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FDNY 343 Ride
�y_q guffD(, q�p7 RESOLUTION 2024-755 ADOPTED DOC ID: 20568 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-755 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 27,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the FDNY 343 ride. Sunday, September 81h 2024 with a Bike Ride ending at Pindar Vineyards on Main Road in Peconic at or around 3PM. Certificate of Insurance naming the Town of Southold as an additional insured has been submitted. Contact is needed with Captain Grattan for all event communications. Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Doroski,Mealy, Smith,Krupski Jr,Doherty, Evans 8/15/2024 7 : 11 PM FROM: Staples TO: +163 7656145 P. 1 DENIS NONCARROW ��® �P�� E T Town Hall,53095 Main Road TOWN CLERK ® _ P.O.Sox 1179 Wa Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � � '� MARRIAGE OFFICER .f. �� Fax(631)765-6145 RECORDS MANAGEMENT OFFICER �'®l �q, .��® Tele 631 765-1800 FREEDOM OF INFORMATION OFFICER `�' w .south � r.igQw OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD AUG 1 5 24 APPLICATION FOR A PERMIT TO BOLD A Litho9d Tows Clerk SPECIAL EVI NT Please provide ALL of the information requested below Incomplete applications WILL NOT be reviewed. Date of Submission ills- Name of Event_3�„3 /Yel/,F,P lF7- i%�f.�ky2e, Name of Organization: Z!a Y .P/fCr Is this a Not-For-Profit Event? a o//,,,, Contact's Name: _�� Z./CYJh Mailing Address: `%U /rl /J� , /` ijl-l4 Contact's Phone Number: /1/ ps 9 � _ Contact's Email Address: nv��'3 /—Iyej /ngjl C'O/>7 Event 1.0cation and Site Diagram: (Use additional paper if necessary) Event Date(s): 4? (Include set tl and shutdo�wn�imes and dates) Nature of Event: t!/ Ot//!?/i?w (Please attach a d ailed description to this application) Time Period(Hours)of Event: From 14 to � Maximum Number of Expected Attendees: Specify any special requirements(i.e. road closure,police presence): ALA 8/15/2024 7 : 13 PM FROM: Staples TO: +16317656145 P. 2 If a'Pent or other temporary structure will be used please contact the Southold'Down Building Department at 631-765-1802 Mailing Address to Send Event Permit to: Event T $250 for events with less than 1000 expected attendees $500 for events with 1000 or more expected attendees Cle an-upes(Can NOT be waived): T Clean-up fat•Bicycle and/or Running Special events(ONLY) $250 or more Clean-up deposit all other events CERTIFICATE OF INSURANCE REQUERED: 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. Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant,the Town hoard may waive in whole or in part any of the application requirements. 7 8/15/2024 7 : 13 PM FROM : Staples TO : +16317656145 P. 3 TOWN OF SOUTHOLD Policy for Special Events on Town Properties and Roads In addition to the criteria set forth in Chapter 205 of the Southold Town Code with respect to the review of events that are proposed to utilize or be held on any land owned,leased or controlled by the Town of Southold and, in particular,special events on Town roads, and with the exception of community organized parades,the issuance of a Special Event Permit by the Town Board will be subject to the following guidelines: 1. All events must be sponsored by a not-for-profit organization or recognized charity and the applicant must verify that all proceeds generated by the event are wholly for the benefit of said organization or recognized charity. 2. Events that require the closing of a road shall not be held on a holiday or at the same time or location of previously approved community or special events absent authorization from the Chief or Captain of the Police Department. 3. All motorcycle events shall he limited to 600 participants. 4. Applicants may only receive approval for one event in each calendar year. 5. The prior issuance of an approval does not bind the Town Board to approve the same or a similar event in the future. 6. Failure to comply with any condition of approval may result in revocation of approval and/or denial of future applications. In addition to the above, all Bicycle and/or Running Special Events shall be subject to the following guidelines: 1. There shall be no bicycle and/or running special events conducted within the Town of Southold during the period of June 1 to November 1. 2. Organizers and participants of bicycle and/or running special events shall fully adhere to the"rules of the road"including every applicable provision of the New York State Vehicle and Traffic Law, including but not limited to VTL§§1231-1234, 3. Organizers of bicycle and/or running special events shall post a deposit of one thousand five hundred dollars ($1,500.00) to ensure that the roads are returned to pre-event condition. 4. Where the expected number of persons or the duration of the bicycle and/or running special event may impact the health,safety and welfare of the public, as a condition to granting the permit,the Town Board, upon the recommendation of the Chief of Police, may require the applicant to reimburse the Town for the costs of increased police protection, public safety oversight, and public works facilitation, including any additional equipment as may be deemed necessary by the Chief of Police to adequately and safely control and protect the persons attending the event, the event area and traffic in and 3 8/15/2024 7 : 13 PM FROM: Staples TO: +16317656145 P. 4 around the event area. Such costs shall include all necessary staffing and shall be provided to the applicant prior to the issuance of the permit. 5. All bicycle events and/or running special events shall be limited to 600 participants. All special event approvals shall be subject to compliance with the following conditions: 1. They file with the Town Clerk a Two Million Dollar Certificate of Insurance naming the Town of Southold as an additional insured; a$250 or$500 filing fee (depending on size of event);a remuneration fee determined by the Chief or Captain of the Police Department for traffic control;$250.00 or more deposit for clean-up(deposit to be returned after event upon recommendation of the Southold Town Police Chief; Southold Town Police Department); 2. Make every effort to control noise; 3. Comply with Chapter 205 of the Southold Town Code to notify neighbors in advance of event; 4. Coordinate traffic control upon notification of the adoption of a Town Board resolution with Police Captain; 5. No permanent markings be placed on Town, County or State roads or property for the event; 6. Any road markings or signs for the event be removed within twenty-four(24) hours of the completion of the event; and 7. Any parade participants shall not throw candy or other objects at or in the direction of spectators along the parade route but such items may be handed directly to spectators. The Town Board reserves the right to waive or modify any or all of the above guidelines and conditions as it may deem appropriate under the circumstances presented and to deny any application for a special event that is determined to not be in the best interest of the residents of the Town of Southold. .:1 8/15/2024 7 : 13 PM FROM: Staples TO: +16317656145 P. 5 HOLD HARMLESS AGREEMENT The applicant of this Special Permit shall defend, indemnify and hold harmless the Town of Southold, its officers,employees,and representatives from and against any and all damages, liability,judgments,losses,and expenses,including but not limited to attorney's fees,including damages arising from injuries or death of persons and . damage to property which arise from or are connected with the event or events authorized by resolution of the Town Board of the Town of Southold, or caused by the negligent misconduct, and/or omissions under this Agreement and that of applicant's agents, servants and/or employees. If tlus Agreement is being executed in a representative capacity,the individual executing this Agreement hereby represents that this action has been authorized. Dated: Signature: Name: Authorized Agent On behalf of: (Name of Business Entity) Dates of event(s): Sworn to h fore me this is Day of 20;9—*. PAULA MYRICk-S!OUP Notary Public, State of New York Reg, No. 01 NIY6154855 Qualified in Suffolk Cunt Commission Expires lb _ �c?h_U. Noncarrow, Denis From: william willets <williamwillets@gmail.com> Sent: Friday,August 16, 2024 12:13 PM To: Noncarrow, Denis Cc: fdny343rides@gmail.com Subject: [SPAM] - FDNY 343 RIDE - COI Request Attachments: COI - FDNY 343 RIDE (Town of Southold).pdf To Whom It May Concern, Here is the Certificate of Insurance that you have requested for the upcoming event. EVENT: FDNY 343 RIDE DATE: Sunday -September 8th, 2024 We look forward to working with you in having a successful event. If there is anything else needed or required for this request, please feel free to reach out to us. Thank you & have a great day! Sincerely, FDNY-Ladder 19 718.430.0250 - Firehouse 631.831.0771 - Cell Phone ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 ,a►`�o�® CERTIFICATE OF LIABILITY INSURANCE r ATE(MM/DD/YYYY) 8/16/2024 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(ies)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 Jose h Guerrero., .ta•. -;:.r'.1 r,,,;.,'Y: t."'a': -,t . '„r,�r NAME:, p •-r- „ 9 %,. •t.::_ PHONE 800 364-2433 ' `r F^x'. ., :.(818)980=1595 DOXA Pro rams,"LLC DBA R.V.Nuccio&Associates insurance= t:( ) ac No E-MAIL Brokers'`;; '' '' ;r'. ' '.+' . .. k ti,!. ADDRESS:,Support 17ynuccio.conl` - i{". ?i •.., 10148 Riverside Drive INSURERS AFFORDING COVERAGE NAIC# Toluca.Lake„CA-•9.1602;-,o,i'q.4;'}, " . ;r:,.,'(r,, INSURER A: Fireman:s Fund Insurance Company; INSURED INSURERB:AXIS Insurance Company 37273 FDNY 343-RIDE ;.`:S _iz", I.rr , r #;'`, ;� `}. k1 /.. '?-''A°a INSURER C: 1155 Washinqton Avenue INSURERD: Bronx;NY10456: °,:' „ `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;OFr ANY,CONT.RACT',OR O,THER,DOCUMENTiWITH 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 .> ,.�: v,- ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY EFF" MM DDT 4 LIMITS Ar:.{/ ,COMMERCIAL GENERALILIABILITY r; ;: ✓„ US1022072230,"; °,;;9/8/2024. 9/9/2024t'EACHOCCURRENCE LAIMS-MADE �✓ OCCUR DAMAGE TO RENTED' C PREMISES $ 50,000 ' NAEP120981 :Host Liquor Liability MEDICALEXPENSEts $ PERSONAL&ADV INJURY $ 2,000,000 GENERAL'AGGREGATE:`'' ''+$ ,'2,000,000 ✓ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ZANY AUTO: r t'y"' ,, ',' �•:. - •, < :^„V�`7 u:`.„z ;�;'„ ,5�; die.'a.,`;i,'aBODILY-INJURY(Per poison)'+,'$ OWNED SCHEDULED BODILY INJURY(Per accident) $ ,AUTOS ONLY , AUTOS,. ..,, - .HIRED' -'NON-OWNED:: . .PROPERTYDAMAGE;��t AUTOS ONLY 4 AUTOS ONLY Per accident $t $ UMBRELLALIAB , . OCCUR EACH OCCURRENCE $ .y EXCESS LIAB; n CLAIMS-MADE +' ,t. i ';bra• r s '`d )Mti:"I' r „'•", pL`I r AGGREGATE $""'. . DED RETENTION$ $ WORKERS COMPENSATION- ;E•, .,>yr -,.; a 7;: - , r^,-,.. ,. ; • PER,. OTH YIN+ *T•i`I':.., STATUTE° ER- > AND EMPLOYERS'LIABILITYa ^- - - . ` ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A _ (Mandatory,in NH) ;i,,'e,�, ;: .''s�.> j: :;`;`�'d'. ,. .f I':r'; „"1 ',1���':, ':E.L[DISEASE=EAEMPLOYEE $'d,?`i If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ,41 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Additional Insured:Town''of Southold' r r: i'sr.' v I* './I"IaF. :t��i' r".i:>.. iti�tl"l.r ;� ,'•�f,, 'Fr..e,ti,i ,,, >..'''��,' r, :..�r.;r'a;. •t,r. .:�1 .i<!• '�a, t•;,,:r. ...,.`:,'v'd'� r�,ia� „ -..yP: .''L ,q". _ ,r,.sr,li: fir. -- r.i,eta "r";rJ'i.i r• .r•.4i: r,•, 'ii;:i - ..iit 't,t';' -='ld>+ CERTIFICATE HOLDER CANCELLATION `of Southo,hls'ldi, TOwn SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION,DATE THEREOF, NOTICE., WILL BE, DELIVERED, rIN ACCORDANCE WITH THE'POLICY'PROVISIONS:'''" 53095 Main Road Southold , NY`fi6� 1 'AUTHORIZED REPRESENTATIVE - Joseph-Guerrero ` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Certificate Number:NAEP120981 Policy Number: UST022072230 Effective Dates:9/8/2024 12:01am to 9/9/2024 12:01am Additional Insured - Person, Organization or other Entity 600002STEP 09 12 Policy Amendment(s) Commercial General Liability This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Schedule Name of Additional Insured Person(s) or Organization(s) or other Entity(ies) Town of Southold Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II - Who Is An Insured is amended to include Any Additional Insured Person(s) or Organization(s) as an insured the person, organization or other entity or other Entity(ies) covered under this policy is subject shown in the Schedule above but only to the extent to the policy forms, terms, conditions, exclusions, that bodily injury, property damage or personal and limitations and provisions. advertising injury is caused by the sole negligence of the This Endorsement is otherwise subject to all the terms, Memorandum of Insurance holder. conditions, exclusions, limitations, and provisions of the policy to which it is attached. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy ,)UltL `mil.'L �1— Secretary V President 600002STEP9-12 ©2012 Fireman's Fund Insurance Company,Novato, CA. All rights reserved. Noncarrow, Denis To: Special Events PD Cc: Johnson, Benjamin Subject: 343 Ride event. 9/8/2024 Attachments: 343 FDNY_20240816124727.pdf Please comment back on attached. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.pov denisn@southoldtownny.pov 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 Noncarrow, Denis From: Grattan, Steven Sent: Monday,August 19, 2024 9:43 AM To: Noncarrow, Denis Subject: RE: 343 Ride event. 9/8/2024 1 have no objections to this event. I see the application says that the Sheriffs "can" handle the escort. Do you know if they have made arrangements with the Sheriff's office? I'm sure I could assign a unit to assist. Thanks, Steve From: Noncarrow, Denis<denisn@southoldtownny.gov> Sent: Monday,August 19, 2024 9:23 AM To:Grattan,Steven <sgrattan@southoldtownny.gov> Subject: FW: 343 Ride event. 9/8/2024 Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownnv.gov denisn@southoldtownn ..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. From: Noncarrow, Denis Sent: Friday,August 16, 2024 12:42 PM To: Blasko, Regina <rblasko@town.southold.nv.us>; DeChance, Paul<pauld@southoldtownnv.sov>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan, Steven<sRrattan@southoldtownny.gov>; Mudd,Jennifer <wennifer.mudd@town.southo Id.ny.us>; Noncarrow, Denis<denisn@so utholdtownny.gov>; Norklun,Stacey <Stacey.Norklun@town.southold.ny.us>; Orientale, Michael<michaelo@southoldtownny.eov>; Born,Sabrina <sabrina.born@town.southold.nv.us> Cc:Johnson, Benjamin<beniamini@southoldtownny.gov> Subject:343 Ride event. 9/8/2024 Please comment back on attached. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownnv.aov 1 denisn @southoldtownn y.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. 2 DENIS NONCARROW C� Gy� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 y Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��l `t►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 28, 2024 Frank Licota FDNY 343 9 Windmill Lane Mount Sinai ,NY 11766 Dear Frank, The Southold Town Board at its regular meeting held August 27th,2624 granted permission to The FDNY 343 Never Forget Memorial Ride, September 8th 2024 at Approximately 3:00pm at Pindar Vineyards, 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 t 1 ck with your event. Si cer ly, D is Noncarrow Town Clerk Enc.