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HomeMy WebLinkAboutSouthold Historical Society Vendor No. C1eCkTo€ Town of Southold, New York - Payment Voucher. _.................................. Vendor Name Vendor Address Eriteredby................................... : Southold Historical Society PO Box 1 .......................... :.........::::::::::::. Au t€Date::`: Vendor Telephone Number ::::.:.:::: Southold, NY 11971 631-765-5500 To" Ct�ik Vendor Contact Hii Deanna Witte-Walker Invoice Invoice Invoice Net Purchase Order . :...... :::::::::::::::::::::: ............::..::::::::.:::::: Number Date Total Discount Amount Claimed Number Description of Goods or Services ::::.Ge�ersf IiedgerEundand Account lSTumEier ..................::..............-............... 2024748 08/27/2024 $250.00 $250.00 C/U Antiques;Arts&Crafts Fair 7/27&7/28-2024 .....................:.................................:...........:::::.::::::: 2024-748 08/27/2024 $250.00 $250.00 C/U Summer Concert(8/23/2024) 030 _a: TOTAL:. $500.00 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 itte Deputy Town Clerk Signature t�,—/A-- Com yName outhold Town Clerk Date 8/28/2024 Title eputy own Clerk Date 8/28/2024 RESOLUTION 2024-748 ADOPTED DOC ID: 20519 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-748 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 27,2024: 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 Southold Historical Society June 26, 2024 $ 250.00 PO Box 1 Southold,NY 11971 Mattituck-Laurel Historical Society March 18,2024 $250.00 PO Box 766 Mattituck,NY 11952 East Marion Fire District Dec. 8, 2023 $250.00 PO Box 162 East Marion,NY 11939 Southold Yacht Club May 17, 2024 $750.00 (3 events) PO Box 546 Southold,NY 11971 North Fork Reform Synagogue May 22,2024 $250.00 c/o Ellen Zimmerman PO Box 105 East Marion,NY 11939 Cutchogue-NS Historical Council May 10, 2024 $750.00 (3 events) PO Box 714 Cutchogue,NY 11935 Southold Historical Society July 29, 2024 $250.00 PO Box 1 Southold,NY 11971 Resolution 2024-748 Board Meeting of August 27,2024 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 Updated: 8/26/2024 9:52 AM by Sabrina Born Page 2 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/26/24 Receipt#: 331331 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 7, 27-28, 2024 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#7098 $250.00 Southold Historical Society, Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold Historical Society Pob 1 Southold, NY 11971 Clerk ID: DENISN Internal ID:7,27-28,.2024 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: '07/29/24 Receipt#: 333491 Quantity Transactions Reference' Subtotal 1 Clean-Up Deposit 8/23/2024 $250.00 Total Paid: $250.00 Notes: Payment Type, Amount Paid By. CK 0149 $250.00 Southold, Historical Society. Southold.Town Clerk's Office 53095 Main Road, PO Box 1179 Southold; NY 11971 Name: Southold, Historical Society 54325 Main Road PO Box.1 Southold, NY 11971 Clerk ID:, JENNIFER Internal ID:8/23/2024 fiN ' RESOLUTION 2024-589 ry ADOPTED DOC.ID: 203 7 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-589 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 2,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the So—uhold-Historical-Society 54325 Main Road, Southold,New York to holds a ArFs a^n'd- raft fai oatudayJh nd Sunday Mo 4:00 PM Trafficn , uly7ta _,_ _2h Control to be discussed with Chief Grattan as soon as possibleC-l-ean-up deposit can be returned after approval of Chief Grattan. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Greg Doroski, Councilman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans 1 ���TxOLd 54325 Main Road PO Box 1 ;,2 Southold,NY 11971 ll ril 631.765.5500 �j ogo W info@southoldhistorical.org O southoldhistorical.org L "PROMOTING INTEREST IN AND EDUCATION ABOUT THE HISTORY OF SOUTHOLD" IRMCEIVED June 18, 2024 John Barnes President Denis Noncarrow JUN 2 6 2024 Caroline MacArthur Town Clerk 1st Vice President Town of Southold Southold Town Clerk Paul Edelson PO Box 1179 2nd Vice President Southold, NY 11971 Jay Cardwell Treasurer Dear Denis, Margaret"Lee"Cleary Assistant Treasurer I am writing to request a waiver for the $250 special events fee for the Antiques, Margaret Hollowell Arts & Crafts fair which is scheduled to be held on the Museum's Maple Lane Secretary Complex on July 27 and 28, 2024.This event benefits two local non-profits, the Southold Historical Society (dba Southold Historical Museum) and the Old Town Mariam Carey Mary Korpi Arts and Crafts Guild. The modest proceeds from the event are used towards Janet Larsen maintenance and operations of our buildings. Rosemary McKinley Barbara Poliwoda Joel Reitman We would be extremely grateful if the Town would consider waiving the fee. Larry Rubin Thank you for any assistance you can give us in this matter. Marie Scalia Elizabeth Shanks Mickey St John Sincerely, Trustees t Deanna Witte-Walker Executive Director Amy Folk Deanna Witte-Walker Manager of Collections Executive Director Marie Thompson Office Administrator Walter R. Jackson Office Assistant Kristen Matejka Marketing Liaison Ed Forte Bookkeeper THO 54325 Main Road PO Box 1 Southold,NY 11971 631.765.5500 � oBo A - kI info@southoldhistorical.org www.southoldhistorical.org L "PROMOTING INTEREST IN AND EDUCATION ABOUT THE HISTORY OF SOUTHOLD" John Bames June 18, 2024 President Caroline MacArthur 1st Vice President Denis Noncarrow Paul Edelson Town Clerk end Vice President Town of Southold Jay Cardwell PO Box 1179 Treasurer Southold, NY 11971 Margaret"Lee"Cleary Assistant Treasurer Dear Denis, Margaret Hollowell Secretary We have provided the Town with a copy of our General Liability Insurance with the Town of Southoldlisted as an additional insured. William Carey Mary Korpi Janet Larsen We are a small Not-for-Profit agency, and it would be a financial hardship to Rosemary McKinley carry the required amount. We presently carry$1,000,000.00 coverage. We are Barbara Poliwoda Joel Reitman requesting a waiver for the $2,000,000.00 requirement. Larry Rubin Marie Scalia Elizabeth Shanks To the extent permitted by law, we shall indemnify and hold harmless the Mickey St John County of Suffolk,their consultant (if any), employees, agents and other persons Trustees from and against all claims, costs,judgments, liens, encumbrances and expenses, Deanna Witte-Walker including attorneys'fees, arising out of the acts or omissions or negligence of Executive Director this organization, its officers, agents, servants or employees in connection with Amy Folk the services provided under this agreement. Manager of Collections Marie Thompson Thank you for any assistance you can give us in this matter. Office Administrator WalterR.Jackson Sincerely, Office Assistant Kristen Matejka Marketing Liaison Ed Forte Deanna Witte-Walker Bookkeeper Executive Director DENIS NONCARROW �Q+ �.,� 71own Hall,53095 Main Road TOWN CLERg " P.O.Box 1179 ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p, Fax(631)765-6145 MARRIAGE OFFICER , ' . Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER www southoldtownny gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVI NT PIease'nrovide ALL of thie'information regiresteii Iielow.Iucoiir Mete application"s''VVILL NOT be reviewed. Q ?-I ,') nzq Date of Submission `" LA./ Name of Event Cry -sal —Scam Name of Organization: —W41c Is this a Not-For-Profit Event? es o Contact's Name: I�Ita H r fit, W m e 00-1[ a-!' Mailing Address: —Po &K 1 , Sout D[ , �j q 'I q 4- Contact's Phone Number: ��J 6 S-'S50 0 ,��' 3 Contact's Email Address: Event Location and Site Diagram: �1J1'Y od #ijb l (Use additional paper if necessary) Event Date(s): 0 I 2. L 2 202,L-/ (Include set up Ymd shutdown times and dates) f Nature of Event: (fOA5 T60 r on h 'c, roI�YIS�t-Q (Please attach a detailed description to this application) Time Period(Hours)of Event: From qarn to 5p m Maximum Number of Expected Attendees:. 2—c Jp�G Specify any special requirements (i.e. road closure, police presence): i.-�it (plibvi JCws 95 for P 4 who" 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: j?D Event Fees: .$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) $250 or more Clean-up deposit all other events CERTIFICATEDF INSURAiNCE REQUIRED; Not less than$2,000,000 naming the Town of Southold as an additional insured. ***NOTE: PLEASE SEE ATTACHED REVISED,-ADOPTED TOWN POLICY*** Additional information and requirements may be required as deemed necessary by the Town Board. Print name of Authorized Person filling out Signature of Authorized Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 SURVEY OF PROPERTY a t SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y.1000-62-02-5.2 . 25) a o SCALE.- 1""=40' ,A,z7' FEB. n, 2016 i R' S'TA ,E 12g p 11 D (NE a 764'30 0 41 RpA s� MAIN c;l m to a 70.050 6-46'30 • tr `tip. �` � Asd' PpR" � 1,,�T'" 0 N1510RILPL ..�N1'�,``•a,N" � r`N 6574f� N ��� y 11 Y v� 7"" �1 SOUtHOSpL�E3Y d� `1,� `z .sd 'orb, � ,ov VA 7.01 rx c LEL t2 1 01 �+, �Yg PARE wwc^' CaEPPRCEL�'44qq °f P$' ro nyo'3• p3,3 49 wm` ooz Q 1pOH 0 On 62g PG3 �y 4`..S'ivP`` ~:r ° ` 4 ' '-j37•0 U8E 179 p,rs✓ o .,fir _ 30 OOW ;y'0- -Sj2 L�1'L.t' o �Tzz 573.07'10 w Pp5LEL m s/ w 0 F 4 NIQ KESyTP ! �o. QE��nLME54� � R'• vim}.'7 j5 p0 N�0.o 266.77' & 58770'40'W N/O�pS Fd'N� O�OTM MN FEY N .,cWIS, GARY Q-T PEE PARCEL AREAS ■-YONUYENT "A" = 30.261 sq.ft. o.unuTYPaE "B-1" = 8,035 sq.ft. "B-2" = 17,428 sq.ft. "C" = 13,739 sq.ft ANY AL1ERAnW OR ADD/nON TO MIS SURVEY/S A NOLAnON "D" = 43,163 sq.ft.' N.Y.S.LIC.NO.49616 OF SECDOV 72090 WE NEW YORK STAR EOUCADDN LAW. EXCEPT AS PER SECnON 7209-St/BDIN90V z ALL CERONCADONS (631)"E"" = 14,114 sq.ft. C SURVEYORS P.C, HEREON ARE VAUD FOR 1HIS NAP AND COPIES DIEREOF My IF (631)766-6020 FAX(631)765-1797 SAID YAP OR COPIES BEAR ME IMPRESSED SEAL OF THE SURWE TOTAL AREA=126,740 SQ. FT. P.O.BOX 909 INIOSE SIONADLRE APPEARS HEREOV. 12JO TRAVELER STREET OR 2.910 ACRES SOUTHOLO,N.Y. 11971 15-206 ACiOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) F04/05/2024 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 REPRESENTATIVED CCERTIFICATE 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER coNTACT EVENTS&ATTRACTIONS NAME: K&K INSURANCE GROUP,INC. PHONE FAX No,Et): 800-553-8368 (A/C, A/C No): 260-459-5624 P.O.BOX 2338 IL FORT WAYNE,IN 46801 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: MARKELAMERICAN INSURANCE COMPANY INSURED INSURER B: MARKEL INSURANCE COMPANY 38970 SOUTHOLD HISTORICAL SOCIETY,INC. INSURERC: 54325 MAIN ROAD PO BOX 1 INSURER D: SOUTHOLD,NY 11971 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: C164230 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 INSD NA/D MMIDD MM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY X MKP0000501340000 3/5/2024 3/5/2025 EACH OCCURRENCE $1,000,000 CLAIMS MADE X❑occuR 12:01 AM 12:01 AM $300,000 PREMISES Ea Occurrence) 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 LOC BODILY INJURY TO PARTICIPANTS OTHER: PROFESSIONAL LIABILITY AUTOMOBILE LIABILITY MBI D N T Ea accident ANY AUTO BODILY INJURY(Per person) OWNED SCHEDULED AUTOS BODILY INJURY(Per accident) AUTOS ONLY HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR X MKX0000501340100 3/5/2024 3/5/2025 EACH OCCURRENCE $1,000,000 X EXCESS LIAB CLAIMS-MADE 12:01 AM 12:01 AM AGGREGATE $1,000,000 DED RETENTION WORKERS MPENSATION N/A PER AND EMPLOYERS'LiZILI Y STATUTE UOTHER ANY PROPRIETORIPARTNER/ YIN E.L.EACH ACCIDENT EXECUTIVE OFFICERIMEMBER EXCLUDED?(Mandatory in NH) If yes,describe underEl E.L.DISEASE—EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L.DISEASE—POLICY LIMB PARTICIPANT ACCIDENT AD&D Primary Medical Excess Medical Weekly Indemnity DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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 TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MAIN STREET EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH SOUTHOLD,NY 11971 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Noncarrow, Denis To: PD Cc: Paul D;Johnson, Benjamin Subject: Fair on July 27th and 28th. Attachments: Southold Historical_20240626111215.pdf Please see attached and comment. 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. 1 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/26/24 Receipt#: 331331 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 7, 27-28, 2024 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#7098 $250.00 Southold Historical Society Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold Historical Society Pob 1 Southold, NY 11971 Clerk ID: DENISN Internal ID:7,27-28,2024 Noncarrow, Denis From: Grattan, Steven Sent: Wednesday,June 26, 2024 11:27 AM To: Noncarrow, Denis Subject: RE: Fair on July 27th and 28th. Hi Denis, I have no objections to this event. From: Noncarrow, Denis<denisn@southoldtownny.gov> Sent:Wednesday,June 26, 2024 11:09 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; Flatley, Martin<mflatley@town.southold.ny.us>; Lessard, Diane <diane.lessard@town.southold.ny.us>; Stallbaumer, Nicole<nstallbaumer@southoldtownny.gov>; Grattan, Steven <sgrattan @southoldtownny.gov> Cc: DeChance, Paul <pauld@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov> Subject: Fair on July 27th and 28th. Please see attached and comment. 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 DENIS NONCARROW �� G.f, Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 H Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER 'j' RECORDS MANAGEMENT OFFICER ��,( �a0 Telephone oldt nny.gov FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 5, 2024 Deanna Witte-Walker Southold Historical Society P.O. Box 1 Southold ,NY 11971 Dear Deanna, The Southold Town Board at its regular meeting held July 2nd, 2024 granted permission to The Southold Historical Society to hold their Arts and Craft Fair, Saturday,July 27'and Sunday, July 28 '2024 from 9am to 5pm, 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. Be of luck with our event. i erel , Denis Noncarrow Town Clerk Enc. TC Checklist for Parade/5K*Bicycle*/Town Property/Road Closure Special Events Applications Name of Organization: A r l co— e,- Name of Event: su,WL1N�-e_/ L�►1-C�'�' Date(s) of Event: *No 5K and Bicycle events durinlz the period of June 1 to November P ✓ Event fee check(or request to be waived .Road clean-up check (CANNOT BE WAIVED) ✓ Current Insurance certificate Application sent for approvals e following Depts.: PD - H i Land Pres. J TA Records Mngmnt/TC wy Y 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. #: 20-m - �5 . JApproval letter to Organization's contact person w/copy of TB resolution After Event: v Confirmation from Chief of PD to release clean-up fee VTB Resolution to refund clean-up fee n TB Clean-up Reso. #: �� , 1a- I" T Voucher and copy of TB clean-up Reso. to Accounting Dept. Whole application file to Records Management (include copy of voucher& reso.) THOLd 54325 Main Road PO Box 1 0 = Southold,NY 11971 631.765.5500 � oBo a - �W info@southoldhistorical.org O ■.' ■ www.southoldhistorical.org L "PROMOTING INTEREST IN AND EDUCATION ABOUT THE HISTORY OF SOUTHOLD" John Barnes July 18, 2024 RECEIVE® President Caroline MacArthur 1st Vice President JUL 2 9 2024 Denis Noncarrow Elizabeth Shanks Town Clerk 2nd Vice President Town of Southold Southold Town Clerk Jay Cardwell PO Box 1179 Treasurer Southold, NY 11971 Paul Edelson Assistant Treasurer Dear Denis, Margaret Hollowell Secretary We have provided the Town with a copy of our General Liability Insurance William Carey with the Town of Southold listed as an additional insured. Mary Korpi Janet Larsen We are a small Not-for-Profit agency, and it would be a financial hardship to Rosemary McKinley carry the required amount. We presently carry$1,000,000.00 coverage. We are Barbara Poliwoda Joel Reitman requesting a waiver for the $2,000,000.00 requirement. Larry Rubin Marie Scalia Mickey St John To the extent permitted by law, we shall indemnify and hold harmless the Trustees County of Suffolk,their consultant (if any), employees, agents and other persons from and against all claims, costs,judgments, liens, encumbrances and expenses, Deanna Witte-Walker including attorneys'fees, arising out of the acts or omissions or negligence of Executive Director this organization, its officers, agents, servants or employees in connection with Amy Folk the services provided under this agreement. Manager of Collections Marie Thompson Thank you for any assistance you can give us in this matter. Office Administrator Susan Ewing Office Assistant Sincerely, Kristen Mas Marketing Liaison Ed Forte Bookkeeper Deanna Witte-Walker Bo Executive Director T I10 54325 Main Road PO Box 1 x mill 0 _ ' Southold,NY 11971 631.765.5500 °e° �� info@southoldhistorical.org O� 1.' www.southoldhistorical.org L "PROMOTING INTEREST IN AND EDUCATION ABOUT THE HISTORY OF SOUTHOLD" July 18, 2024 John Barnes President Denis Noncarrow Caroline MacArthur Town Clerk 1st Vice President Town of Southold Elizabeth Shanks PO Box 1179 2nd Vice President Southold, NY 11971 Jay Cardwell Treasurer Dear Denis, Paul Edelson Assistant Treasurer I am writing to request a waiver for the $250 special events fee for the Summer Margaret Hollowell Concert which is scheduled to be held on the Museum's Maple Lane Complex on Secretary August 23, 2024. This event is free and open to the public (donation only). We William Carey are exciting to be able to welcome folks to the Complex to enjoy live music on MaryKorpi our historic grounds. Janet Larsen Rosemary McKinley We would be extremely grateful if the Town would consider waiving the fee. Barbara Poliwoda Joel Reitman Thank you for any assistance you can give us in this matter. Larry Rubin Marie Scalia Mickey St John Sincerely, Trustees Deanna Witte-Walker jw� Executive Director Deanna Witte-Walker Amy E. Folk Executive Director Manager of Collections Marie Thompson Office Administrator Susan Ewing Office Assistant Kristen Matejka Marketing Liaison Ed Forte Bookkeeper DENIS NONCARROW Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS d , Fax(631)765-6145 MARRIAGE OFFICER @. -. � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT Please provide ALL-of tWe inftiiiriidtibn ne4udst6d'bdbW.Iacoiritilete aptilic:Wdhs WILL NOT be reviewed. Date of Submission. Name of EvenhS o4 JaRk Name of Organization: < ! Is this a Not-For-Profit Even . el§/o Contact's Name:'1AV1 Mailing Address: ����G 2�(An Id, -N q 119 7' 1 Contact's Phone Number: I/& — 4(o 5— 5 500 Contact's Email Address: Event Location and Site Diagram,) /1W (Use additional paperl irf�necessary) Event Date(s): � ��I G024 (Include set up and shutdown times and dates) Nature of Event: (Please attach a detailed description to this application) Time Period(Hours)of Event: From 60rn to Maximum Number of Expected Attendees: 'o C!'� ►/ v� Specify any special requirements (i.e. road closure, police presence): rWe 1 C�hS b �� et� Z 4r 1pho 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: l V i Event Fees: $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): �y -$1,500.00 Clean-up for Bicycle and/or Running Special events(ONLY) V $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.. Print name of Authorized Person filling out Sign a of Authorized Person 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 SURVEY OF PROPERTY �i a t SO UTHOLD ` s o� ppr TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-62-02-5.2 o SCALE.- 1'=40' goUrE )ao �} °° 141.27' FEB. 17 2016 8< ,2 ° a EW yo U 7.'4 3p'E °ens, o p AIN fzoALJ3,7 " V Til? m CN a a°"" ` cic�o 6.46'30. 709 °In P. RCEL ,1�, PAR�jL,` o°�eS Tr `, t3�pp'E t: 9-d �yNu °� PA•A d°A�y,. ��t'" B SOUTM°SOC EtY °,0�,e9,ysN°9 `M iQ, ip'.sod N75 4\ N v °v 04, � �5 9z °�orA y pOEax o _ ►- a $t, °,.• T= PARCEL p� ✓• j40,o41 DOER"6920 P0'',N � ¢ 7 B o ,0 572.3 YN &Y , a°��° D•p °?�57 p L�p � G O ° 00 G e O 51307,O W \ e�pt� m i � CEC m .. PAID f` N/of wA `Oa o� to NOA o i 75 po' \ d 6'05'20'E��,on�" S 60O.OV'W d ""ma --------266.77' Y 587'20'40"W N/0�P5 POONE p00.0 ANN R NEV N OA" Etsc War WRY WIST 0_PIPE PARCEL AREAS ■"MONMENr A" = 30.261 sq.ft. 0-UMJTr PME B-1" = 8,035 sq.ft B-2" = 17,428 sq.ft "C" = 13739 q.ft. ANr At TERARLW OR ADOIRLW TD ms wRwr IS A HOunav N.Y.S.LIC NO.. 49618 OF SE=W 7209W THE NEW YORK STATE EODGPON LAW. D = 43,1 sq.ft ExcErr AS PER SEC170/7209—SIMWSHAI z Au CERTMAR0.5 E" = 14,114 sq.ft PECONIC SURVEYORS P.C. HEREON ARE VAUD FOR THIS MAP AND CORES THEREOF ONLY IF (631)765-5020 FAX(631)765-1797 SAm MAP OR CORES BEAR THE IMPRESSED SEAL OF THE SURl4YOR TOTAL AREA=126,740 SQ. FT. P.O.BOX 909 WHOSE 90NATORE APPEARS HEREON. 1230 TRAVELER STRE£r OR 2.910 ACRES SOUTHOLa N.Y. 1197T 15-206 AC40RV® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/05/2024 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 certificatedoes ngl conferrighta to the certificateI r in lie such endorsomengs). PRODUCER GUNTAT NAME:ME: EVENTS&ATTRACTIONS FAX K&K INSURANCE GROUP,INC. . No,Et: 800-553-8368 260 459-5624 P.O.BOX 2338 A/C,No: FORT WAYNE,IN 46801 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: MARKELAMERICAN INSURANCE COMPANY INSURED INSURER B: MARKEL INSURANCE COMPANY 38970 SOUTHOLD HISTORICAL SOCIETY, INC. INSURERC: 54325 MAIN ROAD PO BOX 1 SOUTHOLD,NY 11971 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: C164230 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 INSD WVD MM/DD MM/DDIYYYY B X COMMERCIAL GENERAL LIABILITY X MKP0000501340000 3/5/2024 3/5/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR 12:01 AM 12:01 AM DAMAGE TO RENTED $300,000 PREMISES Ea Occurrence X NONOWNED/HIRED AUTO MED EXP(Any one person) EXCLUDED PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OP AGG $5,000,000 POLICY El PROJECTLOC BODILYINJURYTO PARTICIPANTS OTHER: PROFESSIONAL LIABILITY AUTOMOBILE LIABILITY COMBEa accident) I T ent ANY AUTO BODILY INJURY(Per person) OWNED SCHEDULED AUTOS AUTOS ONLY BODILY INJURY(Per accident) HIRED NON-OWNED AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR X MKX0000501340100 3/5/2024 3/5/2025 EACH OCCURRENCE $1,000,000 X EXCESS LIAR CLAIMS-MADE 12:01 AM 12:01 AM AGGREGATE $1,000,000 F.DED RETENTION WORKERS COMPENSATION N/A PER OTHER AND EMPLOYERS'LIABILITY STATUTE LJ ANY PROPRIETOR/PARTNER/ Y/N E.L.EACH ACCIDENT EXECUTIVE OFFICERIMEMBER EXCLUDED?(Mandatory in NH) If s,describe underEl E.L.DISEASE—EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L.DISEASE—POLICY LIMIT PARTICIPANT ACCIDENT AD&D Primary Medical Excess Medical Weekly Indemnity DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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 TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MAIN STREET EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH SOUTHOLD,NY 11971 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Noncarrow, Denis To: Special Events PD Cc: Johnson, Benjamin Subject: Southold Historical event Attachments: SHS event_20240729151419.pdf Please review and let us know. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov denisn @southoldtownn v.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 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/29/24 Receipt#: 333491 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 8/23/2024 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#7149 $250.00 Southold, Historical Society Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Southold, Historical Society 54325 Main Road PO Box 1 Southold, NY 11971 Clerk ID: JENNIFER Internal ID:8/23/2024 Noncarrow, Denis From: Grattan, Steven Sent: Monday,July 29, 2024 3:39 PM To: Noncarrow, Denis;.Blasko, Regina; DeChance, Paul; Flatley, Martin;Goodwin, Dan; Mudd, Jennifer; Norklun, Stacey, Orientale, Michael; Born, Sabrina Cc: Johnson, Benjamin Subject: RE: Southold Historical event No objections. We will set up traffic cones on Route 25 for the event. From: Noncarrow, Denis<denisn@southoldtownny.gov> Sent: Monday,July 29, 2024 3:11 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>; 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> Cc:Johnson, Benjamin <benjaminj@southoldtownny.gov> Subject:Southold Historical event Please review and let us know. Thank you Denis Noncarrow Southold Town Clerk. Town of Southold,New York www.southoldtownny.gov denisn@southoldtownny.aov 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: Noncarrow, Denis To: info@southoldhistorical.org Cc: Sabrina Born (sabrina.born@town.southold.ny.us); Mudd,Jennifer Subject: Special Event information Attachments: Printout-20537-1034-M63917.doc Please see attached resolution for your special event. Any questions please give us a call. Denis Noncarrow Southold Town Clerk. Town of Southold, New York www.southoldtownny.gov 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 SSFFCIK`� RESOLUTION 2024-725 6o�s } ADOPTED DOC ID: 20537 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-725 WAS ADOPTED AT THE SPECIAL MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 13,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Southold Historical Society, 54325 Main Road, Southold,New York to holds a Concert on the Grass, Friday, August 23rd 2024, from 6:00 PM to 9:30 PM. Traffic Control to be discussed with Chief Grattan as soon as possible. Clean up deposit can be returned after approval of Chief Grattan. 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 DENIS NONCARROW o~� G.y� Town Hall,53095 Main Road OWN CLERK P.O.Box 1179 T y = Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS O 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 August 15,2024 Deanna Witte-Walker Southold Historical Society P.O. BOX 1 Southold ,NY 11971 Dear Deanna, The Southold Town Board at its regular meeting held August 13th,2024 granted permission to The Southold Historical Society to hold their Concert on the Grass,Friday,August 23`d 2024 from 6pm to 9:30pm, as appl' or.A certified copy of the resolution is enclosed. An insurance policy naming the Town of Sou old s additionally insured has been filed with this office. Please contact Captain Grattan at the Sout d T n Police Department as soon as possible to set up traffic control. If you h v an f her que tions, please do not hesitate to contact the Town Clerk's office at(631) 765- 1800. Best lu ith your ent. Sincerely, Denis Noncarrow Town Clerk Enc.