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HomeMy WebLinkAboutDistinguished Gentleman's Ride - not approved Alo TC Checklist for Parade/5K1Bicyc1e*/Town Property/Road Closure Special Events Applications Name of organization: Name of Event: ervtoiS 1Z�2 ��" Date(s) of Event: *No SK and Bicycle events during the period of June 1 to November 1X Event fee check(o request to be waived) ✓ Road clean-up check(CANNOT BE WAIVED) ✓ Current Insurance certificate Application sent for approvals to the following Depts.: 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) o Town Board Reso. #: Approval letter to Organization's contact person w/copy of TB resolution After Event: Confirmation from Chief of PD to release clean-up fee TB Resolution to refund clean-up fee 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.) Mudd, Jennifer From: Mudd,Jennifer Sent: Thursday, April 10, 2025 2:24 PM To: Franke, Diana; Blasko, Regina; Born, Sabrina; Goodwin, Dan; Grattan, Steven; McCullough, Lillian; Mudd,Jennifer; Noncarrow, Denis; Norklun, Stacey; Orientale, Michael; Stype, John; DeChance, Paul;Johnson, Benjamin; McGivney, Julie; Schlachter, Amy, Squicciarini,James Subject: Emailing: Special Event - Distinguished Gentleman's Ride (5-18-20025).pdf Attachments: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Importance: High i I Good Afternoon, Please see the attached special event application. Thank you, Jen Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office I 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: i Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 04/10/25 Receipt#: .338814 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 5/18/2025 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK#1067 $250.00 North Fork Moto LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Distinguished, Gentleman's Ride c/o Megan Jones 23 Peacock Ct Riverhead, NY 11901 Clerk ID: JENNIFER Internal ID:5/18/2025 RECEIVED �( AFRA 0 go Dear-Denis Noncarrow, Southold Town Clerk: Jam— .... First and foremost,I want to extend a.heartfelt thank:you for your support and permit approval forlast year's Distinguished Gentleman's Ride On: he:North Fork.You:rgenerosity,including.the.reimbursement of the$250 permit fee after the event,meant so much.to us and contributed to an unforgettable.day for a great cause: For the second.year;North.Fork Moto.is proud to request a special event permit for the North Fork Distinguished Gentleman's Ride--'a global motorcycle'ride dedicated-to raising awareness and funds for men's health,specificallyp:rostate cancer-reseatch and mental health initiatives.On Sunday,May l8th, 2025,we will join.over 000 cities across the world in riding for this important mission. We are:once again hosting:our event at Breeze.Hill Farm in Peeonit. Riders will begin gathering for check-in . and registration around 10:30 AM,with kickstands up at approximately 11:30 AM.-Ourscenic route will take. us out to Orient Point via local roads,'-returning west along Route 25 and concluding back it-Breeze Hill around 12:30 PM,where post-ride festivities will.take place. A formal request has been submitted to Chief of Police Grattan fora police escort during the group:'ride between 11:30 AM and 12:30 PM,ensuring a safe and organized experience for both our participants and the community. Additionally,from 4:00 PM to 5:00 PM,select riders who have raised-a designated fundraising amount will be invited to a private"after party"at Brix and Rye in Greenport..While this portion of the event is not escorted,:and riders will arrive independently,we are,kindly requesting.the:reservation of 374_parking spots in.front of the.venue during that time to allow for photo,opportunities featuring our dapper riders and,their classic motorcycles. Enclosed with this letter,you'll find: The$250 permit fee,which we sincerely appreciate you reimbursing last year: • Insurance documentation provided by The Distinguished Gentleman's Ride. North Fork Moto's insurance documentation listing the Town of Southold as an additionally insured pa. Y• We're incredibly.grateful for the Town:of Southold's:continued support of this charitable and community- oriented event. Please don't hesitate to reach out with any questions or if additional information is needed: Best regards; :Host . Distinguished Gentlemans Ride North Fork *NORTH FORK MOTO* 631.988.0102 9 23 Pea cock.Ct Riverhead,NY 11901 0 northfor.kmoto@yahoo.corri " l 1 A� ® ,nayratht• .. .1 SMI itlar4�Hgip771 h[c . ..d+{ .... •Shett�er�lsylard Y EV • S�tvw 9m � i�[ i I I I.: Hall,53095 Main Road DENIS NONCARROW Tom TOWN:CLERK o P.O.Box 1110 02 Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS Q Fax'(631)765-6145 MARRIAGE OFFICER. y . .. . . .. . � �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �,� FREEDOM OF INFORMATION OFFICER wvvwsoutholdtownnygov RECEIVED OFFICE OF THE.TOWN CLERK TOWN OF.SOUTHOLD . APR 1 0 2 APPLICATION FOR A PERMIT TO HOLD A SPECIAL EV#,XT Southold Town Clerk Please provide ALL of the information requested below.Incorr Wde applications WILL NOT be reviewed. Date of Submission 4 n Name of Event Name of Organization: Is this a Not-For-Profit Event? INo e Contact's Name: Mailing Address: . /V V !�� Contact's Phone Number: � �ze .of 0& Contact's Email.Address: *adEvent Location and Site Diagram: (`� oj)d epd �� 11/k - �(Cle U� . (Use additional paper if necessary) Event Date(s): (Include set up and shutdown times and dates) Nature of Event: {�� .Q1TT(�LC (Please attach a detailed description to this application) Time Period(Hours)of Event: From ary) .:to (Y) Maximum Number of Expected Attendees: . �Specify any:special requirements (i.e. road closure, police presence): ham. ma6 n t Y . brlg( g Q T b c 4Chi e��� )off C;e 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: �C cve- d , Af V I I gof Event Fees: $250 for events with less than 1000 expected attendees. $500 for events with'1000 or more.expeeted attendees Clean-up Fees(Can N.OT be waived): tug cowall M cD,.jr�� $1,500.00 Clean=up for Bicycle and/or Running Special events(ONLY �?f�l�yG�BS �T/)� -$250 or more Clean-up deposit all other events �ha) p0ba e,ope on PP,� �P p oT 5XP4 All CERTIFICATE:OF INSURANCE RIi;QUIRE D: 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 nam#of Aut o-zed Person filling out Signature of A o zed E son 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 A l ® ACORD DATE(MM/DDIYYYI�. . CERTIFICATE OF LIABILITY INSURANCE .. i 04/08/2025 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'IA, 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 dCONTACT NAME: HISCOX Inc. PHONE FAX C N Ex • (888)202 3007 AIC No:' 5 Concourse.Parkway E-MAIL- Suite:2150'. ADDRESS: - Atlanta :.. Atlanta GA,30328. INSURERS AFFORDING COVERAGE �- �NAIC.# .' ; 10200: :.: ' INSURER A: His Company Inc . .: INSURED. w. I .... INSURER B: North Fork.Moto LLC d pINSURER C 23 Peacock c4 INSURER D Riverhead,NY 1.1901. INSURER E: I 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 CONTRACTOR 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 INM ICY EFF. POLICY EXP LIMITS: LTR X: 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 300 000 DAMAGE TO RENTED CLAIMS-MADE: OCCUR PREMISES Ea occurrence .. $ 100,000 MED EXP,(Any one person) j .$ 5,000' ' A Y. P102:879.036.2 01/24/2025 01/24/2026 PERSONAL&ADVINJURY ! .$ 300;000. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 300,000 X.. POLICY jE O LOC PRODUCTS-COMP/OP AGG' $ 300,000 OTHER:-.. $ .. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident W. ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY'(Per accident)I $ . .. AUTOS AUTOS NON-OWNED.. . . PR(PROPERTY DAMAGE ,$ HIRED AUTOS,. AUTOS UMBRELLALIAB' OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE . " AGGREGATE $ DIED: '. RETENTION$ "' $ WORKERS COMPENSATION : H AND'EMPLOYERS'LIABILITY : STATUTE ANY.PROPRIETOR/PARTNER/EXECUTIVE Y� N/A. E.L.EACH ACCIDENT ER $ OFFICER/MEMBEREXCLUDED7: - : - : - - (Mandatory In NH): E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ... DESCRIPTION OF.OPERATIONS below E.L.DISEASE-POLICY LIMIT $ . „I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached"if,more space is required): . . . ..0 .. .. .. CERTIFICATE HOLDER CANCELLATION Town of Southold I 53095 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, PO BOX 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN..' A Southhold,NY.1.1971 CCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. IAII rights reserved. . ACORD 25(2016103) The ACORD.name and logo are registered marks of ACORD dWCQ'J1_ Arthur J.Gallagher&Co(Aus)Limited ABN 34 005 543 920 AF8L 238312 alla her . Level 12;.80 Pacific Highway,North Sy(friey NSW 2060 Ph:(02)9242-2000. ajg.com-au Insurance Risk Management Consulting, . 28 February 2025 To Whom It May.Coricern: CERTIFICATE OF;CURRENCY This is to certify.-that the following policy is.current as at the date stated above.: This..certificate is issued as a matter of information only and confers no-rights upon the.holder. This certificate provides a.summary of the policy cover and.is not intended to amend, extend; replace or override the policy terms and conditions contained in the actual policy document. CLASS OF INSURANCE: Public and Products Liability INSURED: Cafe:Racer Aficionando Pity:Limited trading as The Distinguished Gentleman's Ride 2025 INSURER: Zurich Insurance Australia Limited POLICY NUMBER: 712367307GLR PERIOD OF INSURANCE: 1ST February, 2025 to 15t.February, 2026 INTEREST INSURED: All sums which the Insured shall become legally liable to.pay by way of. compensation :and �all costs awarded ' against you in: respect of Personal Injury and/or Property Damage happening,during the-Period . of Insurance and caused. by an occurrence in' connection with .the Business LIMIT OF'LIABILITY: Public Liability ' $20,00.0,000. Products Liability $20,000,000 SITUATION: Worldwide, "IMPORTANT NOTICE`* We accept no responsibility whatsoever for any inadvertent-or negligent act, error or omission on our part in :. preparing these statements or,in transmitting this certificate-by email or for any loss,damage or ekpense thereby occasioned to any recipient of this letter. Yours sincerely, . Geoff Byrne Arthur J Gallagher&Co(Aus) Limited HOLD HARMLESS AGREEMENT The applicant Mon AD Z 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 thi' Agreement hereby represents that this action has been authorized. Dated: Signature: Name: ,Authorized Agent Rep) DES On behalf of: I\ fflo �t�' '0 u��� (Name of Business Entity) Dates of event(s): Sworn to before me this Day of th K H811na lrldt fy►Public•State Of New V&% NO.OIHA4899065 Qualified in Suffolk County Qemmisa►cn Expires 06a9-� , i Mudd, Jennifer From: Mudd,Jennifer Sent: Thursday,April 10, 2025 3:43 PM To: 'northforkmoto@yahoo.com' Cc: Noncarrow, Denis; Franke, Diana Subject: FW: Emailing: Special Event - Distinguished Gentleman's Ride-(5-18-2025)�.pdf Importance: High Good Afternoon, Our office is in receipt of your request for a special event permit. Per the Town Attorney's Office,(please send us an updated certificate of insurance not less than$2,000,000. If you have any questions, please don't hesitate to reach out to this office. Thank you, Jen Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 -----Original Message----- From:Johnson, Benjamin <benjaminj@southoldtownny.gov> Sent:Thursday,April 10, 2025 3:21 PM To: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Franke, Diana<dianaf@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov> Subject: RE: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Insurance is insufficient.Thanks. -----Original Message----- From: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Sent:Thursday,April 10, 2025 2:24 PM To: Franke, Diana <dianaf@.town.southold.ny.us>; Blasko, Regina <rblasko@town.southold.ny.us>; Born,Sabrina <sabrina.born @town.southo Id.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan, Steven <sgrattan@southoldtownny.gov>; McCullough, Lillian<lillianm@southoldtownny.gov>; Mudd,Jennifer a <jennifer.mudd@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.southold.ny.us>; Orientale, Michael<michaelo@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Johnson, Benjamin <benja mini @southoldtownny.gov>; McGivney,Julie<juliem@southoldtownny.gov>; Schlachter,Amy <amys@southoldtownny.gov>; Squicciarini,James<jacks@southoldtownny.gov> Subject: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Importance: High Good Afternoon, Please see the attached special event application. Thank you, Jen Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 Your message is ready to be sent with the following file or link attachments: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. z Town of Southold Police Department Special Event Cost Analysis Event: Distinguished Gentlemen's Ride Date(s): May 18, 2025 Location: Breez Hill Farm A, Reg Hours OT Hrs Hrly Wage e Total Comments Sergeant $0.00 Police Officer 2 $63.89 $127.78 g g7if gr&,J,, . ......... 7 .......... A Reg Hours OT Hrs Hrly Wage Total Comments PO Chenche $0.00 PO Sanders $0.00 '.:Bicycle atrol $0.00 $0.00 $0.00 $0.00 HighwayPatrol ;,• PO Onufrak $0.00 PO Flatley $0.00 ,UA_ "It Traffic Controls - n.a. FE 7 _7 T, U, E" 7 7 7 ,MA 51, Reg Hours OT Hrs Hrly Wage Wa Total Comments V m;7kGJ6sW5 ED Vehicles #of vehicles Hours Ihr Total 2 $20.00 $40.00 -Command Van - Marine Patrol Boats ITotal Department Cost for Event = V67-78 Prepared by Chief S. Grattan 4/14/2025 Pagel Mudd, Jennifer From: Grattan, Steven Sent: Friday, April 11, 2025 9:57 AM To: Mudd,Jennifer Cc: Noncarrow, Denis; Born, Sabrina; Franke, Diana Subject: RE: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Attachments: Distinguished Gentlemens's Ride.xls -----Original Message----- From: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Sent: Friday,April 11, 2025 8:50 AM To: Grattan, Steven<sgrattan@southoldtownny.gov> Cc: Noncarrow, Denis<denisn@southoldtownny.gov>; Born, Sabrina <sabrina.born @town.southo Id.ny.us>; Franke, Diana <dianaf@town.southold.ny.us> Subject: RE: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Thank you, Chief. Would you mind providing us your cost analysis? Thank you. -----Original Message----- From: Grattan, Steven<sgrattan@southoldtownny.gov> Sent:Thursday,April 10, 2025 4:02 PM To: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; Franke, Diana <dianaf@town.southold.ny.us>.; Blasko, Regina <rblasko@town.southold.ny.us>; Born,Sabrina <sabrina.born@town.southold.ny.us>; Goodwin, D;an <dang@southoldtownny.gov>; McCullough, Lillian <lillianm@southoldtownny.gov>; Noncarrow, Denis ' <denisn@southoldtownny.gov>; Norklun,Stacey<Stacey.Norklun@town.southo Id.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; McGivney,Julie <juliem@southoldtownny.gov>; Schlachter,Amy<amys@southoldtownny.gov>; Squicciarini,James <jacks@southoldtownny.gov> Subject: RE: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf I have no problem with providing an escort for the group this year, as we did last year. The request for reserving parking spaces will have to be directed to the Village Clerk. Steve -----Original Message----- From: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us> Sent:Thursday,April 10, 2025 2:24 PM To: Franke, Diana <dianaf@town.southold.ny.us>; Blasko, Regina <rblasko@town.southold.ny.us>; Born,Sabrina <sabrina.born@town.southold.ny.us>; Goodwin, Dan <dang@southoldtownny.gov>; Grattan,Steven <sgrattan@southoldtownny.gov>; McCullough, Lillian<lillianm@southoldtownny.gov>; Mudd,Jennifer 1 <jennifer.mudd@town.southold.ny.us>; Noncarrow, Denis<denisn@southoldtownny.gov>; Norklun, Stacey <Stacey.Norklun@town.south old.ny.us>; Orientale, Michael <michaelo@southoldtownny.gov>; Stype,John <johnst@southoldtownny.gov>; DeChance, Paul <pauld@southoldtownny.gov>;Johnson, Benjamin I r--•' i I <benjaminj@southoldtownny.gov>; McGivney,Julie<juliem@southoldtownny.gov>;Schlachter,Amy <amys@southoldtownny.gov>; Squicciarini,James<jacks@southoldtownny.gov> Subject: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Importance: High I Good Afternoon, Please see the attached special event application. Thank you, Jen Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 I Your message is ready to be sent with the following file or link attachments: Special Event- Distinguished Gentleman's Ride (5-18-20025).pdf Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. z I Additional Insured — Automatic — Owners, Lessees Or ZURICH.® Contractors Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer No. AWL Prem Return Prem. GLO 4846229-04 02/21/2025 02/01/2026 02/21/2025 04218000 INCIL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: CAFE RACER AFICIONADO PTY LIMITED �"> 9� ? �5�; rr;4 Address(including ZIP Code): �'��� C,3z h 1 k.-vim`!, 8559 HIGUERA STREET CULVER CITY, CA 90232 APR 2 3 202A This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization'whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for"bodily injury", "property damage" &"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed ioperations hazard",which is the subject of the written contract or written agreement. However,the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to 'provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if 'the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the"occurrence" which caused the "bodily injury" or"property damage", or the offense which caused the"personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV— Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or"suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance i This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 1 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured,which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the-additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A.of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. i I U-GL-11757F CW(04/13) 1 Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. I Noncarrow, Denis From: Johnson, Benjamin Sent: Wednesday, May 7, 2025 4:07 PM To: 'Ramsey Sayed' Cc: 'Megan Jones [mailto:northforkmoto@yahoo.com]'; mikey@gentlemansridee.com; 'derek@gentlemansride.com';The Distinguished Gentleman's Ride; 'Clay Snyder'; Schroeder, Gwynn; Noncarrow, Denis Subject: RE: [SPAM] - Re: [SPAM] - Re: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf i Hello, First,please update the insured's name to the Town of Southold. I also need clarification on what "public liability" means, as "product liability" is not applicable for the Town of Southold. Typically, our insurance agreements include "General Commercial Liability" with a per-occurrence limit of$2 million and a:$2 million general aggregate. The issue may stem from your use of an overseas agency or underwriter; however, I will need more clarity before recommending this to the Town Board. I'm happy to jump on a call if you would like to discuss this further. Thanks, Ben From: Ramsey Sayed <ramsey@gentlemansride.com> Sent:Thursday,April 17,2025 2:05 AM To: Megan Jones<northforkmoto@yahoo.com> Cc: Mudd,Jennifer<jennifer.mudd@town.southold.ny.us>; derek@gentlemansride.com; mikey@gentlemansride.com; The Distinguished Gentleman's Ride<ride updates @gentlemansride.com>;Johnson, Benjamin <benjaminj@southoldtownny.gov>; Noncarrow, Denis<denisn@southoldtownny.gov>; Clay Snyder <snyder.clay@gmail.com>; DeChance, Paul<pauld@southoldtownny.gov> Subject: [SPAM] -Re: [SPAM] - Re: Emailing:Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf i Hi All, Please see attached updated CoC outlining Southold as additionally insured. Cheers, Ramsey Sayed P:+61415126412 1 E:ramsey@gentlemansride.com I gentlemansride.com Ailh 3 66[�iMAN� _ 1 1 On Thu, Apr 17, 2025 at 11:44 AM Ramsey Sayed<ramseyggentlemansride.com>wrote: Hi All, Thank you for connecting us. Our policy limit allows for a minimum of 2 million dollars per occurrence and a 20 million dollar general aggregate, which meets the required limits outlined. We are able to provide the town listed under our certificate. I have sent this to the insurers and will provide the updated certificate shortly. Cheers, Ramsey Sayed P:+61415126412 1 E:ramsgy@aentlemansride.com I gentlemansride.com .41 h r On Thu,Apr 17, 2025 at 5:15 AM Megan Jones <northforkmotonyahoo.com>wrote: Understood, which is why we've reached out to the global corporate officers to help out in this matter as explained in the earlier email. Thanks for the clarification! On Wednesday, April 16, 2025 at 02:48:55 PM EDT, Johnson, Benjamin <ben9amini(d-)southoldtownny.4ov>wrote: Hello all, The Town will not accept an application for a special event below the threshold of 2 million dollars per occurrence and 2 million dollars general aggregate. Additionally, the Town of Southold must me named as additional insured and a policy holder. If the policy cannot be met. The permit will not be granted. 2 i i Thank you, Ben From: Megan Jones <northforkmotoc@-yahoo.com>�� Sent: Wednesday, April 16, 2025 1:11 PM To: Mudd, Jennifer<Jennifer.mudd(cD-town.southold.nv.us>; derekCaD-gentlemansride.com; mikeyO-gentlemansride.com; Ramsey Sayed <ramseV(a)_gentlemans ride.com>; The Distinguished Gentleman's Ride <ride u Pdates(M-gentlem ansride.com> Cc: Noncarrow, Denis <denisn(a)-southoldtownny.gov>; Clay Snyder<snyder.clay(cD_gmail.com>; Johnson, Benjamin <beniaminOO-southoldtownny.aov> Subject: [SPAM] - Re: Emailing: Special Event - Distinguished Gentleman's Ride (5-18-2025).pdf i I Hi Jennifer, i Thank you for your follow-up regarding the insurance requirements for our upcoming Distinguished Gentleman's Ride event. i As this is part of a global initiative, the primary insurance coverage is coordinated through the Distinguished Gentleman's Ride corporate office based in Sydney, Australia. We submitted the documentation they provitled with our Southold Town special event permit application. If additional documentation is required to meet the town's insurance standards, the global team should be the appropriate point of contact to assist further. For context, the Distinguished Gentleman's Ride takes place in over 900 cities around the world, many of which host significantly more riders than the 45 currently registered for our North Fork event. We're hopeful that insurance requirements won't be a limiting factor for an event that supports such an important cause. I I've copied in members of the Global Operations Team—Ramsey Sayed, Derek Knipscheer, and Mikey Stojcevski— who can assist in providing whatever is needed to move forward. a We've also included the insurance coverage available through North Fork Moto as a small business, but unfortunately, we are not in a position to meet the elevated thresholds you're requesting without additional support from the DGR organization. Please don't hesitate to reach out if you have any questions. Best regards, Megan Jones North Fork Ride Host The Distinguished Gentleman's Ride On Wednesday, April 16, 2025 at 12:02:50 PM EDT, Mudd, Jennifer<Jennifer.mudd(aD-town.southold.ny.us>wrote: I 3 i Hello Clay, The Special Event Committee made a few changes this year to our Special Event Policy,the Certificate of Insurance being one of them. It used to be a minimum of 1 Million however that is no longer the case. As stated on the application,a Certificate of Insurance not less than Two Million Dollars naming the Town of Southold as an additional insured is required. Sorry, for this inconvenience. Thank you, Jen Jennifer M.Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O.Box 1179 Southold,NY 11971 Phone: 631-765-1800 ext. 1274 Fax.- 631-765-6145 From: Clay Snyder <snyder.clay(a)_gmail.com> Sent: Monday, April 14, 2025 4:55 PM To: Clay Snyder<northforkmotoCa_yahoo.com>; Mudd, Jennifer<Jennifer.muddCa�town.southold.ny.us> Subject: Re: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Jennifer. I hope that you are well. I've reached out to out insurance company to see if this level of coverage is an option for us. 4 I May I asl what has changes and why from last year?We merely organize this event. This involves coordination and not much else from a liability perspective. I'm happy to provide further details if it helps clarify. I Thank you! I Clay Snyder i North Fork Moto I From: Clay Snyder<northforkmotoCd-yahoo.com> Date: Monday, April 14, 2025 at 4:26 PM To: Clay Snyder<snyder.clayCc)gmail.com> Subject: Fwd: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf i Clay Snyder i www.northforkmoto.com Error! Filename not specified. @northforkmoto I Begin forwarded message: From: "Mudd, Jennifer" <Jennifer.mudd@town.southold.nv.us> Date:April 10, 2025 at 3:43:09 PM EDT To: northforkmoto(a)-yahoo.com Cc: "Noncarrow, Denis" <denisnCd-southoldtownnv.aov>, "Franke, Diana" <dianaf(a)-town.southold.ny.us> Subject: FW: Emailing: Special Event-Distinguished Gentleman's Ride (5-18-2025).pdf Good Afternoon, Our office is in receipt of your request for a special event permit. Per the Town Attorney's Officei, please send us an updated certificate of insurance not less than $2,000,000. If you have any questions, please don't hesitate to reach out to this office. Thank you, Jen Jennifer M. Mudd 5 I Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 -----Original Message----- From: Johnson, Benjamin <benjaminiCa.southoldtownny.gov> Sent: Thursday, April 10, 2025 3:21 PM To: Mudd, Jennifer<Iennifer.mudd(),town.southold.ny.us>; Franke, Diana <dianaf(W-town.Southold.ny.us>; Noncarrow, Denis <denisnCcD-southoldtownnyrgov> Subject: RE: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Insurance is insufficient. Thanks. -----Original Message----- From: Mudd, Jennifer<Jennifer.mudd6&-town.southold.ny.us> Sent: Thursday, April 10, 2025 2:24 PM To: Franke; Diana <dianaf .town.southold.nv.us>; Blasko, Regina <rblasko _town.southold.ny.us>; Born, Sabrina <sabring.born ca-)town.southold.ny.us>; Goodwin, Dan <dangCa_southoldtownny.gov>; Grattan, Steven <sg rattan(&-southoldtownny.gov>; McCullough, Lillian <Iillianma-southoldtownnyygov>; Mudd, Jennifer<iennifer.mudd(cD-town.southold.ny.us>; Noncarrow, Denis <denisna-southoldtownnv.gov>; Norklun, Stacey<Stacey.Norklun(a)-town.southold.nv.us>; Orientale, Michael <michaeloCaD-southoldtownny.gov>; Stype, John <iohnstaC-southoldtownny.gov>; DeChance, Paul <PauIda-southoldtownnv.gov>; Johnson, Benjamin <benjaminjCcilsoutholdtownny.gov>; McGivney, Julie <IuliemCc_southoldtownny.gov>; Schlachter, Amy <amysCc_southoldtownny.gov>; Squicciarini, James <iacks southoldtownnv.gov> Subject: Emailing: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Importance: High Good Afternoon, Please see the attached special event application. Thank you, Jen Jennifer M. Mudd Sub-Registrar and Deputy Town Clerk Account Clerk Southold Town Clerk's Office 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Phone: 631-765-1800 ext. 1274 Fax: 631-765-6145 I Your message is ready to be sent with the following file or link attachments: Special Event- Distinguished Gentleman's Ride (5-18-2025).pdf Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 6 J I Additional Insured — Automatic — Owners, Lessees Or ZU.RICH,® Contractors Policy No. I Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer No. AWL Prem Return Prem. GLO 4846229-04 02/21/2025 02/01/2026 02/21/2025 04218000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1 "C`A �ULLY h- VC�..+n may+F:=un ti i!; 9 Named Insured: CAFE RACER AFICIONADO PTY LIMITED Address(including ZIP Code): QY 2�25 8559 HIGUERA STREET CULVER CITY, CA 90232 This endorsement modifies insurance provided under the: Southold" `>°owrl, Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard",which is the subject of the written contract or written agreement. However,the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the"occurrence" which caused the "bodily injury" or"property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. I J -.� .. I C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV— Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an"occurrence" oroffense that may result in a claim; 2. We receive written notice of a claim or"suit' as soon as practicable; and 3. A request for defense and indemnity of the claim or"suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written;agreement requires that this coverage be primary and non-contributory. I D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance f This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section.IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary' and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. I F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement;!or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations, i All other terms and conditions of this policy remain unchanged. I i • I I U-GL-1175-F CW(04/13) I Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission.