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Home My WebLink About1999 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFI~ ~o~~gUFFO(~-~ O~ °y.. o '~ y Z ~ • ~ ~~ol ~ao~ # . ~~ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT for Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516)765-1823 Telephone (516) 765-1800 PUBLIC DISPLAY OF FIREWORKS I, ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, Suffolk County, New York, being an officer duly designated by the Town Board of the Town of Southold for this purpose, do hereby GRANT TO GREENPORT FIRE DEPARTMENT A PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York on THURSDAY, JULY 1, 1999 AND SATURDAY, JULY 3, 1999 (RAINDATES: FRIDAY, JULY 2, 1999 AND SUNDAY, JULY 4, 1999) on the property of the Creenport Public School, Football Field north side of Front Street, Creenport, New York, the time and place set forth in the application therefore. ON CONDITION THAT the bond (indemnity insurance) required shall continue in full force and effect in favor of the Town of Southold, and PROVIDED that the actual point at which the fireworks are to be fired shall be at least two hundred feet from the nearest building, public highway or railroad, or other means of travel, and at least fifty feet from the nearest above ground telephone or telegraph line, trees or other overhead obstruction; that the audience at such display shall be restrained behind lines at least one hundred and fifty feet from the point at which the fireworks are discharged and only persons in active charge of the display shall be allowed inside these lines; that all fireworks that fire a projectile shall be so set up that the projectile will go in the air as nearby as possible in a vertical direction unless such fireworks are to be fired from the shore or a lake or other large body of water, then they may be directed in such manner that the falling residue from the deflageration will fall into such lake or body of water; that any fireworks that remain unfired after the display is conducted shall be immediately disposed of in a way safe for the particular type of fireworks remaining; that no fireworks display shall beheld during any wind storm in which the wind reaches a velocity of more than thirty miles per hour; that all persons in actual charge of firing the fireworks shall be over the age of eighteen years, competent and physically fit for the task, that there shall be at least two such operators constantly on duty during the discharge and that at last two sodaacid or other approved type fire extinguishers of at least two and one-half gallons capacity each shall be kept at such widely separated points as possible within the actual area of the display. C~.~~~~~!L_S_C~~:r7~~:c~i ------- Elizabeth A. Neville, Town Clerk (Town Seal) Town of Southold Suffolk County, New York ----~~~~-q,`~ ---- Date ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER • ~~SUFFO(,~c ~~ o~y` y = W • ~ y~ol ~ ~ao~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516)765-1823 Telephone (516)765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ~~c~av~~ u ~ ~ 2 ~ "~9~ APPLICATION for PERMIT TO DISPLAY FIREWORKS APPLICATION IS HEREBY MADE, pursuant to the provisions of Section 405.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSO PRINCIPAL OFFICE AT DATE OF DISPLAY /`lush TIME OF DISPLAY /O RAIN DATE & TIME ~'~ The following persons are to be in charge of the actual shooting of the fireworks: ie Age Experien/ce Physical Condition ~ ~ ~//' r~~o YPG/S . L5~ _~(~ r~ Number and type of fireworks is as follows: h The fireworks will be stored in a covered truck prior to shooting on the grounds. Attached hereto and made a part of hereof is a diagram of the grounds on which the display is to be held. Also attached is a certificate or policy of insurance coverage. /~c~ew G/Gf +S /'.E GqY<~ ~~t~~~ ~ ~ D ~ 3 G o ., X77-~c~b~ .1~ ~ ! ~~~ Date f Application 5 0o t- T C\mrcwc.2 ~~S ~ ~-4Ri~(NG L o i ao D~ ,~ SOO Fl CI¢avv~,tt Wo ~ ~c..s ~~ ~e~~ ~~ 3 .` 'O v c~ s cS'~ • A'CORD ~~ (~~ F~ ~° DATE IMM/DDm1 ~ ~ ~ ~~~ 05/17/1999 '. ~~~ ~~~ ~~ ~~ ~~ ..?..... PRODUCER (609)694-2222~ FAX (609)694 2279 ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE he Bo relli Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dutch Mill Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Malaga„ N] 08328 COMPANIES AFFORDING COVERAGE COMPANY _.._T ravelersIndemni ty Attn: Toni Albertson Exp. A INSURED __. _. __._. _. _._ __ _..... ...COMPANY ....Wausau In SU ran Ce._Co. _.__ __. _.. _.. Vineland Fi rewo rks, Inc./Fireworks by Gi rone B 1640 E. Garden Road _.. ._...... __.... _._._ _.... _. _.__. _... Vineland, NJ 08360 '. COMPANY C ...COMPANY _. _. _. _. _. _. _. _._ ___._ _...... _... D 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 ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E 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 BV PAID CLAIMS. CO rypE OFINSURANOE POLICY NUMBER :POLICY EFFECTIVE ".POLICY EXPIRATON' LIMITS LTR - DATE (MM/DD/YV) '. DATE (MM/DD/YV) '. GENERAL LIABILIry 'GENERAL AGGREGATE $ !COMMERCIAL GENERAL LIABILITY i PRODUCTS COMP/OP AGG $ is '. CLAIMS MADE ~ OCCUR ' ~ PERSONAL 8 ADV INJURY $ ONMER'S 8 CONTRACTOR'S PROT -. ' EACH OCCURRENCE S '. i FIRE DAMAGE (AnY One fre) E ' ~ MED EXP (Any ona person) $ AUTOMOBILE LIABILIry ' '. COMBINED SINGLE LIMIT E X :ANY AUTO 5,000,000 ALL OWNED AUTOS ! : BODILY INJURY $ I SCHEDULED AUTOS ' (Per person) SSLHT172 D4946-98 A ;03/31/1999 03/31/2000 ---- ---- --- --" HIRED AUros BODILY INJURY $ NON-OWNED AUTOS i (Per acci0en0 ..... ..._ ..... .......................... ' - !PROPERTY DAMAGE $ GARAGE LIABILIry '. :AUTO ONLY-EA ACCIDENT $ ' ANY AUTO -OTHER THAN AUTO ONLY: ~' ':' ~ ~~ ~~~~ '. L EACH ACCIDENT E I ... ............. .............. _......__ ' : _. _._._. _..._..._... .._..._.... ........ '. AGGREGATE S : EXCESS LIABILIry - : '. EACH OCCURRENCE $ UMBRELLA FORM '.AGGREGATE $ : OTHER THAN UMBRELLA FORM ' i $ WORKERS COMPENSATON AND ' :TORY LIMITS X I ER ~ EMPLOYERS' LIABILITY : ' EL EACH ACCIDENT $ 500, 000 e - 1110-03-027178 THE PROPRIETOR/ 104/01/1999 04/01/2000 INCL i EL DISEASE-POLICYLIMIT E 500,000 PARTNERSIEXEWTIVE ~ ---- -- OFFICERSARE'. ' EXCL. EL DISEASE-EA EMPLOYEE E 500, 000 OTHER '.. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/$PECUIL ITEMS i spl ay Date: July 3, 1999 airs Date: July 4, 1999 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1D- DAYS WRITTEN N OT IC E TO TH E CE R TIFICA TE HOLDER NAMED TO THE LEFT, G reenpo rt Fire Department ~} p ~ ~ ~ ~ r ~ X~ BUT FAILUd~TQ~MO~l~i1101$'NO~Ep/g}~~apN~~IGATiON ORLUIBILITV Pete Harris 2 12 Knapp P 1 a C e OF ANV KIN TH OMPAN AGENTS OR REPRESENTATVES. G reenpo rt Long Isla, NY 11944 AUTKORIZEDR R L( V `~ \ ACpRII {fi/8.6) ~/%OORfl ~i7~PO~ATION 79.::. . _ • ACORD DATE DAWDDm) n 05/17/99 PnooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Humphrey Sur lus Lines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFCATE HOLDER THIS CERTIFICATE D p . OES NOT AMEND, EXTEND OR 400 Montgomery St. Suite 500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94104 COMPANIES AFFORDING COVERAGE COMPANY A Underwriters, Lloyds & CNA Re INSURED Fireworks By Girone COMPANY g 1640 G d R d ar en oa Vineland, NJ 08360 COMPANY ~ COMPANY VS D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR THE POLICY PERIOD INDICATED, NOTWITHSTANDIiJG ANY REQUIREMENT, TERM OR COidDU-ION OF ANY CONI-RACT OR UTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. L~ TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTVE POLICY EXPIMTON LIMr~ DATE (MM/W/YY) DATE (MMIDD/YV) A OENEML LIABILITY Z99/OBIS 05/31/99 OS/3U00 GENERAL AGGREGATE E 2 ~0 000 COMMERCIALGENERAL DABILITY PRODUCTS-COMP/OP AGG S 2000000 CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY E 1000 000 OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1 OOO OOO FIRE DAMAGE (My one tire) $ 50 000 MED EXP (My one person) E Jr 000 AUTOMOBILE LIABILITY ANV AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY E SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per eecitlent) - PROPERTY DAMAGE E GARAGE DABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ~'~ ° EACH ACCIDENT S AGGREGATE E EXCESS LIABILITY EACH OCCURRENCE E UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATON AND ' TYRY LIAMIT ER EMPLOYERS LIABILfTY EL EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTON OF OPERATIONSA-OCATN)NS/VEHICLES/SPECIAL ITEMS 1) Greenport Fire Department, 2) Village of Greenport, 3) Town of Southold, 4) Greenport Public Schools and 6) Silver Dollar Shows are Additional Insureds as Respects a Fireworks Display on July 3, 1999 or e srn.~ _ w a r SHOULD ANV OF THE ABOVE DESORIBED POLICIES BE CANCELLED BEFORE THE Greenport Fire Department Attn: Pete Harris EXPIRATgN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 MAIL ~ DAYS WRITTEN NOTN:E TO THE CERTFICATE HOLDER NAMED TO THE LEFT 212 Knapp Place , Greenport Long Island BHT FAILURE T AIL SUCH NOTICE SWILL IM ENO OBLIGATpN OR DABILT' New York 11944 OF ANY KI UPO THE COMPAN I E OR EPR 71VES AIyTHORI DR ENT ~ :' G , __ ~- V ' ~ ., ~ , ~ Genf by:H6W MURK H1F55 U,S, Department Of TldnSpOn'OtlOn Federal Aviation Administration May 18, 1999 Mrs. Rose Girone Fireworks by Girone 1640 Garden Road Vineland, NJ 08360 Dear Mrs, Girone: May-1~ 87:08an_ _ 4 from _4717299 697 9557____ - - va9e New York Automated Intemalional Flight Service Station 750 Arrival Avenue Ronkonkoma, NY t t 779-7 03 Our office has no objections to the proposed fireworks display scheduled for Greenport Fire Department on the ground of the Greenport High School, Greenport, NY. The time of the display will be approximately 9:00 p,nr. on July 3, 1999 fora 20 to 22 minute duration, with a raindate of.Tuly 4, 1999. It should be noted that no shell shall exceed 600 feet and the following conditions must also be met, I . Contact the Supervisor of [he New York TRACON at (516) 683-2984 at least two hours prior to your display to negotiate any altitude limitations or time frame restrictions, if they are required, 2. Contact the New York Automated lntemational Flight Service Station ai (516) 47]- 7394 at least six hours prior to the scheduled detonation of the fireworks display to effect the issuance of a Notice to Airmen Advisory (NOTAM). This letter disposes of the Federal Aviation Administration's interest in this matter, but should not be construed as superseding or invalidating any existing rules or regulations promulgated by any other federal, state, county or municipal govertunent, which may be required forthis display. Sincerely, IvL%C Ronald X. Rugge ' Manager, New York AIFSS 1 i 2