The URL can be used to link to this page

Home My WebLink AboutGirl Scouts of America ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT A Special Permit is hereby granted in accordance with Chapter 27, Section 27.1 B of the Code of the Town of Southold, to the Southold Town Girl Scouts and Southold American Legion, Griswold-Terry-Glover Post #803 to hold a Rally for America at the American Legion Post No. 803 located on the north side of NYS Route 25, Southold, New York on Sunday, April 27, 2003 from 2:00 P.M. to 5:00 P.M. (provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming thc Town of Southold as an additional insured). Dated: April 24, 2003 Southold Town Clerk Certificate on File) cci Chief of Police Carlisle E. Cochran, Jr. Superintendent of Highways Harris Building Department * Notice - If a tent is to be erected, you must obtain a permit from the Building Department. POLICE DEPARTMENT TOWN OF SOUTHOLD CARLISLE E. COCHRAN, JR. Chief of Police T~lephone Emergency Dial 911 TO: FROM: DATE: RE: Elizabeth A. Neville, Town Clerk Chief Carlisle E. Cochran, Jr. ~ April 24, 2003 Rally at Southold American Legion I have reviewed the above request. I have no objection to this moving forward. Lt. Flatley has been advised. cc: Lt. Martin Flatley 41405 Route25 op.o. Box 911 · Peconic, N.Y. 11958 Administrative (631) 765-2600/2601 ° Fax (631) 765-2715 Page 1 of 1 Cooper, Linda From: Garsik, Pat Sent: Friday, April 25, 2003 8:40 AM To: Cooper, Linda Subject: RE: Rally for America You should receive it in today's mail. She already cleared everything with the Chief and Lt...PD coverage should be there for traffic ..... Original Message ..... From: Cooper, Linda Sent: Friday, April 25, 2003 8:13 AM To: Garsik, Pat Subject: Rally for America Do you know if the Chief has had a chance to look over the request for the "Rally for American" scheduled for Sunday on the Southold American Legion grounds? The information came in on the 23rd but Tracy Orlando, the Girl Scout leader, said she had already been in touch with the Police. I just want to get the permit out ASAP. Thanks. 4/25/03 Apr 23 03 04: 11p East End 631-765-3846 p. I C East End nsurance Agency, In . D/B/A Jeff Rehm John Kramer S4985 Main Street, P. O. Box 1406 Southold, New York 11971-0966 (631) 765-3811 (63t) 765-2880 FAX (631) 765-3846 E-Mall: inf~astendinsurance.com Lynda Rehm April23,2003 TO: Town of Southold, Town Hall ATTN: FROM: Linda Cooper Cecelia Dohrman FAX PHONE #: 765-6145 # PAGES IN TRANSMISSION: 3 Total RE: Griswold Terry Glover Post 803 LR3262659-1 MESSAGE: Corrected certificates of insurance follow for Girl Scout Rally 4/23/2003 and Memorial Day parade 5/26/2003. Both name Town of Southold as additional insured. Hope this is what you need! Rpr 23 03 04: 12p East End 631-765-3846 p.3 A~ORD,. CI"RTIFICATE OP LIABILI'r¥ INSURANCI= Lockton Risk Kan~&s City, MO 64141-06?9 11971 THIS CERTIFICATE I$ ISSUED AS A MAURER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO~I THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTE~ID OR INgURER8 AFFORDING COVERAGE COVERAGES [xl A~,,~p.,.,o,^,. I#~LIRED; I~URE. LETTER: ~ GANGELLATION APR 2 4, 20C.~ Southold Town Clerk Rpr 2:3 03 03:45p East End 631-765-384G p.2 0~,/23/03 02: lq PH CDT Lock,on vim V;Z-FAX P~ge I o~ 2 ~q807~ B ACORD. CERTIFICATE OF LIABILITY INSURANCE I o~}'~o%~~' THIS CERTIFICATE I~ ISSUED AS A MA~ER OF INFORMATION ONlY AND CON;~$ NO RIG~ UPON THE C~FICATE HOLD~. THIS CERTIfiCATE ~E$ NOT AMID, ~END OR ALT~ THE COV~AGE AFFORD~ BY THE ~LICIES BELOW. Lockuon Risk Services ~.0. Box 410679 Kansas City, MO G4141-0679 Griswold Terry Clover Post ~80~ Sou:hold A~erican Legion Post ~803 C/O Bast End I So~tholdI ~TY 1~971 INSURERS AFFORDING COVERAGE COVERAGES CERTIFICATE HOLDER CANCELLATION ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE O~'FICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To~ From: Re: Date: Chief Carlisle E. Cochran, Jr. Town Clerk Elizabeth A. Neville Rally at Southold American Legion April 23, 2003 Please advise if this meets with your approval, and of any recommendations or suggestions you might have for any conditions of granting this request. Thank you. RALLY FOR AMERICA ! ! LI,.,ASi., JOIN THE VETERANS OF SOUTHOLI) AND YOUR FELLOW CITIZENS FOR A RALLY. SHOW YOUR COLORS AND BRING YOUR PRll)E. APRIL 27 FROM 2:00 TO 5:00PM AT THE LEGIONS POST IN SOUTHOLI) MAIN ROAI) SOUTHOLI) ~ I~NTERTAINMENT BY MEMBERS OF THE USO "THE GLORY GIRI~/' SOUNI) PROVll)EI) BY KEITH ALIAN PROi)UCTIONS. ~ OPERATION COd)Kll~ I)ROP AVAILABLE. SENI) MEMBERS OF OUR MILITARY C(X)KIES.v OPERATION: SHOLBOX. YOU & YOUR FAMILY (JAN PACK INCll)ENTAL ITEMS IN A SHOEBOX FOR MEMBERS OF OUR MILITARY WHO ARE SERVING OUR COUNTRY. (LIST OF ITEMS ON BACK) · EYE I)ROPS.SUNGI~I~SSES.llABY WIPES. GUM. · TOILET PAPER. ANY PERSONAL TOILETRIES. · SUNTi~kN LOTION. LIP BALMS. MOISTURE LOTION. · WHITE ATHLETIC SOCKS. WORD PUZZLES. · STAMPS.ENVEIA)PES.PAPER.PENCII~S. · PLAYING CARDS. FRISBEES. MAGAZINES. · *INTERNATIONAL PRE-PAID CALLING CARDS. * · * LE~I~FERS OF ENCOURAGEMENT, BE SURE TO · INCLUDE LI~I~FLE DETAILS OF EVERYDAY LIFE; · WEATHER ,TV. MUSIC. · AN~I'FHING ELSE YOU THINK THE SOLDIERS WOULD · REALLY APPRECIATE RECEIVING FROM BACK HOME ! * REMEMBER TO SHOW YOUR COLORS .v IF YOU HAVE EVER SERVEl) WEAR YOUR COLORS. IF YOU WISH TO PARTICIPATE AT THE ltALLY IN SOME WAY FEEL FREE! SING A SONG OF INSPIRATION, ELEMENTARY SCHOOL KIDS REAl) POEMS OR SHARE A LE'I*I'ER FROM SOMEONE WHO IS SERVING. PLEASE CONTACT TRACEY ORIANI)O 765-6597 ~ ~ ~ LEAVE ~ MESSAGE ~ * * ~ Ac, oRD.. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Lockton Risk Services P.O. Box 410679 Kansas City, MO 64141-0679 ~NSURED Griswold Terry Glover Post #803 Southold American Legion Post #803 C/O East End I P 0 Box 1406 So~thold~ NY 11971 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE ~NSURERA: Westport Insurance Corporation INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A GENERAL LIABILITY I POLICY EFFECTIVE POLICY EXPIRATION I ~J]~ TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YY) DATE IMM/DD/YYI LIMITS LR3262659-1 09/01/2002 39/01/2003 i EACH OCCURRENCE $ 1,000,000 r ~ COMMERCIAL GENERAL LIABILITY-- ~ ; FIRE DAMAGE (Any one f}re) $ 100, 000 I '~ CLA MS MADE IX~ OCCUR MED EXP (Any one person} $ 5, 000 ~ PERSONAL & ADV INJURY $ 1,000~000 ~I GENERAL AGGREGATE $ 2, 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS ~ COMP/OP AGG $ 2,000,000 ~AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [~ ANY AUTO (Ea accident} ~ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person} HIRED AUTOS BODILY INJURY NON-OWNED AUTOS ; (Per accidenU ~ PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE S ~ OCCUR [] CLAIMS MADE AGGREGATE WOR ERB COM.ENSATION AND I TORY LIMITSI i OTHER I CERTIFICATE HOLDER ADOITIONAL INSURED; INSURER LET~FER: Girl Scouts of America c/o Tracy Orlando 305 Brook Lane CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEl. LED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MArL I 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALl. OBLIGATION OR I OF ANY KIND UPON THE INSURER, ITS AGENTS OR Southold, NY 11971 ACORD 25-S (7/97) e ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7~97) ACOi D. CERTIFICATE OF LIABILITY INSURANCE DATE)MM=D Y} 04/23/2003 PRODUCER Lockton Risk Services P.O. Box 410679 Kansas City, MO 64141-0679 ~NSOREDGriswold Terry Glover Post #803 Southold American Legion Post #803 C/O East End I P O Box 1406 So~thold~ NY 11971 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Westport Insurance Corporation INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JN~R POUCY EFFECTIVE POUCY EXPIRATION ~.T" TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYI DATE IMM/DD/YY] LIMITS A GENERALLIAB~LITY LR3262659-1 ]9/01/2002 09/01/2003 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FiRE DAMAGE (Any one fire) $ 100 , 000 I CLAIMS MADE []OCCUR MHD EXP (Any one ~erson) $ 5,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2,000,000 G EN'L AGGREGATE Llrv11T APPLIES PER: PRODUCTS - COMP/DP AGG $ 2,000,000 POL,CYIPRG-, T Loc AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO {Ha accident} - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS )Per person) HIRED AUTOS BODILY INJURY $ J~ NON-OWNED AUTOS {Per accident) PROPERTY DAMAGE $ {Per accidenU GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ~~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ i1 OCCUR Ii ] CLAIMS MADE AGGREGATE $ $ t OEDGCTIELE RETENTION $ $ WC STATU- WORKERS COMPENSATION AND I TORY LIMIT~ [ IO~RH' EMPLOYERS' UABIUTY E.L EACH ACCIDENT $ EL DISEASE . EA EMPLOYEE $ EL DISEASE . POLICY LIMIT$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISJONS '~ ~ ~' ~' ~ V ~ ~.~ Certificate holder is additional insured for the Clubs Suppor~ the Troops Rally 4-27-03 CERTIFICATE HOLDER [ I ADDITIONAL INSURED; INSURER LETTER: Town of Southold Attention: Town Clerk POBox 1179 Southold, N~/ 11971 ACORD 25-S (7/97) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POMC}ES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~- 0 DAYS WRI"CrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE N~I~E~I~AT~ LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRES TATIVES, '. AUTHO SENTATIV " ' ~RPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer{s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97)