HomeMy WebLinkAbout1991 JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF ~'HE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
SPECIAL PERMIT
In accordance with Chapter 27, Section 27.1.B of the Code of the
Town o_f Southold, a Special Permit is hereby granted to Corneil Cooperative
Extension/Marine Program, in cooperation with the Group for the South
Fork, Peconic Land Trust, Peconic Bay Brown Tide Citizen Task Force,
and L.I. Baymens Alliance, and Sponsored by Fish Unlimited, North Fork
Environmental Council, and Save the Peconic Bays, Inc., to hold a
"Celebrate The Bays" event, with beach picnic, clambake, and auction, to
benefit the Marine Environmental Learning Center, at Cedar Beach,
Southold, New York,, on Saturday, August 3, 1991, from 1:00 P.M. to 10:00
P.M., provided they secure and file with the Town Clerk a Certificate of
Liability Insurance for at least One Million Dollars, naming the Town of
Southold as an additional insured.
Dated: July 23, 1991.
CC:
Police Chief Droskoski
Supt. of Hwys. Jacobs
Southold Town Bldg. Dept.
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
FAX (516) 765-1823
TELEPHONE (516) 765-1801
July 23, 1991
Dear Chris:
Thank you for sending all the required information and insurance
certificate. The Building Department is being notified of this event, due
to the erection of a tent, which they are required to inspect.
Best wishes for a successful event.
Cornell .
Cooperative
Extension
Suffolk County
Marine Education Cen~r
39 Sound Avenue
Riverhead, NY 11901-1098
516-727-3910
FAX 516-369-5944
91-C-71
16 July 1991
Ms. Judith Terry
Town Clerk
Town of Southold
PO Box 1179 - Main Road
Southold, New York 11971
RECEIVED
JUL i 9 199!
5o,,thola 'r .....
Dear Ms. Terry:
Attached please find a Certificate of Insurance that lists the Town of Southold as the
certificate holder for $1 million insurance coverage during the Clambake at Cedar Beach on
8/3/91. Also attached is a sketch of the event structured locations.
Please don't hesitate to contact me if you need more information.
Sincerely, /2
Christopher F. Smith
COOPERATIVE EXTENSION AGENT
Marine Program
CFS:jdc
Attachment
Helping You Put Knowledge to Work
Corne[I Cooperative Extension provides equal program and employment opportunities NYS College of Agriculture and Life Sciences, NYS College of Human Ecology, and
NYS College of Veterinary Medicine at Cornell University, Cooperative Extension associations, county governing bodies, and US Department of Agriculture, ( ooperatmg
(~IERTIF[C:~TIF-. OF INfSURI:tNCE.
(:0Gl&Ii, TIrE [XTENSI~ RSS0ClRIIGNS
INS~l~D~,ell~o~ratt~ £xte~lo~ ~sociationof
2~6 C~t£~-~ Ava.
Riverheed, NY 11901
~t~eobile Liabilltyt 8~s~a~husetts ~ay ln~ur&nceCo,
[xcet$ Liability~ The ~nov~r
CiRIIFIC~TE HD~iR:
To~n of $outhold
Office of the Town Clerk
P.O. Box 1179
Southold, NY 11971
II6[NT~ P. W. ~OOD t ~, l~.
BOX ~0
~7 ~ ~73~3303
i~dicet~. ~t.ithsta~ing mr, y tequ:r~nt, te~ o~ ~ition of any ~ntract de other ~nt with ~soect to whi~ this
certificate may ~ issu~ or ~rtain~ t~e i~u~an~e afford~ by the ~licies Oesc~ibed herein Is ~ubJect to all the te~s,
exclu~io~ a~ ~n~itions of ~u~ ~liel~,
Policy Num~r~ Z~ 071 ~ 8q ~I I PO LI~II
Expieation 0ate:
per occur~nee
~eneral aggregate
BI & PD COt4B1N[I): $1~000,000 per accident
[~SCRIPTIOW Or O~IliY~ Clam Bake on 8/3/91 at Cedar Beach
Contractual Liability applies only to lease of preelses or tort liability because of {~lily Injury or Property Oaae{e to a third
pe~sor, or organization to the extent that liability would be imp~e~ by law in the abseree of any contract or agreement.
[] If check~, ~rtificate Holder is add~ as an 'ad~itional iMm'ed" solely to the extent of liability for bodily injury or
property da~aoe as a result of re{{ligence on the peet of ~)operativo ExteneiO% Its employees or agents in the perfortla~t'e of the
cone-att or agreement ~et.e~n Cooperative Extension ara the Certificate Hol~er.
CAN~LLRTION:I~ould any of the above p~liclt~ be cancelled before the expleation date thereof, the issuing ceepany .ill e~esvor to
mail 30 days ~ritten notice tO the certificate holder nam~ herein, but failure to mail I~uch notice r~all i,*pose no obligation or
haetlity of any kind upon the ooepany, its agents Or rept'eeentetives.
llqT~ ~ I~IlLEt 7/10/91 BY:
AUGUST 3,1 1
Marine Environmental
Learning Center
CEDAR BEACH, SOUTHOLD - ON THE BAY
· OPEN HOUSE
· BEACH PICNIC
1 TO 4 PM
Tours, beach walks, exhibits,
events... Refreshments available
or bring your own picnic
· CELEBRITY GUESTS
6TO 10 PM
Clambake produced by and benefi~
L,I, Baymens Alliance
BENEFIT FOR THE MARINE ENVIRONMENTAL LEARNING C~NTER
Sponsored by Fish Unlimited, North Fork Environmental Council, and Save the Peconic Bays, Inc.
IN COOPERA310N WTIH: · CORNELL COOPERATN[ EXTENSION / MARINE PROGRAM · GROUP FOR 11'1E soUTH FORK
· PECONIC LAND TRUST · PECONIC BAY BROWN 'nDE CmZEN TASK FORCE ·
· L.L IAYMEN$ ALLLANCE ·
RESERVATIONS NECES.~IiRY BY JULY ~!
RESERVATION FORM: Celea)rllte the Bayl
I-I Open House 1-6 p.m. No fee #
[~ Clam Bake 6-10 p.m. $75* per person #.
*$45 IS TAX DEDU~I'IBLE
Address;
Phone
71p:.
Mall and make chec~ payable to: ~11VE EXTENSION MARINE PROGRAM
39 Sound Avenue * Riverhead, New York 11901
For directions and information contact: Comell Cooperative Extension's Marine Program ofr~e at $1&-727-3~10
CERTIFICATE DF INSURANCE
C00PE~TIVE EXTENSION P,,~IATION~
INSIJ;~I):Co~nell~be~ative Extenoion ~sociation of
Suffolk County
246 Griffing Ave.
Riverhead, NY 11901
~RTIFI~TEH~R:
Town of Southold
Office of the Town Clerk
P.O. Box 1179
Southold, NY 11971
· CO~P~f ~FFO~ING
General Liability: Massachusetts Bay Inerua~ce Co.
Automobile Liability: Massachusetts Day Insurance Co.
Ex~ess Liability: The Hanover Insurance CO.
AGENT: P. W. WOOD & S[~, I~.
~ BOX 520
124 E. Court S~.
Ithaca~ NY 14851
607 + 273-~03
~S: This is to certify that ~licies of insuranoe have been issued to the inou~o named a~ove for t~e ~olicy
indicated. Notwithsta~ing any ~oui~nt, tere or co~ition of any contract or other m~nt with resbect to wmic~ this
certificate may be issued or pertain, the inourance affo~e~ by the ~olicies described herein is subject to all the te~s?
exclumio~, a~ conditions of such
LIMITS ~qY ~qVE BEE)~ REDUCED BY PAID CLqI~S
BENERA~ LI~ILITY: (Dccur~ence Form)
PREM/DPER, PROD/CON~. OPS, I~. CDNTRACTDRS
PERS(]NPi INJURY, CD~TRACTUAL CDMBINE]) S1NS-E
Policy Number: ZDS 071 B5 04 BI & PD LI~IIT
Effective Date: 5/Z4/91 E~piration Date: 5/24/~
$~,000,000 general aggregate
P~O~OBILE LIP~ILIT~:
HUED
NON-O~ P~OS
Policy Number: P~S 31~0~93
Effective Date: 5/24/91
Expiration Date: 5/24/92
BI & PD
per accident
EXQESBLIABILITY:
Dther than umbrella form
Policy Number: UHSO691PP7
Effective Date: 5/24/91
Expiration Date: 5/24/92
BI & PD CO~INED: $
I~.¢~RIPTI~ ~ OPERATIONS: Clam Bake on 8/3/91 at Cedar Beach
Contractual Liability applies only to lease of premises or tort liability because of Bodily Injury or Property Damage to a third
person or organization to the extent that liability would be imposed by law in the absence of any contra~t or agreement.
] If Certificate Holder is added "additional insured" to the extent of
an
solely
liability
for
bedily
p~operty damage as a result of negligence on the part of Cooperative Extension, its employees op agents in the berfo~manoe of the
contract or agreement between Cooperative Extension aF~ the Certificate Holder.
~E1.LqTION:Bhoold any of the above ~olicies be cancelled before the expiration date thereof, the issuing c~pany will endeavor to
mail 30 da~ written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or
liability of any kind upon the company, its agents or representatives. ~)V~CD
P. W. WOOD &, SON, I~./'~ / JUL 1 6 1991
AUT~DRIZED REPRES(~ITATIVE
/
7/9/91 - Chris Smith of the Cooperative Extension (727-3910) called to say
that he is still waiting for the certificate of insurance from the insurance
company for the special permit for the Aucjust 3, 1991 Bay Celebration at
Cedar Beach beach. He just wanted to be certain that no other special
permits are granted for the beach on this date.
(looking on the side of your desk, I see correspondence that mentions)
the date of July 27th for this event???
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 4, 1991
Bill Smith, President
Sport Fishing Unlimited, Inc.
P.O. Box 900
Shelter Island, New York 11964
Dear Mr. Smith:
Supervisor Harris referred your letter to me concerning your proposed
New England Clam Bake on the grounds of the SCCC Marine Sciences
property at Cedar Beach on July 27th. A permit, along with insurance
coverage, is required.
Please submit to me a detailed description of the proposed event, a
diagram of the premises and the area you intend to utilize, as well as the
location of any temporary structures (tents, etc.). We will also need, prior
to the event, a certificate of liability insurance for at least One Million
Dollars naming the Town of Southold as an additional insured.
Once I am in receipt of the above information I will be happy to issue
a Special Permit for the event. If I can be of further assistance, please
do not hesitate to contact me.
Very truly yours,
Judith T. Terry
Southold Town Clerk
SPORT FISHING UNLIMITED, INC.
P.O. BOX 900
SHELTER ISLAND, NEW YORK 11964
.... U . h.)±.~ l()k4h no ].
?,?' o~<fanizatx, n FIEq', ;~ I -rMTTFD in :.~opc~ra
.,~ ~A~ ~ a/id ~ ORNELL. COOPERATIVE EXTENSION
aq~.~a~.?LJlfu~epro,je,(~ts'" - , as ~-'J, ar': a mariY~ lnabitet
F3;~ilding.
evenkuaiiy tuna an<~ bi!!fish ~e a}e also interested ~n
propagating mus:f:e]s~ clams arid scailops~ again for Ihhe
:-L. ~?t i.O/:~.: yOU i',',~!]}nt 'CR~\/e .