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HomeMy WebLinkAboutNorth Fork Country Club ,,`�Su�Fd`�`�G R y RESOLUTION 2024-657 ADOPTED DOC ID: 20480 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-657 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 30,2024: WHEREAS the North Fork Country Club has supplied the Town of Southold with a Clean-up deposit fee in the amount of$250.00 for their annual Donald Ross Invitational and WHEREAS the Southold Town Police Chief, Steve Grattan,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 Country Club, PO Box 725,Cutchogue,NY 11935. 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 Vendor No. Check No. Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered by Korvk &OCL C 1 V�'J �as Audit Date Vendor Telephone Number (; ipJ Town Clerk Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number - L71SI U+ Clean-up Deposit T1.030 Total a-50.00 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:Deputy Town Clerk Signature Company Name Date Title:Deputy Town Clerk Date DENIS NONCARROW �d +'.� Town Hall,53095 Main Road lJ TOWN CLERK P.O.Box 1179 cm Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �., , .:r Fax(631)765-6145 MARRIAGE OFFICER, RECORDS MANAGEMENT OFFICER `® Telephone oldto 76n .gov FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK RECEIVED TOWN OF SOUTHOLD 4 -2Mn. APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT 'Southold Town Clerk Please nro.vide ALL.of the informdtion rdOu69ferl below. Incomplete npplications:WILL NOT_be reviewed. Date of Submission. .•r y o y Name of Event©dj4L 7 Name of Organization: Is this a Not-For-Profit Event? Yes/No YI& S Contact's Name; - �P ffe i S t)iry L-, L `� Mailing Address: P O d px 7.t,< e,q %e,W iggg ac= tS Contact's Phone Number: 4G 3 / 71 5(`' 7, 'T 7 y X Contact's Email Address: Event Location and Site Diagram: . 1,ej vt (Use additional paper if necessary) ' Event Date(s): . ��(V L T Q ' aZ 19 oZ D X (Include set up and shutdown times and dates) Nature of Event: G l�L ©U 1/f (Please attach a detailed description to this application) y ;oo a rn :ao Pit 7/�6 , Time Period(Hours) of Event: From 7:DO AA. to A v Maximum Number of Expected Attendees:, 8 // Specify any special requirements (i.e, road closure, police presence): R��� CLLLfJ��(maoRts `Aar,) i 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: P 49 d�1� '.ZJ� C tJ e-le&JG:' A) Event Fees:Awl-MA 1011ts with less than 1060 expected attendees $500 for events with 1000.or more expected attendees Clean=up,Fees=(Can•NOT be waived): $1,500.00 CIean-up for Bicycle and/or Running Special events(ONLY) �$250 or more Clean-up deposit all other events Ch''RTIFICATE OF INSURANCF.REOUIRED: ,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. G�oA Gam.F j1RRs Print name of Authorized Person filling out Signature of Auth rizZin.part n lling out application application y ti *Upon the request by applicant,the Town Board may waive.in whole o any of the application requirements. 2 If a Tent or other temporary structure will be used please contact the Southold Town Building Department , at 631-765-1802 Q t' Mailing Address to`Send Event Permit to: I '��}� V x` Event Fees: '! �3 •$25d fir Vdits with less than 1000 expected attendees $500 for events with 1000 or more expected attendees ,., g - Clea_ti;up:Fees(CanfNOTbe 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.REQTJ._1REP: ,Not less that '$2,900,000 naming;the Town of Southold as an additional insured. t ***NOTE: PLEASE SEE ATTACHEDREVISED, 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 Auth rized Per n lling out application application c :1 *Upon the request by applicant,the Town Board may waive-in whole o .in part any of the application requirements. 2 - - r 1 f 3 i s p t r 4 i ). 4 G f o EGA n w �OV .t r' ��r NORTFOR-14 ENUNEMAKER DATE(MMIDDIYYYY) ��- CERTIFICATE OF LIABILITY INSURANCE 5/17/2024 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 HOLDER. 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 endorsement(s). PRODUCER CONTACT NAME: Neefus Stype Agency PHONE FAX 711 Union Ave. (A/C,No,Ext):(631 722-3500 AIC,No):(631)722-3591 uebo ue,NY 11931 ADDRESS,Ano q 9 pDgI;S info@nsainsure.com AFFORDING COVERAGE NAIC# INSURERA:Illinois National Insurance Co 23817 INSURED INSURER B:Granite State Ins Co North Fork Country Club Inc INSURER C:Hartford Fire Insurance Co 19682 PO Box 725 INSURER D: Cutchogue,NY 11935 INSURER E 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR X 02-LX-007509385-23 12/31/2023 12/31/2024 DAEAGET�REaoccED $ 300,000 MED EXP(Any oneperson) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY❑Ypa LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ B OMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY C a accide t $ X ANY AUTO 01-CA-006264551-23 12/31/2023 12/31/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS �p BODILY INJURY Per accident $ X AUTOS ONLY X NON-OWN OS ONLY PROPERTY AMAGE Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 02-LX-007509385-23 12/3112023 12/31/2024 AGGREGATE $ DED I X I RETENTION$ 10,000 10,000,000 C WORKERS COMPENSATION STA U E ERH AND EMPLOYERS'LIABILITY 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Ya 12WECAJ7PYT 12/31/2023 12/31/2024 E.L.EACH ACCIDENT $ _ OFFICERIMEMBER EXCLUDED? N/A SOO,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If mores ace Is required) With respect to the Donald Ross Invitational Golf Tournament on July 19th and July 20th of 2024,The Town of Southold is Included as Additional Insured with respect to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TheTown of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED HO.RIZ�ED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Noncarrow, Denis To: Special Events PD Subject: North Fork CC July 19th, 20th/Road Closure Attachments: N FCC_20240529080901.pdf Please see and Comment on attached. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.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. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/29/24 Receipt#: 328726 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 7/19,20/2024 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#050414 $250.00 North, Fork Country Club I Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: North, Fork Country Club P O Box 725 Cutchogue, NY 11935 Clerk ID: DENISN Internal ID:7/19,20/2024 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT Date: 05/29/24 Receipt#: 328727 Quantity Transactions Reference Subtotal 1 Event Fee 7/19-20/2024 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#050413 $250.00 North, Fork Country Club Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: North, Fork Country Club Pob 725 Main Road Cutchoque, NY 11935 Clerk ID: DENISN Internal ID:7/19-20/2024 Ice' Town of Southold Police Department Special Event Cost Analysis Event: North Fork Country Club Tournament Date(s): July 19, 20 2024 Location: Donald Ross Invitational Tournament, NFCC, Cutchogue :Patrol Allocation for Events 777 RegHours Total Comments Police Officers Special'PatroI Reg Hours OT Hrs Hrly Wage Total Comments BIC.Ycleatrol ,K-9 Unit ghway Patrol Marine Units Traffic Control Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 18 $19.11 $343.98 TC Officer#2 18 $19.11 $343.98 TC Officer TC Officer TC Officer E�qui ment Costs PD Vehicles 1#of vehicles $/hr Total 1 $10.00 $180.00 $180.00 Command Van Marine Patrol Boats Total Department Cost for Event = $867.96 Prepared by Chief M. Flatley 5/29/2024 Page 1 7 � Noncarrow, Denis From: Flatley, Martin Sent: Wednesday, May 29, 2024 8:41 AM To: Noncarrow, Denis; Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven; Mudd,Jennifer; Norklun, Stacey;Orientale, Michael; Born, Sabrina Subject: RE: North Fork CC July 19th, 20th/Road Closure Attachments: NFCC Don Ross Invt2024.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 Y' 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, May 29, 2024 8:11 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>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Noncarrow, Denis <denisn@southoldtownny.gov>; Norklun,Stacey<Stacey.Norklun@town.southold.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Born, Sabrina<sabrina.born@town.southold.ny.us> Subject: North Fork CC July 19th, 20th/ Road Closure Please see and Comment on attached. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.aov denisn@southoldtownnyaov 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 RESOLUTION 2024-482 ADOPTED DOC ID: 20298 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-482 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 4,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the North Fork Country Club's Annual Golf Tournament in Cutchogue for a limited closure of Moore's Lane, from the Main Road to the southerly line of the "Country Club Estates" Friday, July 19`h from lam to 5pm and Saturday, July 20th° from lam to 2pm. Club will be in touch with Captain Grattan. Event Fee and Clean up fee to be paid. Insurance Certificate has been supplied. 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 - DENIS NONCARROW ��� �G.y Town Hall,53095 Main Road TOWN CLERK p - P.O.Box 1179 Cl* Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS Q � .�` Fax(631)765-6145 MARRIAGE OFFICER 'I' RECORDS MANAGEMENT OFFICER ��,( .�� Telephone oldt -nny.gov FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 5,2024 George Haase Jr. PO Box 725 Cutchogue,NY 11935 Dear George, The Southold Town Board at its regular meeting held June 4th, 2024 granted permission to The North Fork County Club to hold their Donald Ross Invitational, Saturday,July 201h th 2024 from 7:am to 2pm and Friday,July 102024 from 7:00 am to 5:00 pm as applied for.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 set up 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 luck with yo r event. inc ly, Z Denis Noncarrow Town Clerk Enc.