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Southold Historical Museum 2025
i i Southold Historical Museum MAY - 1 202 r UPCOMING EVENTS (2025) 71 5 rf May6�6�, �' >� • Line Dancing Lessons— May 2, 7:00-9:00 PM, Maple Lane Campus i • Lecture: "The Tragedy of the Pelican"—May 8, 7:00 PM, Maple Lane Campus I • Line Dancing Lessons— May 9, 7:00-9:00 PM, Maple Lane Campus • Line Dancing Lessons— May 16, 7:00-9:00 PM, Maple Lane Campus j • Line Dancing Party— May 23, 7:00-9:00 PM, Maple Lane Campus i June • Call for Artists— Ten Squared Exhibit—June 2 I • Student Run Tour—June 6, 10:00 AM, Maple Lane Campus • Pickleball Tournaments—June 7, Tasker Park July I • Living History Day—July 12, 10:00 AM-4:00 PM, Maple Lane Campus I • Summer Antiques & Crafts Fair—July 26, 9:00 AM--4:00 PM, Maple Lane Campus August • Basket Weaving Demonstration—August 16, Horton Point Lighthouse I September I • Autumn Antiques & Crafts Fair—September 27, 9:00 AM-4:00 PM, Maple Lane Campus October • Golf Tournament—October 6, North Fork Country Club I I i T � a DENMS NONCARJ�OW � ' '_b Hall 53fl95 Masi',jRWd' 'TOWN`CLERKf s PO,BuxS179 � ;,., ,.-- r r,,- ..,. t � ;. "� '� ►70tA411�it1,New'�tnYk �,3;97# REGISTRt1R OF VITAL STATLSTICS Fay t681}'Ifni 6]4� Y 4 MARRr t OFFICER + _ �ielephone 631.I 766 1800' ECORRDS MANAGEMENT FFICEIZ_ �. z' ,.... _ .. O £ '� °'` wwwsou'koldtow,nnygorr " REEDbM OF'FORMATION OFFICER _ « ._w oFFIpE-OF THE TOWW, RK To� aF�ozrrxr�L> APPLICAUON FOR A,P "fi gOL 3 _ PECA�; VNT =reviewed: I Date of Submission 4 29 25 _ _ : _ _e----... Name._tif-Events Line Dancing Lessons&Party Southold Historical Museum � Name of Oirgan'izatiori° GIs;Cliffs,a'Not For Profit E�rertt?Ye�/No '� �¢-, _.�., Darren St.George COtact'`s Name, . . _. .. _. . ...__.. tn 'Address 54325 Main Road PO Box 1 Southold, NY 11971 Contacts 'hone Number f 31,578.9963 Contact's Emaif-A-dies d.st eor a southoldhistorical.or -� -<�..:M:::M. .- _- w::.. Event Locatzan andE Sie`I7tagram _.. ;(Usc.addit�onai paper r�n�eces�ary`} Event Daxe(s)N` :..5.2.3.25._.. ....... _....._., _.._ ,(Include setup and shutdown AtimesNagd+dates), y. I Music& Dancing Nature.o Event __ _ (Please attacha detailedid escri to this-app42cation) I 'Time Period(Hours)of Event: Eroin _OQ PM .to, g;OO EM , Maximum Number oYfExpected Attendees 99 w Specifyi any speclal'rdquir.ements((e.xroad:'dl u e police presei ce} i i If a Tent or other temporary structure will be used please contact the Southold Town B.utldtng Department at 631-765-1802AK " " g Mailing Address to Send Event Permit id:..' • ° j Event Fees: X $250 for events with less than'1000 expected attendees- ° . $500 for events with 1000 or inore`+expected attendees Clean-up Fees(Can NOT be waived): - s $1,500.00 Clean-up for Bicycle and/or Running Special events(ONLY) ' $250 or more Clean-up deposit all other events FCERTWICATE O>~ll tJkANCKAjK-QCJIRE�' Not less than$2,000;000 naming the Town of Southold has an additional insured. o ***NOTE: PLEASE SEE AT AACiIED RE�SEDADOPTED 7'(1 ° 4 Additional information and requirements may be required as deemed necessary by the Town Board, Darren St. George, Executive Director �;rou ww a� �.. i Print name of authorized Person filling out Signature Qf Authorized Person`filting b applicat ,.._^^.^.ion _- application I *Upon the request by applicant, the Town Board°may waive in whole or in part any of the application requirements. f �a' - ° I j Poke :fo 'S el Events=on 'own Ph ' ar + :and:'Rn�adsr I In:°addition to the criteria set,£ajn Chapter 2 5 of"the Southold T wn �d'e w th�respect tom` review of even s'fhat are I'llproposed to ut�G or Abe held on any land=csed,leased r ntru e by the Town of Southold and,rti particular, special events on Tom loads,and WIM e e��pit I of carninunity organized parades,theis�uance of a Special�veri`tPermttby the�Al'own:�a�d, 1 be subject to the fofiowing gddelinesa T All events must be sp©nsored by a nat.for profit a aria ado r coognized x4m.it acid the applicant must verify that all proceeds generat ,4 tzy the,edit acre wh ill for the benefit of said orgaruzahai�cir reengnizel Events that requirethe.enstng df a road shall riot be held©na holzday ofe to �ii location o previously apgroved soar nu tyf ax sp c a gvOW absent aufi a , j fi�c�m the Chief or Captain cif the police.Depar�ient _ - -3.. Ail motoc +cle events shall be lirnite�dto 600 t3articipnts 4. �lpplicarits may csnly receive'approval�for one everit ua each�e'�.endar y`e� 5. The prior issuance cif an app�avat cloesnat bind theT'own$ rnrEa similar event m the f itut& „ 6,µ Failureo comply with any-.condition vfappro !a".ma resut, n revocat� rcaap as x and/or-deni vffuture appi cation$. In addition:to"the.above, ail Bicycle anc or Rennin ecial Events shall be �*.Ot to the P� �., x following guidelines,; t 'Thero,shall be no,bicycleaidJ©r running special cents conducte wluhithe "ttwo Southold during the period of June l to November zl 2 Organizers aril participants of bicycle anchor running special SALE, shA ft y�adliere t _. the"rules..o f the road"including eveiy app1--ble prevision of the Ne, York Veh c e;and Traffic Law includin l lit not tin 6d?M VTLT.§§l 3`lA2 3: Or an zefs-of brc cI aztdlc nri ng special events s �l pr st a dep 1 Jfi cif t ri��s n five hurtd d_ dolXars.:;:{ 9., Of 0%tp ensureAa��the condition. 4 `'Q1here tie expected number of persons:or the clurahon of the biCle aili/Q rtni , :special everit_ te ,N m&yu h,hgiwG, p,p lie, a a�i�itiort granting the permit,the Town Board upon the recommenclatian of theChxef alit . ma re,uxre the a leant to reimurs the,Town for wthosts.of tncreaseduilce Y q .. 1 pp ' protection,pubic-sWafety oversight,and.pubSto wart s acilrtati€tu,Ync�d� dui t tonal equ�prr ea as may be,deemed necessary by the Chie£of Police tc ode%u to y and l :control and protect the persons athding the event itheand tra everitareid ffe I i I around the event area,t Such coAsRshall�uclutle aI1 necess staffi�granr�mS�d provided to the applicant;prior to theAtssance.of the permit: 5. �11 bicycle events andlor,rurining special events shall be€lmited to` i00 laarn pants. Al special event aplirQvals shall be:s�zb�ect to camphance a�uith thewfallrw�ng cottditt�aus Tl eyvfile with theme Town Clerk a`Two 1VliIII 6n Ddllar Certificate of$Insuran al nanrng the Town of Southold asazi additional u�suteda$2SU or$5flU fiing,fee (ccpendrtg an szxe of event},a rem�unration fie desired bye#h Clued or anti alb the Police,'Department far t�affi�c control;$�50:Q0 or �tore de�ostt:�a��Iau.� d to:_be:return�ii�afterevent�upori:reco�m-e�datton_,of=the,Southblcl� `owi�Fo,�ic��h��f ;Sautholcl Town Police2bepartment) 2 Make'everyreffort to control"noise, 3' Complyx with Chapter 205 of the Southold Town Code to notify neghors in= =advance-of event;;' _ 4 Coordinate traffic control;upon wi fi n of tine a lo�txan�°af a Town Board xesoluton with Potiee Ca�ita�n ..__ 5 ;No perrrianent rnarki4 be Redd an Town;.County"jate.roads or,properly r the event, 6. Any road markings.oT i igns for tine event=be removod,,M_ enty four(2 )' hours.of'therctirnpletion ofthe event, and' 7,. Any parade participants shall not throw candy ar other objects,at or Yn tlio direction of spectators-;along theFparade route but suclitem ,may be hancl»ed directly to spectators.w The Town Boardreserves the right to waive ornodify any,o ;all o theabove"gm'mdehtaarid conditions as it may deem appropriate iinderthe careeriistatopresented a " oclonyn m applicaEion for a special,event`that} sdeternuned to not i%eu theb}esrmte of=theresi .n ` the Town of;Southola. x;a HOLD HARMLESS AGREEMENT The applicant Southold Historical Museum 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 connectedwith 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: 15a j*r&t& alv. Name: ,Authorized Agent Darren St. George On behalf of: (Name of Business Entity) Dates of event(s): 5.23.25 Sworn to before me this Day of 29 ,20 25. ¢ $ Wan "'SION at 7. 3. r 1' "to '�': b o ti u`� AVON At =2a ,< .. _ £ { _ ............ .S.w.,.......m.�.. ....,...aw ,a......�.., ,....._.,..«.wss,r` ,1 .FF3.sbvxa ti'.k:4,. O k? .,ev` �r`?..F,� �^�'sac ,�'� ,� � "� "f�� � �� �„.• Uj .•� a� � ., 3 m� _ � ,SfGt pY 4. ? Y/' E 1 1„ A" r .p✓'3"f y y•+�GAY M!WC d.u:i� ?. ..: .. , „� '�IIRMAif.� a"r .� �, a."II •: ��'' 1- .� ..,� �f_ � r 'y J" fr £. t_ 31 i w £ t 4 KNOT 4114, 20 'A � RA a^.Yx'.#:aaas Qds 7,71 C "Ail11 �Iw! . lollipop!� € mn r r ' IMMUNE ...�..... .. .Y'1'C,�.fi �"St ,sue .•M,j � > st... v e ". .-� ,� '� '" Y t3 tlsqv to ME a`., '�'s 91 , , x: `0 3 7 " six z - z'f AS I t psi vivo.",._.x..,.... ..... • ..«w. i, .d..� <.. '£.._ _._............. .....ca�,,.......a.; .x......................w.......r.�.anw�.«............a..,....,n '1.....adw�..a..wb.w.�..a� ,e°I'•tyG�''e�a�w..«.......,...s '«aw2.�w? SOUTHIS-01 VID O GE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATD/YYYI� � 31111211/2025 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 CONTA E:CT NAM Neefus Sty a Agency PHONE FAX 711 Union Ave. ac,Ne,Ext:(631 722-3500 A/C,No: 631 722-3591 Aquebogue,NY 11931 A L s.info@nsainsure.com INSURERS AFFORDING COVERAGE 1NAICS INSURER A:Markel Insurance Co INSURED INSURER B: Southold Historical Society INSURERC: PO Box 1 INSURER D: Southold,NY 11971 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 EXPLIR LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE X OCCUR X MKP0000501340000 3/5/2025 3/5/2026 DAMAGE TO RENTEDREMISES occurrence) $ 300,000 MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY❑JECTPRO- LOC PRODUCTS-COMP/OP AGO 5,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS -BODILY INJURY Per accident AUTOS ONLY AUTO ONLY pPe�aandent AMAGE A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE �,000,O00 EXCESS LIAB CLAIMS-MADE MKX0000501340100 3/5/2025 3/5/2026 AGGREGATE $ DED I X RETENTION$ 0 1,0001000 WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN T E ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ O_EFICER/MEMBERMXCLUDED? N/A (mandatory in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Town of Southold and the County of Suffolk are included as Additional Insureds with respect to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE,DELIVERED.IN ACCORDANCE WITH THE POLICY PROVISIONS. Main Street Southold,NY 11971 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD XOUTHOLD HIXOR INVITES YOU • Take Out Your g Bootsl--.'..Da cn in FridayNi hts at� — May 2, 9. 16 — Enjoy FREE line dancing lessons with the talented Lady T! Then, join us for a FREE Line Dancing Party. at 7pm on May 23 with Counter Line live in the barn! All are invited to join us for some historic fun! Events held on the grounds of the Maple Lane Campus 55200 Main Rd., Southold, NY www.SoutholdHistorical.org . y t , Southold Historical Museum presents this event with support from Legislator Catherine Stark ., through the Suffolk County Dept. of Economic Development for Cultural Tourism and Film