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Mattituck/Cutchogue Teachers Association - Turkey Trot 5K
TC Checklist for Par ade/5Kr/Bicycle*/Town Property/Road Closure Special Events Applications Name of Organization: �Ial-e c ,�.Cu�+ To*r5 Name of Event: rj"VAQAJ��� Date(s) of Event: *No 5K and Bicycle events during the period of June 1 to November 1Y Event fee check (or request to be waived) V Road clean-up check (CANNOT BE WAIVED) tf Current Insurance certificate Application sent for approvals to the following Depts.: L I PD Hwy Land Pres. TA Records Mngmnt/TC 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. #: 44 —q a L, V act w/co Approval letter to Orgamzatton s cont person py of TB resolution After Event: ✓ Confirmation from Chief of PD to release clean-up fee TB Resolution to refund clean-up fee r� 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.) i DENIS NONCARROW ®� �y� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®� �a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER RECEIVE® OFFICE OF TIW TOWN CLERK TOWN OF SOUTHOLD 0 CT 1 7 2024 APPLICATION FOR A PERMIT TO HOLD A Southold Town Clerk SPECIAL EVtNT Please provide ALL of the information requested below. Incomplete applications WILL NOT be reviewed. Date of Submission t 011 W 124 Name of Event "C.TA_C(,Lrk,e 4 Name of Organization: 0SgbCi0:-W0') Is this a Not-For-Profit Event?'Yes/No KM Contact's Name-, Ra Mailing Address: ?%, Ua_ai iqw, Contact's Phone Number: Contact's Email Address: Event Location and Site Diagram: C % Ae 6,ka a cam SEjac Cac?, (Use additional paper if necessary) Event Date(s): Kiwenob!c '2-U-02-9 (nQ(y) -12 pnn, (Include set up and shutdown times and dates) Nature of Event: r� r� e• 4 (Please attach a detailed description to this application) Time Period (Hours) of Event: From to Oann Maximum Number of Expected Attendees: %oo - Specify any special requirements (i.e. road closure, police presence): &a 6 G oswe anti e- If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 r I Mailing Address'to Send Event PermitLawai NV M Event Fees: �Lkie C epe Icy (PcbUe54- 4-60- $250 for events with less than 1000 expected atteen ees �`�eS �� W a��P Gf S Vr(1CCPdS $500 for events with 1000 or more expected attendees 10 AD sLn►p( SO_twsv�rs Qna �y o yc� aVe. racf auS► Clean-up Fees (Can NOT be waived): CJOrC4kiS In -- k (,(�� - z S1,500.00 Clean-up for Bicycle and/or.Running Special events(ONLY) $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 o utho z n 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 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 be 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 arid/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 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 y- application for a special event that is determined to not be in the best interest of the residents of the Town of Southold. 4 HOLD HARMLESS AGREEMENT The applicantbCJAn �� �`'��l I J 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 this 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 before me this 1 Day of C)C+C1 IZ)emir, 20YA. SMRON L.COUGHUN Notary Public,State of New York No.OIC04BM757 4ualiW in Su#dk County Co mission Eom 10J201201 � Mattituck Cutcho9 ue Teachers Association - Turkey Trot . November 28 , 2024 N sftw Z. J+• �` 91 I + `a :4 G : .. '`''zri'= �'� ti1 y �:• Yi rFy r 4`— th t Or ±[[, ghtAfni'd14�tJ�}ke, ",•r l? Maw Sall ' vf2� r� by � -��-• �'a ��: _ rd ;. r �3' us:� a.+c d irk• '��. i ,'..,^7.• .vcrt?!; t'`•yi51..4FMf '; :ti+al l Ck .,� '�,.i:n .a;}• -- jrfi�{�� �:3d�6tT' •cs. r. MattituckIto ;. oL't R►1e jt.i7 rif Mii6 &6an La CemA;ary ' : •o Yid •` :"�`-you,t s.. ROUTE: Begin at Malttituck High School; Head South on Maple Avenue Cross Route 25 to Reeve- Heading South; Left on New Suffolk Avenue- Proceed East; Right onto Maratooka road - Proceed 5outi Loop Left on Center and Bungalow back to Right on to Maratooka; Cross New Suffolk onto Maratooka LANE; Lefton Route 25- Heading West, Right onto Wickham- Proceed North; Right onto Pike Street; Finish at school I u 10/9/24,8:13 AM Order 29134 for Mattituck Cutchogue Teachers Association was processed successfully.-Stacey Tiamsic-Outlook • Outlook Order 29134 for Mattituck Cutchogue Teachers Association was processed successfully. From Mike Webb, Membership Manager <messages@app.production.membersuite.com> Date Wed 10/9/2024 8:08 AM To Stacey Tiamsic <stiamsic@mufsd.com> CAUTION:This is an EXTERNAL email. DO NOT open attachments or click on links unless you know the sender and were expecting this message. Thank you for your order, Mattituck Cutchogue Teachers Association View or pay open order(s) online: https://customer335545169.portal.membersuit exo m Billing Information Email Address: stiamsic@mufsd.com Billing Address: Shipping Address: 54 Maidstone Ln 54 Maidstone Ln Wading River, NY 11792 US Wading River, NY 11792 US Credit Card Order Summary Order#: 29134 Grand Total: $995.90 Amount Paid: $995.90 Balance Due: $0.00 Qty Product Unit Price Total 1 Dues - Event Mgt Member- For Profit $100.00 $100.00 1 Event Dues $0.00 $50.50 Insurance - $2 Million Liability Coverage (Mattituck-Cutchogue 1 Teachers Association Turkey Trot I Thu Nov 28 2024 00:00:00 $0.00 $545.40 GMT 0500 (Eastern Standard Time)) 1 Volunteer Personnel Medical Coverage - $2 Million policy $300.00 $300.00 Subtotal: $995.90 Taxes: $0.00 about:blank 1/2 10/9/24,8:13 AM Order 29134 for Mattituck Cutchogue Teachers Association was processed successfully.-Stacey Tlamsic-Outlook Discounts: $0.00 Grand Total: Please allow 7-14 days for processing of your Certificate of Insurance. Check your SPAM/Junk Folder if you do not see your COI within 14 days. Review the Insurance Information Page. Need Additional Insured Certificates for your events? Visit: https://www.rrca.org/services/rrca- insurance-services/additional-insured Save the Date for the 67th RRCA National Convention - April 24-27, 2025 Join hundreds of leaders in the running community to get inspired, share the joy of running, network, and learn about best practices to help your organization. 4.'q about:blank 2/2 AC R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYW) 10/17/2024 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(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 Tabitha Messersmith NAME: Insurance Manage eni►*6113 UAAO aD_ � PHONE (800)272-8673 FAX (765)664-0761 959East4thSt P E--MAILoExttmessersmith Insmt.com Afc,No ADDRESS: tmessersmith@insmgt.com INSURER(S)AFFORDING COVERAGE NAIC# Marion �Z 46952 INSURERA: Granite State Insurance Company 23809 INSURED `J INSURERB: National Union Fire Insurance Company of Pittsburgh,PA 19445 R ad Runners Club ofAmerica/2024 and Its Memb Clubs INSURER C: is 1",��;r _ ,fie i INSURERD: 1e�Lr•S�R'St;+Sl11 ,2-Q2 `'�'i t, INSURER E: Falls Church d VA 22046 INSURER F: COVERAGES CERTIFICATE NUMBER: 2024$2MA.1.Liability 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 500,000 X Legal Liability to 5,000 MED EXP(Any one person) $ A Participants$2,000,000 AIL0003450335200 12/31/2023 12/31/2024 PERSONAL&ADV INJURY $ 2,000,000 HX"" 'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY ❑PRO ❑ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: Per Event Basis Abuse and Molestation $ 500,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED AIL0003450335200 12/31/2023 12/31/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (per. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Medical&Accident Excess Medical. $10,000 B ($250 Deductible/Claim) AID0003450335800 12/31/2023 12/31/2024 AD&Specific Loss $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE OF EVENT(S):11/28/24 MCTA Turkey Trot INSURED RRCA CLUB/EVENT MEMBER:Mattituck Cutchogue Teachers Association ATTN:Stacey Tiamsic,Lydia Burns,54 Maidstone Ln,Wading River NY 11792 Processed by RMV CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 11/28/24 Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/17/24 Receipt#: 335564 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 11/28/2024 $1,500.00 Total Paid: $1,500.00 Notes: Payment Type Amount Paid By CK#3980 $1,500.00 v28, i Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Mattituck, Cutchogue Teachers Association 2100 Aldrich Lane Laurel, NY 11948 Clerk ID: DIANAF Internal ID: 11/28/2024 1 ® DATE(MMDD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 10/17/2024 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(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 Tabitha Messersmith NAME: Insurance Management Group PHONE (800)272-8673 FA,c,No): (765)664-0761 A/C No Ext: 959 East 4th St E-MAIL tmessersmith@insmgt.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Marion IN 46952 INSURERA: Granite State Insurance Company 23809 INSURED INSURER B: National Union Fire Insurance Company of Pittsburgh,PA 19445 Road Runners Club ofAmerica/2024 and Its Member Clubs INSURER C: INSURER D: 100 W Jefferson St,Suite 202 INSURER E: Falls Church VA 22046 INSURER F: COVERAGES CERTIFICATE NUMBER: 2024$2M Events Liability 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DDYIYYYY EFF MM DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 500,000 X Legal Liability to MED EXP(Any one person) s 5,000 A Participant$2,000,000 AIL0003450335200 12/31/2023 12/31/2024 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 5,000.000 POLICY ❑PRO ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT HxOTHER: Per Event Basis Abuse and Molestation s 500,000 AUTOMOBILE LIABILITY COMBINED ccident SINGLE LIMIT $ 2,000,000 a ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED AIL0003450335200 12/31/2023 12/31/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED H NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/ E.L.FACHACCIDENT N/A OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Medical $10,000 B Excess Medical&Accident AID0003450335800 12/31/2023 12/31/2024 AD&Specific Loss $2,500 ($250 Deductible/Claim) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) 2024 RRCA Event Member Date of Events:11/28/24 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Mattituck Cutchogue Teachers Association ACCORDANCE WITH THE POLICY PROVISIONS. 54 Maidstone Ln AUTHORIZED REPRESENTATIVE Wading River NY 11792 �• �� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Town of Southold Police Department Special Event Cost Analysis Event: MCTA Annual Thanksgiving 5K Turkey Trot Date(s): November 28,2024 Location: Mattituck area PatrolAllocatonforEuent $ ' '' . Reg Hours OT Hrs Hrly Wage Total Comments P I coP a Officers Lt. Latham 2 Holiday 1 $99.31 $297.93 Holiday Pay Sgt. Salmon 2 Holiday 1 $89.35 $268.05 PO Springer 2 Holiday 1 $77.71 $233.13 PO Krause 2 Holiday 1 $40.65 $121.95 Special Patrol' Reg Hours OT Hrs Hrly Wage Total Comments CRU� PO Chenche 2 Holiday 1 $71.14 $213.42 PO Sanders 2 Holiday 1 $64.29 $192.87 Bicycle Patrol ,, / 9 Units,: Highway Patrol ,.;�m PO Onufrak 2 Holiday 1 $75.46 $226.38 PO Flatley 2 Holiday 1 $75.46 $226.38 Mar�;nelJnits Traffic"ControF:" .,,.. , . Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 5 $19.11 $95.55 E uipmentCosts PD Vehicles #of vehicles $/hr Total 9 $20.00 $360.00 $360.00 Command Van Marine Patrol Boats Total Department Cost for Event= $2,236.66 Prepared by Chief S. Grattan 10/18/2024 Pagel Noncarrow, Denis From: Grattan, Steven Sent: Friday, October 18, 2024 2:25 PM To: Franke, Diana Cc: Noncarrow, Denis Subject: RE: Special Event MCTA-Turkey Trot Attachments: Turkey Trot2024.xls I have no objections. Attached is my cost analysis. Chief Steven Grattan Southold Town Police Department 41405 Route 25 Peconic, NY 11958 (631) 765-2600 Main (631) 765-2715 Fax (631) 765-2784 Desk CONFIDENTIALITY NOTICE:This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by privilege. If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution,or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error,please notify the sender immediately by e-mail and delete the original message. PO Lt , From: Franke, Diana<dianaf@town.southold.ny.us> Sent: Friday,October 18, 2024 8:18 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul<pauld@southoldtownny.gov>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven<sgrattan@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McCullough, Lillian<Iillianm@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> Cc: Born,Sabrina<sabrina.born@town.southold.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Subject:Special Event MCTA-Turkey Trot Importance: High Good Morning, Please see attached the Application for a Special Event Permits from Mattituck—Cutchogue Teachers Association received on 10/17/2024. Provide approval or disapproval and cost analysis. 1 Thank you so much, S1aw CgAawkP. Account Clerk Southold Town Clerk's Office (631)765-I800 Ext 1228 z Franke, Diana From: Franke, Diana Sent: Friday, October 18, 2024 8:18 AM To: Blasko, Regina; DeChance, Paul; Goodwin, Dan; Grattan, Steven;Johnson, Benjamin; McCullough, Lillian; McGivney, Julie; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Squicciarini,James; Stype,John Cc: Born, Sabrina; Mudd,Jennifer Subject: Special Event MCTA -Turkey Trot Attachments: MCTA-TurkeyTrot.pdf Importance: High Good Morning, Please see attached the Application for a Special Event Permits from Ma4f tt�'"it�k— «utckiogu Teae ass received on 10/17/2024. Provide approval or disapproval and cost analysis. Thank you so much, °aAl"&Cra +0 Account Clerk Southold Town Clerk's Office (631)765-1800 Ext 1228 i gUFFO(,��o - DENIS NONCARROW =� Gy� Town Hall,53095 Main Road TOWN CLERK p - P.O.Box 1179 ti Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER �y O a0 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER 1 `t► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Mattituck-Cutchogue Teachers Association Dawn Rowe October 23,2024 2100 Aldrich Lane Laurel NY 11948 Dear Dawn, The Southold Town Board at its regular meeting held October 22nd, 2024 granted permission to The Mattituck Cutchogue Teachers Association to hold their Turkey Trot on November 2811'2024 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 your event. gNoncarrow , De Town Clerk Enc. fi`�pSJifit '�E> `�� outhold..Town Board -Letter Board Meeting of October 22, 2024. RESOLUTION 2024-922 Item# 5.23 ADOPTED DOC ID: 20734 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-922 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 22,2024: RESOLVED that the Town Board of the Town of Southold hereby grants permission to Mattituck-Cutchogue Teacher's Association to use the following route for its 2024 Turkey Trot in Mattituck, on Thursday,November 28, 2024: Begin at Mattituck High School; head South on Maple Ave; Cross Route 25 to Reeve Ave-even with the north side of the Church, head South; left onto New Suffolk Avenue - proceed East; right onto Marratooka Road -proceed South; Loop left on Center and Bungalow back to right on Marratooka; Cross New Suffolk onto Marratooka Lane; left on Route 25- heading west; Right on Wickham Avenue, proceed North, right onto Pike Street, finish at the school. Provided they follow all the conditions in the Town's Policy for Special Events on Town Properties. The fees have been waived for this event with the exception of the clean-up deposit. �L ��LI-1 I Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Greg Doroski, Councilman SECONDER:Anne H. Smith, Councilwoman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans Generated October 23, 2024 Page 39 I ' J Franke, Diana From: Grattan, Steven Sent: Friday, October 18, 2024 2:25 PM To: Franke, Diana Cc: Noncarrow, Denis Subject: RE: Special Event MCTA-Turkey Trot Attachments: Turkey Trot2024.xls I have no objections. Attached is my-eo� s"t-arcalysi`sl Chief Steven Grattan Southold Town Police Department 41405 Route 25 Peconic, NY 11958 s (631) 765-2600 Main (631) 765-2715 Fax (631) 765-2784 Desk CONFIDENTIALITY NOTICE:This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by privilege. If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution,or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by e-mail and delete the original message. p—LICE YA}MF F y4. <F tl From: Franke, Diana <dianaf@town.southold.ny.us> Sent: Friday, October 18, 2024 8:18 AM To: Blasko, Regina <rblasko@town.southold.ny.us>; DeChance, Paul <pauld@southoldtownny.gov>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan, Steven <sgrattan@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McCullough, Lillian <lillianm@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> Cc: Born,Sabrina <sabrina.born @town.southo Id.ny.us>; Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Subject: Special Event MCTA-Turkey Trot Importance: High Good Morning, Please see attached the Application for a Special Event Permits from Mattituck—Cutchogue Teachers Association received on 10/17/2024. Provide approval or disapproval and cost analysis. . 1 b f Town of Southold Police Department Special Event Cost Analysis Event: MCTA Annual Thanksgiving 5K Turkey Trot Date(s): November 28, 2024 Location: I Mattituck area P t of i411ocativn foi Eve Ww .`H .n-' v Reg Hours OT Hrs Hrly Wage Total Comments Police Officers" F ° Lt. Latham 2 Holiday 1 $99.31 $297.93 ** Holiday Pay Sgt. Salmon 2 Holiday 1 $89.35 1 $268.05 PO Springer 2 Holiday 1 $77.71 $233.13 PO Krause 2 Holiday 1 $40.65 $121.95 - 71 JR Reg Hours OTHrs Hrly Wage Total Comments PO Chenche 2 Holiday 1 $71.14 $213.42 PO Sanders 2 Holiday 1 $64.29 $192.87 B cycle P�atro!� `r H!ghwaYPatrol " ' PO Onufrak 2 Holiday 1 $75.46 $226.38 PO Flatley 2 Holiday 1 $75.46 $226.38 Marine l�lnits -� 77F-T7 ._�: � . :'�"�"• •.s .>:,::.. "i•""- �",.^fix, �. ..,.."" •fi;,:. a � x•` Reg Hours OT Hrs Hrly Wage Total Comments TC Officer#1 5 $19.11 1 $95.55 Equ!pmerttCosts"G° PD Vehicles #of vehicles $/hr Total 9 $20.00 $360.00 $360.00 Command Van Marine Patrol Boats Total Department Cost for Event = $2,235.66 Prepared by Chief S. Grattan 10/28/2024 Pagel �,4.7Ff0(�oz 42 RESOLUTION 2024-1024 1f tj1- ADOPTED DOC ID: 20869 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2024-1024 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 3,2024: 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-Cutchogue Teachers Assoc. October 17, 2024 $1,500.00 c/o Dawn Rowe 2100 Aldrich Lane Laurel,NY 11948 Southold Historical Museum August 28, 2024 $250.00 PO Box 1 Southold,NY 11971 Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Anne H. Smith, Councilwoman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans ................................................ Vendor No. Town of Southold New York - Payment Vouc her Vendor Name Vendor Address :....................:...:.. Mattituck-Cutchogue Teachers Accoc. 2100 AldrichLane Vendor Telephone Number Laurel, NY 11948 631-764-0801 Town:Clerk::: ' ,s° . Vendor Contact Dawn Rowe Invoice Invoice Invoice Net Purchase Order ......... Number Date Total Discount Amount Claimed Number Description of Goods or Services General T edger:Fund ab Adcount Niimtier 2024-1024 12/3/2024 $1,500.00 $1,500.00 C/U - Turkey Trot 5K ::::::::::.......... .........:::::::::::.::.: TOTAL: $1,500.00 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 G(.�� itle_DIeputy Town Clerk Signs4�comp y Name Southold Town Clerk Date 12/4/2024 Title Dat.121412024