXCESSLIAB CLAIMS-MADE 12:01 AM 12:01 AM AGGREGATE $1,000,000
DED RETENTION
WORK RS COMPENSATI N NIA PER
OTHER
AND EMPLOYERS'LIABILrrY
ANY PROPRIETORIPARTNER/ YIN E•L•EACH ACCIDENT
EXECUTIVE OFFICERIMEMBER
EXCLUDED?(Mandatory In NH) E,L.DISEASE—EA EMPLOYEE
Ifyes,dose be under El
DESCRIPTION OF OPERATIONS below E.L.DISEASE--POLICY LIMIT
PARTICIPANT ACCIDENT AD&D
Primary Medical
Excess Medical
Weekly Indemnity
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may bo attachod IF more space is required)
CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED,BUT ONLY FOR LIABILITY CAUSED IN WHOLE,OR IN PART, BY THE ACTS OR
OMISSIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER CANCELLATION
N OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN
ROUTE 25 EXPIRATION DATE THEREOF, NOTICE;WILL$I-DELIVERED IN ACCORDANCE WITH
53095 THE POLICY PROVISIONS.
PO BOX 1179 AUTHORIZED REPRESENTATIVE /SOUTWOLD, NY 11971 XL�j
ACORD 26(2016/03) ,.,,nnn @ 1988.2015 ACORD CORPORATION. All rights reserved.
Y
Oystem onds
ISTORICAL JL SOCIETY
1
April 24, 2024
Town of Southold
Town Hall
PO Box 1179
Southold, NY 11957
To Whom It May Concern,
Oysterponds Historical Society is hosting its annual Heritage Day Parade on Sunday,
June 30 this year and I am writing to request that you waive the $250 event fee. You have
graciously waived this fee for us in the past and hope that you will consider doing it for us
Again this year.
OHS is a non-for-profit organization that brings the people in our community together to
help celebrate the history of Orient and East Marion.
As always, we appreciate your help, and we look forward to hearing from you.
SincerelVager
Melissald °
Office M
Born, Sabrina
From: Born, Sabrina
Sent: Wednesday,April 24, 2024 9:03 AM
To: 'Office Manager'
Subject: RE: OHS Permit
Hi Melissa,
I received your special event application for the Heritage Day Parade. You may send out a check to us
made payable to `Southold Town Clerk' in the amount of$250 for the clean-up deposit. If it is a `Not-for-
Profit' event, then please enclose a letter asking the Town Board to waive the $250 event fee. Let me know if
you have any questions.
Regards,
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
From:Office Manager<office@ohsny.org>
Sent:Tuesday,April 23, 20241:56 PM
To: Born, Sabrina <sabrina.born@town.southold.ny.us>
Subject: OHS Permit
Good afternoon Sabrina,
Please find the forms attached for this year's Heritage Day Parade. I can get a check out for you this afternoon
as well.
Please let me know if you have any questions.
Thank you,
Melissa
Melissa Groeneveld
Office Manager
• 1
Oysterponds Historical Society
631-323-2480
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
z
Born, Sabrina
From: Office Manager <office@ohsny.org>
Sent: Tuesday,April 23, 2024 1:56 PM
To: Born, Sabrina
Subject: OHS Permit
Attachments: Heritage Day Form 2024.pdf
Good afternoon Sabrina,
Please find the forms attached for this year's Heritage Day Parade. I can get a check out for you this afternoon
as well.
Please let me know if you have any questions.
Thank you,
Melissa
Melissa Groeneveld
Office Manager
Oysterponds Historical Society
631-323-2480
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
1
Born, Sabrina
From: Born, Sabrina
Sent: Friday,April 26, 2024 3:22 PM
To: Blasko, Regina; Brock, Margie; DeChance, Paul; Flatley, Martin; Goodwin, Dan; Grattan,
Steven;Johnson, Benjamin; McGivney,Julie; Noncarrow, Denis; Norklun, Stacey,
Orientale, Michael; Squicciarini,James; Stype,John l
Subject: OHS Heritage Day Parade-6/30/24
Attachments: OHS Heritage Day Parade_20240426152657.pdf
Good Afternoon,
Please provide approval/disapproval and cost analyst, if any.
Thank you,
,SaAlraa=aw
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:
OHS Heritage Day Parade_20240426152657.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: Monday, April 29, 2024 10:02 AM
To: Born, Sabrina; Blasko, Regina; Brock, Margie; DeChance, Paul; Goodwin, Dan; Grattan,
Steven;Johnson, Benjamin; McGivney,Julie; Noncarrow, Denis; Norklun, Stacey;
Orientale, Michael; Squicciarini,James; Stype,John
Subject: RE: OHS Heritage Day Parade-6/30/24
Attachments: Orient Heritage Paradenosalaries2024.xis
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
2
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(N)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: Friday,April 26, 2024 3:22 PM
To: Blasko, Regina <rblasko@town.southold.ny.us>; Brock, Margie <margaretb@southoldtownny.gov>; DeChance, Paul
<pauld@southoldtownny.gov>; Flatley, Martin <mflatley@town.southold.ny.us>; Goodwin, Dan
<dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>;Johnson, Benjamin
<benjaminj@southoldtownny.gov>; McGivney,Julie<juliem@southoldtownny.gov>; Noncarrow, Denis
<denisn@southoldtownny.gov>; Norklun,Stacey<Stacey.Norklun @town.southold.ny.us>; Orientale, Michael
<michaelo@southoldtownny.gov>; Squicciarini,James<jacks@southoldtownny.gov>; Stype,John
<johnst@southoldtownny.gov>
Subject: OHS Heritage Day Parade-6/30/24
Good Afternoon,
Please provide approval/disapproval and cost analyst, if any.
Thank you,
,Sa�vci�aa?�28'on�
Sabrina M. Born
Sub-Registrar& Deputy Town Clerk
Senior Account Clerk
1
Town of Southold Police Department
Special Event Cost Analysis
Event: Oysterponds Heritage Day Parade
Date(s): June 30, 2024
Location: ivillage Lane, Orient
PatrofAiiocation'fo.r'Event
Reg Hours OT Hrs Hrly Wage Total Comments
Police Officers
Sgt. Garcia 2 $182.80
PO Lake 2 $82.84
Spec�ai Patrol ..r, ,' � �.' .�_ ' ..' .µ.
Reg Hours OT Hrs Total ✓ Comments
-Bicyatip, rol T
K4Unit -- -
Highway Patrol
PO Onufrak 1 $77.20
PO Flatley 1 $77.91
°=: ,
Traffic Can#rol' _ F
Reg Hours OT Hrs Hrly Wage Total Comments
TC Officer#1 2 $19.11 $38.22
TC Officer#2 2 $19.11 $38.22
TC Officer
TC Officer
TC Officer
Equipment Costs
_
PD Vehicles__ m #Aof vehicles_ w$/hr Total
5 $10.00 $80.00 1 $80.00
Command Van
Marine Patrol Boats
Total Department Cost for Event = $577.19
Prepared by Chief M. Flatley 4/29/2024 Page 1
Southold Town Board - Letter Board Meeting of May 7, 2024
RESOLUTION 2024-404 Item # 5.9
ADOPTED DOC ID: 20216
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-404 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
MAY 7, 2024:
RESOLVED that the Town Board of the Town of Southold hereby grants permission to the
Oysterponds Historical Society to use the following route for its Heritage Day Parade in
Orient on Sunday, June 30,2024, staging begins at 11:30 am with the parade to begin at 12 pm
on Oysterponds Lane, from there to Main Road to Village Lane to the end of Village Lane,
provided they follow all the conditions in the Town's Policy for Special Events on Town
Properties. Failure to comply with the conditions will result in the forfeiture of the clean-up
deposit and denial of future requests. In addition, the police will post"No Parking" signs the
night before the event as requested.
All Town fees for this event are waived with the exception of the clean-up deposit.
�L ��L-'
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty, Councilwoman
SECONDER:Greg Doroski, Councilman
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty,Evans
Generated May 8, 2024 Page 24
��DENIS NONCAR AW �� f �.
t,., Town Hall,53095 Main Road
TOWN CLERK
P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICStgS
' Fax(631)765-6145
MARRIAGE OFFICER °� '® ' ��
65-1800
RECORDS MANAGEMENT OFFICER ®� g��® Telephone oldt nny.gov
FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 9, 2024
Oysterponds Historical Society
PO Box 70
Orient,NY 11957
To Whom It May Concern:
The Southold Town Board, at its regular meeting held on Tuesday, May 7th, 2024 granted
permission to the Oysterponds Historical Society to have its Annual Heritage Day Parade
on Sunday, June 30, 2024 beginning at 12:00 P.M.
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
Steven Grattan at the Police Department, 631-765-2600, as soon as possible, to
coordinate traffic control.
Very truly yours,
Sabrina M. Born
Southold Deputy Town Clerk
Enc.
Town of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 04/26/24 Receipt#: 326405
Quantity Transactions Reference Subtotal
1 Clean-Up Deposit 6/30/24 $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#1505 $250.00 Oysterponds, Historical
Society
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Oysterponds, Historical Society
P O Box 70
1555 Village La
Orient, NY 11957
Clerk ID: SABRINA Internal ID:6/30/24
Vendor No. CleckNa :::::
n of Southold New York - Payment ment Voucher y
Enfered b. ::.. ..:.........
Vendor Name .:::::::....
Vendor Address `E': ': ::'::
5 � )S rlCal30 .�QK TD :::: : .::::::..'
Vendor Telephong Number
er
Ori ' of I lq5 o ;�:... ;
Vendor Contact
Invoice Invoice Invoice Net Purchase Order
Genera
Number Date Total Discount Amount Claime Number Description of Goods or Services I edgerEundandAocourit
I�Iiimlier:. '.
y
aba4�
cLr
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.
Signa '✓ OW^L&rt Signatur V
Company Name Date J a Title 691A. k Date
vpJN(K�p h
`f..outhold Town Board - Letter Board Meeting of July 16, 2024
0 X �e
RESOLUTION 2024-637 Item# 5.22
ADOPTED DOC ID: 20434
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-637 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
JULY 16, 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, Steve Grattan, 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
Mattituck Lions Club 2/15/2024 $250.00
Attn: Joseph Doorhy
1125 Ole Jule Lane
Mattituck,NY 11952
Oysterponds Historical Society 4/23/2024 $250.00
Attn: Melissa Groeneveld
PO Box 70
Orient,NY 11957
New Suffolk Civic Assoc. 3/25/2024 $250.00
PO Box 642
New Suffolk, NY 11956
Southold Village Merchants 3/13/2024 $250.00
c/o Joan Tyrer
PO Box 1356
Southold,NY 11971
Cutchogue-NS Free Library 2/21/2024 $250.00
c/o Rosemary Winters
PO Box 935
Cutchogue, NY 11935
Church of the Harvest 5/8/2024 $250.00
Generated July 18, 2024 Page 38
Southold Town Board - Letter Board Meeting of July 16, 2024
c/o Pastor James Whelen
PO Box 1086
Riverhead,NY 11901
Mattituck Chamber of Commerce 6/12/2024 $250.00
c/o Kelly Fogarty
PO Box 311
Mattituck, NY 11952
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Louisa P. Evans, Justice
SECONDER:Jill Doherty, Councilwoman
AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans
Generated July 18, 2024 Page 39