HomeMy WebLinkAboutNutrition ProgramRESOLUTION 2011-126
ADOPTED
DOC ID: 6617
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2011-126 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 1,2011:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute the Amendment of Agreement between the Suffolk
Coun .fy Office for the .A~no. and the Town of Southold for the IIIC Nutrition Program,
regarding a one year extension through December 31, 2011, for congregate and home delivered
meals for the elderly, subject to the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUSI
MOVER: Christopher Talbot, Councilman
SECONDER: William Ruland, Councilman
AYES: Ruland, Orlando, Talbot, Krupski Jr., Russell
ABSENT: Louisa P. Evans
County of Suffolk
®
Steve Levy
Suffolk County Executive
Office for the Aging
Holly S. Rhodes-'l'eague
Director
March 18, 2011
The Honorable Scott A. Russell
Supervisor
Town of Southold
53095 Main Road, PO Box 179
Southold, New York 11971
RE: IIIC Nutrition Program
IFMS No. SC EXE 11000001792
Dear Supervisor Russell:
The fully executed Agreement referenced above is enclosed for your files
Also enclosed find the Notification of Rights, which must be posted as part of your
compliance with Local Law No. 12-2001, the Living Wage Law.
Sincerely,
Joanne Kandell
Principal Accountant
JK:MVK:sl
Enc.
cc: Karen McLaughlin
G:lSLE~MVKform~tfers~Ltr4Afu#yexec NOR TownCC.doc
H. LEEDENNISON BUILDING · 100 VETERANS MEMORIALHIGHWAY · P.O. BOX6100 · HAUPPAUGE, N, Y. 11788-0099 · (631) 853-8200
FAX 853-8225
OVER 35 YEARS AS THE DESIGNATED AREA AGENCY ON AGING PROVIDING SERVICES FOR OLDER CITIZENS
NOTIFICATION OF RIGHTS UNDER
THE LIVING WAGE LAW
According to the provisions of Local Law # 12-2001 (the Living Wage law) enacted
by Suffolk County in July of 2001, a living wage rate was established. The Living
Wage shall be adjusted each year in proportion to the increase of the area
Consumer Price Index. Effective January 1,2011, the Living Wage will increase to
$11.01 per hour with health benefits and $12.54 per hour without health benefits
for covered employees of an agency receiving financial compensation through the
County. The law also mandates that full time workers receive at least 12
compensated days off per year through any combination of sick, vacation or
personal leave and includes paid holidays provided by the employer.
The Suffolk County Department of Labor has been designated as the agency to
administer this law and to this end has established a Living Wage Unit. Further
information concerning the parameters of the Living Wage law may be obtained by
contacting this Unit (631-853-3808) or accessing the Suffolk County web page at
www.co.suffolk.ny.us/labor and following the link to the Living Wage section. All
inquiries will remain confidential.
. ~'L~w ~1o. AG004M/0003-11RD
· '* Rev. ~/'1811t
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-6790/679716774-4980, 6776-3330-95284-1792
Fourth Amendment
Amendment of Agreement
This is the Fourth Amendment of an Agreement (Agreement), last dated July 27, 2007, between the
County of Suffolk (County), a municipal corporation of the State of New York, having its principal office at the County
Center, Riverhead, New York 11901, acting through its duly constituted Office for the Aging (Aging), having its
principal office at the H. Lee Dennison Building - 3ru Floor, 100 Veterans Memodal Highway, Hauppauge, New York
(Mailing address: P.O. Box 6100, Hauppauge, New York 11788-0099), and the Town of Southold (Contractor), a
New York municipal corporation, having its principal place of business at 53095 Main Road, P·O. Box 1179, Southotd,
New York 11971·
The parties hereto desire to modify the Agreement to extend the term of the Agreement from
January 1, 2011 through December 31,2011 (the period January 1, 2011 through December 31,2011 being
hereinafter called the "2011 Extension Period") and to add and amend other contract provisions to comply with
current County Standards, as set forth herein.
Term of Agreement: Shall be January I, 2007 through December 31, 2011 for Congregate Meals, and
Apdl 1, 2007 through December 31, 2011 for Home-Delivered Meals·
Total Meals: Daily Congregate Meals: 57
Not to Exceed $76,075 Annually
Daily Home-Delivered Meals: 112
Not to Exceed $166,038 Annually
Total Cost of Agreement: Shall be on a fee-for- service basis, not to exceed $1,143,948 (with $242,113 for
the 2011 Extension Period), as set forth in Exhibits A-2011, and C-2011
attached.
Terms and Conditions: Shall be as set forth in Exhibits A-2011, C-2011, and the "Suffolk County
Legislative Requirements Exhibit" revised 11/10 attached.
In Witness Whereof, the parties hereto have executed this Fourth Amendm§nt of Agreement as cf the latest date
written below·
/
Narffe: - ~,a m
De puty~C o.~ nt~,~x~c~f~
Date: , ~//I/M
Supervisor
Fed. Taxpayer, ID,#: 11-6001939
Date: ~/_T~/4 (
Approved:
penalties of perjury that I am an officer of
.~/. ~[~J ~ ,o'..1~ ~.~r.c~<::~fc~that I have read ~d I
famili~ wi~ ~A5-7 of ~icle V of~e Suffolk Coun~ Code, ~d
that ~ r~ ~ ~o ~ ~/~ meets all
Signature '
Approved as to Legali~:
Christine Malafi
Suffolk Coun~ ~ey
Jacqueline Cap~
Assistant County A~omey
By:
Director, Office for the Aging
Recom~ed:
By: '~ f"~"~-~ ~
~nna Prencipe
· Food Service Supervisor
H oily ~j~ h-ode's-Tea-g ue ~,~ Date'
Date
IIIlllllllllllll
0008109
AG 4 (7/06) Page 1
AG4M Sohld ext 11 rev 1-11
Law No. AG004MI0003-11 RD
Rev. 1119111
IIIC Nutrition Program
o
o
IFMS No. SC EXE 11000001792
No. 001-67901679716774-4980, 6776-3330-95284-1792
Fourth Amendment
Exhibit A-2011
Whereas, the County and Contractor have entered into an Agreement (Law No. AG004M/0003-
11R), last dated July 27, 2007, for a term from January 1, 2007 through December 31, 2007 for a
senior citizens' nutrition program at a Total Cost of $189,685; and
Whereas, the County and Contractor have entered into a First Amendment of Agreement (Law No.
AG004M/0003-11RA), extending the term from January 1, 2008 through December 31, 2008 and
(at an additional cost of $232,701) increasing the Total Cost of the Agreement to $422,386; and
Whereas, the County and Contractor have entered into a Second Amendment of Agreement (Law
No. AG004M/0003-11RB), extending the term from January 1, 2009 through December 31, 2009
and (at an additional cost of $237,336) increasing the Total Cost of the Agreement to $659,722; and
Whereas, the County and Contractor have entered into a Second Amendment of Agreement (Law
No. AG004M/0003-11RC), extending the term from January 1, 2010 through December 31, 2010
and (at an additional cost of $242,113) increasing the Total Cost of the Agreement to $901,835; and
Whereas, the parties hereto desire to modify the Agreement, to extend the term from
January 1,2011 through December 31,2011 and (at an additional cost of $242,113) to increase the
Total Cost of the Agreement to $1,143,948, and to add and amend other contract provisions to
comply with current County Standards, as set forth below, and;
Now, therefore, in consideration of the covenants, promises and consent herein contained, the
parties hereto agree as follows:
1. Term of Agreement:
The Term of Agreement paragraph on page 1 of the Agreement is amended to read
January 1, 2007 through December 31,2011 as set forth on the page 1 of this Fourth
Amendment of Agreement.
2. Meals:
Effective as of the beginning of the Extension Period, the approximate daily number, and the
maximum annual number, if any, of Congregate and/or Home-Delivered Meals included in the
Program shall be as set forth on the cover page of this Fourth Amendment of Agreement.
Payment for Services:
The Total Cost of Agreement $1,143,948 is comprised as follows:
a. $189,685 for the 2007 contract term;
b. $232,701 for the 2008 Extension Period;
c. $237,336 for the 2009 Extension Period;
d. $242,113 for the 2010 Extension Period;
e. $242,113 for the 2011 Extension Period;
Rate Page:
The rate at which the Contractor shall be paid for this Extension Period is set forth in Exhibit
C-2011, which is attached and made part of the Agreement.
Poverty Threshold
Paragraph 8 (3) of Exhibit B to the Agreement entitled "Reporting Requirements,
Demographics", referring to the Poverty Threshold, is amended to read as follows:
AG 4 (7/06) Page 2
AG4M Sohld ext 11 rev 1-11
Law No. AG004M/0003-11RD
Rev. 1118/11
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-6790/679716774-4980, 6776-3330-95284-t792
Fourth Amendment
100 % of Poverty Threshold 150% of Poverty Threshold
Size of Family Unit (for IIIC Nutrition program(s)) (for SNAP Program(s))
1 $10,830/year $16,245/year
2 $14,570/year $21,855/year
The Contractor will comply with the following amended provisions in conformance with
current County requirements
6. Paragraph 8 of the Second Amendment to the Agreement, entitled "Contractor
Responsibilities", is amended to add the following subparagraph iv.) under subparagraph a.
"Duties and Obligations".
iv.) Services provided under this Contract shall be open to all residents of the
County age 60 and over.
7. Paragraph 7 of the First Amendment entitled "Notices and Contact Persons" is replaced in
its entirety with the following:
Notice
Unless otherwise expressly provided, all notices shall be in writing and shall be deemed
sufficiently given if sent by regular first class mail and certified mail, or personally delivered
during business hours as follows: 1.) to the Contractor at the address on page 1 of the
Contract and 2.) to the County at the Department, or as to either of the foregoing, to such
other address as the addressee shall have indicated by prior written notice to the addressor.
All notices received by the Contractor relating to a legal claim shall be immediately sent to
the Department and also to the County Attorney at H. Lee Dennison Building, 100 Veterans
Memorial Highway, P.O. Box 6100, (Sixth Floor), Hauppauge, New York, 11788-0099.
Paragraph 8 of the First Amendment to the Agreement, entitled "Indemnification," is
replaced in its entirety with the following:
Indemnification and Defense
a. The Contractor shall protect, indemnify, and hold harmless the County, its agents,
servants, officials, and employees from and against all liabilities, fines, penalties,
actions, damages, claims, demands, judgments, losses, suits or actions, costs, and
expenses caused by the negligence or any acts or omissions of the Contractor,
including reimbursement of the cost of reasonable attorneys' fees incurred by the
County, its agents, servants, officials, and employees in any action or proceeding
arising out of, or in connection with, the Contract.
b. The Contractor hereby represents and warrants that it will not infringe upon any
copyright in performing the Services. The Contractor agrees that it shall protect,
indemnify, and hold harmless the County, its agents, servants, officials, and
employees from and against all liabilities, fines, penalties, actions, damages, claims,
demands, judgments, losses, suits or actions, costs, and expenses arising out of any
claim asserted for infringement of copyright, including reimbursement of the cost of
reasonable attorneys' fees incurred by the County, its agents, servants, officials, and
employees in any action or proceeding arising out of or in connection with any claim
asserted for infringement of copyright.
AG 4 (7/06) Page 3
AG4M Sohld ext 11 rev 1-11
Law No. AG004MI0003-11 RD
Rev. fl18/t 1
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-6790/6797/6774-4980, 6776-3330-95284-1792
Fourth Amendment
c. The Contractor shall defend the County, its agents, servants, officials, and
employees in any proceeding or action, including appeals, adsing out of, or in
connection with, the Contract, and any copyright infringement proceeding or action.
At the County's option, the County may defend any such proceeding or action and
require the Contractor to pay reasonable attorneys' fees of salary costs of County
employees of the Department of Law for the defense of any such suit.
9. Paragraph 8 i). of the Third Amendment to the Agreement is replaced in its entirety with the
following:
Budget and/or Services Revisions
i.) The parties shall use the Contract Budget/Services Revision Approval Form
(Budget/Services Revisions) for revisions to the Budget and Services
involving any change to the total cost of the Contract due to a resolution of the
Legislature, changes to the County's adopted annual budget, or for any other
reason necessitating revisions to the Budget or Services.
The Contractor shall comply with the following added provisions in conformance with
current County Standards.
10. Changes to Contractor
The Contractor may, from time to time, only with the County's written consent, enter
into a Permitted Transfer. For purposes of the Contract, a Permitted Transfer
means:
i.)
if the Contractor is a partnership, the withdrawal or change, whether
voluntary, involuntary or by operation of law, of the partners, or transfer of
partnership interests (other than the purchase of partnership interests by
existing partners, by the partnership itself or the immediate family members
by reason of gift, sale or devise), or the dissolution of the partnership without
immediate reconstitution thereof, and
ii.)
if the Contractor is a closely held corporation (i.e. whose stock is not publicly
held and not traded through an exchange or over the counter):
1. the dissolution, merger, consolidation or other reorganization of the
Contractor; and
the sale or other transfer of twenty percent (20%) or more of the shares of
the Contractor (other than to existing shareholders, the corporation itself
or the immediate family members of shareholders by reason of gift, sale
or devise).
If the Contractor is a not-for-profit corporation, a change of twenty percent (20%) or
more of its shares or members shall be deemed a Permitted Transfer.
The Contractor shall notify the County in writing, which notice (the UTransfer Notice")
shall include:
AG 4 (7/06) Page 4
AG4M Sohld ext 11 rev 1-11
Law No. AG004MI0003-11 RD
Rev. 1/18/11
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-679016797/6774-4980, 6776-3330-95284-1792
Fourth Amendment
i.)
the proposed effective date of the Permitted Transfer, which shall not be less
than thirty (30) days nor more than one hundred eighty (180) days after the
date of delivery of the Transfer Notice;
ii.) a summary of the material terms of the proposed Permitted Transfer;
iii.) the name and address of the proposed transferee;
iv.)
such information reasonably required by the County, which will enable the
County to determine the financial responsibility, character, and reputation of
the proposed transferee, nature of the proposed assignee/transferee's
business and experience;
v.)
all executed forms required pursuant to Article IV of the Contract, that are
required to be submitted by the Contractor; and
vi.) such other information as the County may reasonably require.
The County agrees that any request for its consent to a Permitted Transfer shall be
granted, provided that the transfer does not violate any provision of the Contract, and
the transferee has not been convicted of a criminal offense as described under
Article II of Chapter 143 of the Suffolk County Code. The County shall grant or deny
its consent to any request of a Permitted Transfer within twenty (20) days after
delivery to the County of the Transfer Notice, in accordance with the provisions of
Paragraph 24 of Article III of the Contract. If the County shall not give written notice
to the Contractor denying its consent to such Permitted Transfer (and setting forth
the basis for such denial in reasonable detail) within such twenty (20)-day pedod,
then the County shall be deemed to have granted its consent to such Permitted
Transfer.
Notwithstanding the County's consent,
i.)
the terms and conditions of the Contract shall in no way be deemed to have
been waived or modified; and
1t.
12.
AG 4 (7/06)
ii.) such consent shall not be deemed consent to any further transfers.
Non Responsible Bidder
The Contractor represents and warrants that it has read and is familiar with the provisions of
Suffolk County Code Chapter 143, Article II, §§143-5 through 143-9. Upon signing this
Agreement the Contractor certifies that he, she, it, or they have not been convicted of a
criminal offense within the last ten (10) years. The term "conviction" shall mean a finding of
guilty after a trial or a plea of guilty to an offense covered under the provision of Section
143-5 of the Suffolk County Code under "Nonresponsible Bidder."
Gratuities
The Contractor represents and warrants that it has not offered or given any gratuity to any
official, employee or agent of Suffolk County or New York State or of any political party, with
the purpose or intent of securing an agreement or securing favorable treatment with respect
to the awarding or amending of an agreement or the making of any determinations with
respect to the performance of an agreement, and that the signer of this Agreement has read
Page 5
AG4M Sohld ext 11 rev 1-11
Law No. AG004MI0003-11 RD
Rev. t/181t t
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-679016797/6774-4980, 6776-3330-96284-1792
Fourth Amendment
13.
and is familiar with the provisions of Local Law No. 32-1980 of Suffolk County (Chapter 386
of the Suffolk County Code).
Full Force and Effect
Except as herein amended, all other representations, terms and conditions of said
Agreement, including any and all amendments or budget modifications executed prior to the
date hereof, are hereby ratified and confirmed to be in full force and effect.
-- End of Text of Exhibit --
AG 4 (7/06) Page 6
AG4M Sohld ext 11 rev 1-11
Law No. AG004M/0003-11 RD
Rev. 1/t8/11
IIIC Nutrition Program
IFMS No. SC EXE 11000001792
No. 001-6790/679716774-4980, 6776-3330-95284-1792
Fourth Amendment
Exhibit C-2011
Rate Page
TOWN OF SOUTHOLD
Schedule of Fees for Services
Congregate
Midday Meals
Home-Delivered
Meals
Fifth Contract Year 2011
$5.36 $5.68
Meals in excess of the number stated on the cover page will be used as local match for the
Title IIIC program
AG 4 (7/06) Page 7
AG4M Sohld ext 11 rev 1-11
Suffolk County Legislative Requirements
Last revised 1 l/lO
Contractor's/Vendor's Public Disclosure Statement
It shall be the duty oftbe Contractor to read, become
familiar with, and comply with the requirements of section
A5-7 of Article V of the Suffolk County Code.
Unless certified by an officer of the Conlractor as being
exempt from the requirements of section A5-7 of Article V
of the Suffolk County Code, the Contractor represents and
warrants that it has filed with the Comptroller the verified
public disclosure statement required by Suffolk Courtly
Administrative Code Article V, Section A5-7 and shall file
an update of such statement with the Comptroller on or
before the 31st day of Jaunary in each year of the
Contract's duration. The Contractor acknowledges that
such filing is a material, contractual and statutory duty and
that the failure to file such statement shall constitute a
material breach of the Contract, for which the County shall
be entitled, upon a determination that such breach has
oacurrod, to damages, in addition to all other legal
remedies, of fifreen percent (15%) of the amount of the
Contract.
Required Form:
Suffolk County Form SCEX 22; entitled
"Contractor's/Vendor's Public Disclosure Statement"
Living Wage Law
It shall be the duty of the Contractor to read, become
familiar with, and comply with the requirements of Chapter
347, of the Suffolk County Code.
This Contract is subject to the Living Wage Law of the
County of Suffolk. The law requires that, unless specific
exemptions apply, all employers (as defined) under service
contracts and recipients of County financial assistance, (as
defined) shall provide payment ora minimum wage to
employees as set forth in the Living Wage Law. Such rate
shall be adjusted annually pursuant to the terms of the
Suffolk County Living Wage Law of the County of
Suffolk. Under the provisions of the Living Wage Law, the
County shall have the authority, under appropriate
cireumstunces, to terminate the Contract and to seek other
remedies as set forth therein, for violations of this Law.
Required Forms:
Suffolk County Living Wage Form LW-1; entitled "Suffolk
County Department of Labor- Living Wage Unit Notice of
Application for County Compensation (Contract)."
Suffolk County Living Wage Form LW-38; entitled
"Suffolk County Department of Labor - Living Wage Unit
Living Wage Cartification/Declaretion - Subject To
Audit."
Use of County Resources to Interfere with
Collective Bargaining Activities
It shall be the duty of the Contractor to read, become
familiar with, and comply with the requirements of Chapter
466 of the Suffolk County Code.
County Contractors (as defined by section 466-2) shall
comply with all requirements of Chapter 466 of the Suffolk
County Code, including the following prohibitions:
a. The Contractor shall not use County funds to
assist, promote, or deter anion organizing.
b. No County funds shall be used to reimburse the
Contractor for any costs incurred to assist,
promote, or deter union organizing.
Co
No employer shall use County property to hold a
meeting with employees or supervisors if the
purpose of such meeting is to assist, promote, or
deter union organizing.
If the Services are performed on County property, the
Contractor must adopt a reasonable access agreement, a
neutrality agreement, fair communication agreement, non-
intimidation agreement, and a majority authorization card
agreement.
If the Services are for the provision of human services and
are not to be performed on County properly, the Contractor
must adopt, at the least, a neutrality agreement.
Under the provisions of Chapter 466, the County shall have
the authority, under appropriate circomatances, to terminate
the Contract and to seek other remedies as set forth therein,
for violations of this Law.
Required Form:
Suffolk County Labor Law Form DOL-LO 1; entitled
"Suffolk County Department of Labor- Labor Mediation
Unit Union Organizing Certifieation/Deelaration - Subject
to Audit."
Lawful Hiring of Employeas Law
It shall be the duty of the Contractor to read, become
familiar with, and comply with the requirements of Chapter
234 of the Suffolk County Code.
This Contract is subject m the Lawful Hiring of Employees
Law of the County of Suffolk. It provides that all covered
employers, (as defined), and the owners thereof, as the case
may be, that are reeipiunts of compensation from the
County through any grant, loan, subsidy, funding,
appropriation, payment, tax incentive, contract,
subcontract, license agreement, lease or other financial
compensation agreement issued by the County or an
awarding agency, where such compensation is one hundred
percent (100%) funded by the County, shall submit a
completed sworn affidavit (under penalty of perjmy), the
form of which is attached, certifying that they have
1 of 3 pages
complied, in good faith, with the requirements of Tide 8 oftbc United States Code Section 1324a with respect to the
hiring of covered employees (as defined) and with respect to the alien and nationality status of the owners thereof. ~fhe
affidavit shall be executed by an authorized representative oftbc covered employer or owner, as the case may be; shall
be part of any executed contract, subcontract, license agreement, lease or other financial compensation agreement with
the County; and shall be made available to the public upon request.
All contractors and subcontractors (as defined) of covered employers, and the owners thereof, as the case may be, that
are assigned to perform work in connection with a County contract, subcontract, license agreement, lease or other
financial compensation agreement issued by the County or awarding agency, where such compensation is one hundred
percent (100%) funded by the County, shall submit to the covered employer a completed sworn affidavit (under penalty
of perjury), the form of which is attached, certifying that they have complied, in good faith, with the requirements of
Title 8 of the United States Code Section 1324a with respect to the hiring of coverad employees and with respect to the
alien and nationality stmus of the owners thereof, as the ease may be. The affidavit shall be executed by an authorized
representative of the contractor, subcontractor, or owner, as the case may be; shall be part of any executed contract,
subcontract, lieanse agreement, lease or other financial compensation agreement between the covered employer and the
County; and shall be made available to the public upon request.
An updated affidavit shall be submitted by each such employer, owner, contractor and subcontractor no later than
January 1 of each year for the duration of any contract and upon the renewal or amendment of the Contract, and
whenever a new contractor or subcontractor is hired under the terms of the Contract.
The Contractor acknowledges that such filings are a material, contractual and statutory duty and that the failure to file
any such statement shall constitute a material breach of the Contract.
Under the provisions of the Lawful Hiring of Employees Law, the County shall have the authority to terminate the
Contract for violations of this Law and to seek other remedies available under the law.
The documentation mandated to be kept by this law shall at all times be kept on site. Employee sign-in sheets and
register/log books shall be kept on site at all limes during working hours and all covered employees, as defined in the
law, shall be required to sign such sign-in sheets/register/log books to indicate their presence on the site during such
working hours.
Required Forms:
Suffolk County Lawful Hiring of Employees Law Form LHE-I; entitled "Suffolk County Department of Labor -
Notice Of Applicatiun To Certify Compliance With Federal Law (8 U.S.C. SECTION 1324a) With Respect To Lawful
Hiring of Employees."
"Affidavit Of Compliance With The Requirements Of 8 U.S.C. Section 1324a With Respect To Lawful Hiring Of
Employees" Form LHE~2.
Gratuities
It shall be the duty of the Contractor to read, become familiar with, and comply with the requirements of Chapter 386
of the Suffolk County Code.
The Contractor represents and warrants that it has not offered or given any gratuity to any official, employee or agent
of the County or the State or of any political party, with the purpose or intent of secoring an agreement or securing
favomble treatment with respect to the awarding or amending of an agreement or the making of any determinations
with respoet to the performance of an agreement.
Prohibition Against Contracting with Corporations that Reincorporate Overseas
It shall be the duty of the Contractor to read, become familiar with, and comply with the requirements of seetions A4-
13 and A4-14 of Article IV of the Suffolk County Code.
The Contractor represents that it is in compliance with sections A4-13 and A4-14 of Article IV of the Suffolk County
Code. Such law provides that no contract for consulting services or goods and services shall be awarded by the County
to a business previously incorporated within the U.S.A. that has reincorporated outside the U.S.A.
2 of 3 pages
10.
Child Sexual Abuse Reporting Policy
It shall be the duty of the Contractor to read, become familiar with, end comply with the requirements of Article IV of
Chapter 577 of the Suffolk County Code.
The Contractor shall comply with Article IV of Chapter 577 of the Suffolk County Code, entitled "Child Sexual Abuse
Reporting Po cy," as now in effect or amended heceafer or of any other Suffolk County Local Law that may become
applicable during the term of thc Contract with regard to child sexual abuse reporting policy.
Non Responsible Bidder
It shall be the duty of the Contractor to read, become familiar with, and comply with the requirements of Article II of
Chapter 143 of the Suffolk County Code.
Upon signing the Contract, the Contractor certifies that it has not been convicted of a criminal offense within the last
tun(10)years. Th .......
e term convict on shall mean a finding of gudty after a tr al or a plea ofgmlty to un offense
covered under the provision of section 143-5 of the Suffolk County Code under "Nonrasponsible Bidder."
Use of Funds in Prosecution of Civil Actions Prohibited
It shall be the duty of the Contractor to read, become familiar with, and comply with the requirements of section 590-3
of Article III of Chapter 590 oftbe Suffolk County Code.
The Contractor shall not use any of the moneys, in part or in whole, and either directly or indirectly, received under the
Contract in connection with the prosecution of any civil action against the County in eny jurisdiction or any judicial or
administrative forum.
Youth Spor~
It shall be the duty of the Contractor to read, become familiar with, end comply with Article III of Chapter 419 of the
Suffolk County Code.
All contract agencies that conduct youth sports pmgmms are required to develop and maintain a written plan or policy
addressing incidents of possible or actual concussion or other head injuries among sports program participants. Such
plan or policy must be submitted prior to the award ora County contract, grent or funding. Receipt of each plan or
policy by the County does not represent approval or endorsement of any such plan or policy, nor shall the County be
subject to any liability in connection with eny such plen or policy.
11. Work Experience Participation
12.
If the Contractor is a not-for-profit or governmental agency or institution, each of the Contractor's locations in the
County at which the Services are pmvided shall be a work site for public-assistance clients of Suffolk County pursuant
to Chapter 211 of the Suffolk County Code at all times during the Term of the Contract. If no Memorandum of
Understanding ("MOU") with the Suffolk County Department of Labor for work experience is in effect at the
beginning of the Term of the Contract, the Contractor, if it is a not-for-profit or governmental agency or institution,
.shall enter into such MOU as soon as possible altar the execution of the Contract and failure to enter into or to perform
~n accordance with such MOU shall be deemed to be a failure to perform in accordance with the Contract, for which the
County may withhold payment, terminate the Contract or exercise such other remedies as may be appropriate in the
circumstances.
Suffolk County Local Laws Website Address
Suffolk County Local Laws, Rules and Regulations ceo be accessed on the Suffolk County website by following the
County s Ez Ink to the Laws of Suffo k County.
End of Text for Article IV
3 of 3 pages
S~I~FOLK COUNTY DEPARTMENT OF LABOR- LIVING WAGE UNIT
NOTICE OF APPLICABILITY
OF LIVING WAGE LAW
Living Wage Law, Suffolk County Code, Chapter 347 (2001)
To Be Completed By The Living Wage Unit
DATE: December 17, 2010
TO: Mary-Valerie Kempinski, S.C. Dept. of Human Services, Office of the Aging
FROM: ~a Rosenberg, Director of Living Wage Compliance Unit
TELEPHCJ/NE #.~853-2063
VENDOR #: 11..6001939
REF.#: IHC Nutrition Program
You are hereby notified that the response from Town of Southold~ has been evaluated by the Living Wage Unit
of the Suffolk County Department of Labor.
We find:
X The documents submitted with this contract / proposal are complete and conform to the
requirements of the Living Wage Law (Local Law #12-2001). The Awarding Agency may proceed with
the normal and customary procedure for administering contracts.
The documents submitted with this contract / proposal are not complete, or do not conform
to the requirements of the Living Wage Law (Local Law #12-2001).
Employers who fail to submit documents or information required to demonstrate compliance with the
Law shall be deemed non-responsive and subject to disqualification.
If the employer is presently under contract, the contractor shall be deemed non-compliant and the
appeals process shall be made available to said employer (Chapter 347-5 A & B).
LW-I3
below. Comide~d form mm be ndmdtt, d to the n~. npntT.
Cmt)~ ~BfrJmetol~. "An~ mnpto~ Ihit meeim mom than SSO. O00 jn Cou~ ftmds b mppl3~ soods or nn4ces pmmm~ to m
~umn ~n~m:t v~dh b Cn]mtY d ~u~Jk ~' mn~ of in qmnmi~ pummmm Io a h~dlt Cmm~ ~mm; pmmnt ~ t ~di~dk Oomty
bm~iom I
OL-~OI O/s/o{)
Town of Southold
53095 Main Road, P.O. Box 1179
Southold, New York
Fi~iIdiI~i~i~. 11-6001939
AI~iI~'AI~I~I ~. ?A2.~12.00
11971
Karen McLaughlin, Director of Human Services - 631 298-4460
Contact persofi:
III~C Nutrition Programs for the Elderly (Home Delivered and Congregate)
III~II V
Scatt A. Russell,' Southold Town Supervisor
NOTICE OF APPLICATION TO CERTIFY COMPLIANCE WITH FEDERAL LA.¥V
(8 U.S.C. SECTION 1324A~
WITH RESPECT TO LA WFUL HIRING OF EMI~LOYEES
VERIFICATION OF SUBMISSION OF LAWFUL HIRING OF EMPLOYEE~
Suffolk County Code, Chapter 234 (2006)
To Be Completed By the Local Law Compliance Unit
DATE: December 17~ 2010
TO: Mary Valerie Kempinski~ S. C. Office of the Agine
FROM: ~
TELEPHONE# 631 853 3808
EMPLOYER: Town of Southold
VENDOR #: 11-6001939
REF. #: IIIC Nutrition Program
You are hereby notified that the submission from Town of Southold has been received by the
Lawful Hiring of Employees Unit of the Suffolk County Department of Labor. We find that this
submission is complete and is in compliance with the requirements set forth by the Suffolk
County Lawful Hiring of Employees Law (Local Law #52-2006),.
LHE-3
(01/07)
CortHIr. atlon Regarding Lobbying
For Contmcls, Grunts, Lomu ,,nd Coopomtlvo AgroomonlB
ll~lm ~ imm ~ mpmmmmlim d. fmm~ ulx~ whi,h mkm~ m i~mml
~ Ihim Imnmm.ll.n m minim m re.lind Inl~. ~ml~nlmmk~ .l'~lllm mllllmlkm k m
Ih" Fe=lmmml g~mmmmm, t M n.~ Im Iilm1510,000 mini n.~ n~ tim $I00,000 far mmh
Nin~ of Omntl~
COUNTY OF SUFFOLK
OFFICE OF BUDGET AND MANAGEMENT
CONTRACT BUDGET MODIFICATION REQUEST
The program budget contained in the Agreement of
COUNTY OF SUFFOLK and
Program Name
is hereby amended aa follows:
('r~m of
Contract No.
FOR THE COUNTY OF SUFFOLK
APPROVED BY:
DATE:
BUDGET DIRECTOR
NOTE.' This form is not to be used to affect any net increase in the budget.
USE REVERSE FOR SUPPORTING STATEMENTS
By: By:
Name: Name: Holly Rhodes-Teague
Title: T'~le: Director
Date: Dept: AGING
Agency: Date:
Except as sal forth above, this budget modification shall not be deem~l to change any condition or
provision in the said Agreement,
LINE
NUMBER $ CHANGE
(HEADING DESCRIPTION $ BEFORE $ AFTER OR -
I.
NET CHANGE ~
Revision No:
Department:
Contract Budget Approval Form
contractor:
Agreement No.
Agreement Pedod:
Date last executed/amended:
Budget Period to which this revision applies:.
Identify the items that are being changed by this revision:
Budget:
Period Adopting
Amount of increase
Amount of decrease
New Budget amount for the period:
Revising
Copies of supporting documentation ara attached as follows (check all that apply):
Resolution Budget Other
Approvals:
Department:
By:
Name: Name:
Title: Title:
Date: Date:
Fiscal Unit:
By:
Name:
TiUe:
Date:
Division:
By:
Name:
Title:
Date:
Contractor:
By:
Federal Tax ID #:
County Executive Budget Office:
Approved __ Disapproved
By:
Name:
Title:
Date:
Contrac~ Budget Approval Form 2010
STANDARD
OPERATING
PROCEDURE
OgglC~ 01~ THI COUNTY IXg, CUTIVI
AmMnmt I
A~proved by:
THIS SOP SUPERSEDES THE SHEETS IN THE SOP
MANU~ THAT IS IDE~qTIFIF~ AS "SOP A-07"
DATE~ 4/2/97. HOLDERS OF THE SOP MANUAL
SHOULD IW. MO~ AND DISCARD THE CITED
SHEETS AND REPLACE THEM WITH THIS
I. ~nsese: This SOP dmils how anployogs can obtain approval for amflnguce
attendance, travel out of Suffolk County during oounty ~ fur oonfwmoes or
2. Seoue: This SOP applies to all County £mploy~es in all oounty d~pamn~nt~
ofiie~ ~ agmcics.
A. Conferem~
mor~ Oan one per~a to ettmd, or if suecbl ckcummnces van'mt more
attende~ (e.g., mendeted training).
2) No reimburmncat will bc mad~ for m ov=r~ht my in New Yod~ Ci~, Nm~n
o~ Suffolk Coup. F..mploya~ will bc mluimt to commut~ to coa~=mc~
3) Anepplicetion forcoafi=mcc eUmdmc~ endtrev~ F.~ecutlveFoae 10, mustbc
submittal so dm it mires K t~ Count~ F.,x~m~'s Budget Or,ce m lint two
weeks prier to the coafermce d~e. lfm mnugu~ nmtm nflmi a ~
agses, ~ fm'm shoed be f~,ed to lhe Deputy ~ ~e b F~ ~
l~m fur q~prov~. Any ~plic~om submittM less titan two ('2) weeks
ln~ M ~he oonfi~mc~ dm shdl I~ mmnmic~y denied, u~less a dooumm~
mners~Jey caused by ~n u~foFeseen event beyond the conUol of the spplicsnt hs
caused the delay in filin~ ~be 8pplio~im,
individuals who attendM conferences prim' to rmsiving Im app~od Col~lferm~
Attmdance Form and a pmonal day or vacstien day will have to ~ charged by
such employee in ~e absence ofsu~ approval.
4) AIImtvd nmfing hotel a~ommodstlom, aMineuavel, car renal, mi AMTRAK
shrill be ~,,~ged through a designated U'ave] agency.
E.v,m~v~ F~ #10.
6) The Palcs end l~uletions ~overnin~ treve! ordm end eccounts, pmnulpt~d by
~ count~ Depam~ of Audit mi Control, must be followed in prelmrina
Executiw Form #10.
indi~in~ "Travel Cost" md '~Toizl Cosff should be filled in ~m ~11 ~i~.
All applicati~ls for conference attcndance will be returned to the respective dep.,h,dit,
ofi~ or agency if any of the above pr~ Imvc not bemi adhc~ to.
COUNTY OF SUFFOLK
steve Le~
EXECUTIVE ORDER NO. 4-2004
FROM:
RE:
NI Department Heads
Hon. Steve Levy, Suffolk County Executive
Travel Vouchers
Pursuant to Section 3-2 of the SUFFOLK COUNTY CHARTER, please be advised lhat any
requests for qRxoval or p~mmrd for travel under 6m~ions 2-16 and 3-2 of l~e SUFFOLK
COUNTY ADMINISTRATIVE CODE ~ not be approved by the County F..~o~ve unless
it ;acure~ the approval of the Chief ,Deputy County Executive and Deputy County
Executive for F= and Menagemen[.
All requests for such q:q:xevels ~ be filed with the Chief Deputy County Executive.
/
cc: Henry L. Barton, Jr., Clork of tho Legislature
COUNT~O~gUFFOLK
Ol~lCfl Ol~ ~ COtINTY ~X~Ctn'I~
· 1- END E ' D
TO:
FROM:
RE:
All Department Heads
Steve Levy, County Executive o! Suffolk County
Travel Vouchers - Update
Please be advised that Executive Order No. 4-2004, Travel Vouchers., Is hereby amended
to read as follows:
PUrsuant to Section 3-2 of the SUFFOLK COUNTY CHARTER, ~ be
J~;;~ev $~."-~; Deoutv [:,ounw c.:~_,uve arm c,n~ u, ~,~,,
This Executive Order supersedes Executive Order No. 4-2004, Travel Vouchers.
COUNTY EXECUTIVE OF SUFFOLK COUNTY
[ ] Bra~kem denote deletion of existing language.
Underlining denotes addition of new language,
cc: Hen. ry L. Barton, Jr., Clerk of the Legislature . .
Kevin S. Law, Esq., Chief Deputy County Executive for Admlnmtmtion and
General Cour~el
Paul 8abatino II, E~., Chief Deputy County Executive
Frederick B: Pollert, Deputy County ExeCutive for Rnanoe and
Management
Jeffrey Szabo Deputy County Executive and Chief of Staff
Jeanlne Dillon, Assistant Deputy County ~ '-' '"alationa Division
Adam Santiago, County Executive Assistant, intergovemmemm t~
Amy E~, County Ex .ec~tl...ye A~sistant
Executive $ Technology unn
EO- 1-20~-T rm~ Vouohm~updatml
COUNTY OF SUFFOLK
OI~C~ 01~ Tl~ ~OUNTY ~
EXECUTNE O~DER NO. 1A-__~__ ~u=N.rq-NG _l-'~(__r-c~_rrlvE ORDER NO, 4-2004
FROM:
RE:
NI Dep~,-.~nt Heads
Steve Levy, County Executive of BulfOlk County
Travel Vouchers - Update
Please be advised that Exe~ve Order No..4-2004, Travel Vouchem, is hereby amended
to read aa follows:
adviesd that any requests for approve] or paymem
SUFFOLK COUNTY ADMINISTRATIVI~ uuuc sna, L~U ~,,w ,~ -~.,,-..-..
by the County Executive [unless it ~ecuraa the approval of] o~ b~.
Pau sabe no,, Oepu /Cou y Ex.cu ve:
2.) jelfrey Sz. abo, Deputy County Executive and C, hlef o~ Staff'
This EXecutive Order supersedes Executive Order No. 4-2004, Travel Vouchers.
STEVE~ExECUTIVE OF SdFFOLK COUNTY
[ ] Brackets denote deletion of existing language.
--- Unde~lining denotes addltio~ of new language.
Henzy L Barton, Jr., Clerk of the Legislature
Kevln $. Law, Esq., Chief Deputy County ~ for Administration and
General Counsel
Paul Sabaflno II, Esq., Chief Deputy County F_xecutive
Frederick B. Pollert, Deputy County Executive for Fine~e and
Management
Adam Sanliago, County ~ Assistant, Intmgovemmental Relations Division
Amy Engel, County ~ Assistant
Execute'. Tec .
EO.1A-20(~-Tmvel-Vou~efl-4JIxl~l A
COUNTY OF SUFFOLK
OFFICE OF THE COUNTY COMPTROLLER
JOSEPH SAWICKI, JR.
Comptroller
DEPARTMENT OF AUDIT AND CONTROL
Comptroller's Rules and R~gulations
for Consultant's Agreements
Revised 12/2009
TABLE OF CONTENTS
Purpose ....................................................................................... 1
Scope .......................................................................................... 1
Definitions .................................................................................... 1
Allowable Claims ........................................................................... !
Claim Submission ........................................................................... 2
Out of Pocket Expenses ................................................................... 3
Sub-Contractor Claims ..................................................................... 5
Certified Statements ........................................................................ 6
EXI-IIBIT~
EXHIBIT A
EXHIBIT B
County of Sutfolk, Standard Payment Voucher
FORM PV ...................................................... 8
Consultant's Time Summary
FORM A & C 108 ............................................. 9
EXHIBIT C Consultant's Exlnnsc Summary
- FORMA&C 109 ............................................ 10
1
1. Purpose- This manual establishes procedures for thc reimbursement of
expenditures for consultants under contract with thc County.
2. Sco~e- These instructions apply to all County departments and agencies utilizing
consultant services.
3. Definitions
s~ C0nsultant- An individual or finn engaged to provide outside
professional services to Suffolk County depadments and agencies.
b. Consultant's Aereement - A written contract descfib'mg the specific
services to be rendered by the consultant and the amount and terms of
payment for the services to bc made by the County. The consultant's
agreement shall constitute thc sole authorization for payment of claims.
The consultant's agreement shall bc prepared in accordance with the
Counly Executive's Operating Procedures, SOP # 1-05. Non-spec'~c
genc'ral purpose or lump sum payment agr~-'ments are not r~xlmmended,
4. Allowable Claims - Only claims which are submitted for expenditures
specifically idenlified in the agreement will be approved for payment. C-enentll¥,
the agreement will stipulate a maximum f~e for services rendered which is based
upon a rate per day or per hour. Accoldingly, a rote schedule is an integral pa~t of
each consultant's agreement. Increases will be allowed only bl am~ndmmt to the
agreement. Out-of-pockei expenditures are reimbursable if it is so stipulated in
the consultant's agreemcnl.
2
5. Claim Submission- Consultants should submit their claims for reimbursement
through the County department or agency responsible for the consultant's
assi~ment, using appropriate forms, as indicated below:
Claim Voucher - A County of Suffolk Standard Payment Voucher Form
(Exhibit A) must accompany each consultant claim. The clslm voucher
should refer to thc consultant's agreement under which payment is
rcclUCStecl and indicate thc category of expenses or contract covenant
applicable to the claim voucher. It should be initialed by the departmental
unit representative under whose supervision or jurisdiction the work was
performed, signifying that thc consultant has complied with all thc terms
and conditions of the agreement under which the payment is requested.
The voucher must then be signed by thc department head or his duly
authorized representative and forwarded to the Department of Audit and
Control for payment.
Consultant's Time Sl~mmarv, FORM A~'C 108 (Exhibit BI - The
Consultant's Time Summary should be used to record daily hours worked
by each staff member of the consultant working on the project. Space is
provided to record and extend the hours and wages of each staff member
assigned to the project on one form. The completed FORM A&C 108
must be signed by and authorized individual of thc consultant's finn. It
should then be attached to thc County of Suffolk Standard Payment
3
voucher form. A copy of the consultant's payroll register with a cover
letter indicating the individuals charged to the projeet for the claim period
will be accepted as a substitute for the Consultant's Time Summary.
Consultant's Expense Summary, FORM A&C 109 ~xhibit C) - The
Consultant's Expense Summary should be used to detail ~xpanses for
travel, meals, lodging or other necessary and reasonable om-of-pocket
expenditures incun~d on the project. Each expense item should be
documented by a r~eipted bill, sales slip or invoice which totals the daily
expenditures shown on the form. The completed FORM A&C 109 must be
signed by an authorized individual of the consultant's finn. It should then
be attached to the County of Suffolk Standard Payment Voucher Form.
6. Out-of-Pocket Expenses - If these exlmnses are reimbursable under the
consultant's agreement, the following rules and guidelines should be considered
before incurring such expenses and submitting claims:
m Meals - Meals are reimbursable under a consultant's conlrect only if the
purpose of the meal is valid, that is, authorized under the conlract as
sustenance while traveling. Effective October 1, 2009, the per diem meal
allowance shall bc in accordance with the curvet maximum
reimbursement rate for food as established by the U.S. General Services
Administration for the New York region. As published in IRS Publication
1542 (rev. October 2009), the 2009 per diem meal and incidental rate is
4
$71.00 per diem including tax. Audit and Control should be contacted for
allowable rates for future fiscal periods. (Gratuities~ at a reasonable and
customary rate, shall be reimbursed ove~ and above the state limits).
The County will not honor claims for the reimbursement of"busincss
meals" submitted by members of the consultant's finn who are not
traveling out of town (overnight) in performance of the contract. Where a
consultant meets the necessary criteria to be reimbursed for meals, no
receipts will be necessary but a certified statement will be required.
b. ~._~_gi~- Effective October 1, 2009, claims for lodging will be
reimbursed at a rate not to exceed the current maximum reimbursement
rate for lodging as established by the U.S. General Services
Administration for the New York region as published in the IRS
Publicafion'1542 (rev. October~ 2009). The 2009 per diem rate for
lodging is $130.00 including taxes. Claims for lodging must be
accompanied by paid receipts. Audit and Control should be contacted for
the allowable rate for future fiscal periods.
c. Airfare - Airfare will only be reimbursed at the economy coach rote and a
receipt will be necessary. Individuals choosing to fly first class will not be
reimbursed for the premium expenses incurred.
d. Milca~e - The County will reimburse mileage claims in accordance with
the applicable current rate allowed by the U.S. Internal Revenue Semice.
As of January 1, 2009 the rate is $.55 per mile and January 1, 2010 the
5
rate is $.50 per mile. The consultant must provide origin, destination and
miles traveled for each trip. Audit and Control should be contacted for the
allowable rate for future fisc~ periods.
e. Taxis - Taxi fares up to $25.00 will be reimbursed based on actual receipt
or certified statement. Any taxi expenses in excess of $25.00 per trip will
require receipts. Receipts and certified statements shall include origin and
destination, as well as the purpose of the trip.
f. Subways and Buses (local) - A certified statement will be adequate
documentation for these expenses.
g. Tolls- Receipts or certified statemant will be adequate documentation for
these expenses.
h. Telephone Expenses- Telephone expenses up to $25.00 p~r month will be
reimbursed based on a receipt or certified statement. Telephone expenses
totaling over $25.00 will require copies of the telephone company bills
with the appropriate calls circled.
i. Photocopies - In lieu of a spec'n~c contract for photocopies, the County
will reimburse at a cost not to exceed $.15 per copy, including labor. A
ceilified statement will be adequate documentation for reimbursement.
Sub-Contractor Claims - When the consultant is authorized in the Consultant's
Agreement to hh'e a sub-con~ractor, the Comptroller's Office should be supplied a
copy of the sub~onlractor's agreement. Claims will not be processed if they are
6
not in compliance with the contract between the Consultant and the County. The
reporting requirement of the sub-contractor will be the same as that of the
Consultant. Details of all expenditures claimed must be documented in the same
manner. If the sub-contractor's agreement with the Comultant is a Imp-sum
payment agreement, detailed documentation reporting requirements are waived.
Certified Statements - When the consultant incurs minor travel or other out-of-
pocket expenses for which receipts are not available, he shall prepare an itemi~,ed
statement detailing the type and amount of expense, incloalnE the time, date, and
place incurred. Ag. er summarizing cxpengs claimed, the consultant must add and
sign the following certification terminology:
"The above expenses are true and just ~md are a result of business
coadueted in aceordanee with the terms of the coutrset with Suffolk Couaty,
and have not be b~en previously paid.'
Signature of Authorized Person
CONTRACTOR NAME
ADDRESS
STATEMENT OF OTHER CONTRACTS
Town of Southold SeniorSer~es
750 Pacific S~reet~ p.O. Box 85, Mattituck, New York 11952
CONTACT
Karen McLauv_hlin. Directo~
PHONE NUMBER 631 298-4460
AGREEMENT TERM OF
PROGRAM NUMBER CONTRACT WITH AGREEMENT AMOUNT
III-C-1 Congregate No-001-6797-498095 Suffolk County Office for
Nutrifion~ 284-1792 theA~n~ 01/01/10 - 12/31/10 $ 76,075.00
IH-C-2 Home Delivered No-001-6776-333098 Suffolk Counly Office for
Meal Program 284-1792 the Aging 01/01/10- 12/31/10 $ 166,038.00
Transportation A~sistance No-001-6806 4980-95285 Suffolk Coumy Office for
Program 1389 the Aging 04/01/09 - 3/31/10 $ 4,986.00
CSE Residential Repair No-001-6777-4980 Suffolk County Office for
ProF~am 95285-0605 the A~ing 04/01/10 - 03/31/11 $ 20,400.00
· Indieate (a) type of organization- County, State, Federal or Other and (b) name of Department, Agency or Organization,
STATEMENT OF OTHER CONTRACTS 05
8/10
CONTRACT AGENCY DISCLOSURE FORM
(For 2012 Budget Process)
Contract Agency Information Page 1 of 4
Before completing this form, please read the instructions in order to ensure that accurate,
relevant and consistent information is provided. If you have any questions regarding
completion of this form, please refer to the contact information in the attached letter.
Please Note: In addition to completing this form, please be sure to provide a copy of your
Agency's Financial Statements, IRS Form 990 or a Profit/Loss Statement for your most
recent fiscal year. Please also provide a listing of all salaries paid to your employees for the
2010 calendar year (Ex: Year end payroll report).
Control Number
Suffolk Counh' Office Use Only
Activity Code
Entered By ~ Reviewed By ~ Date Received
Financial Statement Type: [ ........ j Notes: [ .........
Department
Division
Fund
EXECUTIVE
[Qffice for the A~gi~g_ ........................ ]
[001 [ Agency ['~ Org ~ Object 14980
If any of the information below has changed, you may cross out the printed information and fill
in the correct information.
: $230,702 Estimate: $242,113
Contract Amount: 2010 Actuall ........... ~2~ 2011
Contractor Name:
Program Name:
Contractor Phone Number:
Contractor Contact Name:
Contractor Street Address:
Contractor City Address:
Contractor State Address:
Contractor Zip Code:
(631) 298-4460 Extension:
.......................... 1
~aren____McLaughli__~
[53095 Main Road, P.O. Box 1179
[Southol_d .........................................
l!1971
29nt?l Nurgber [~
Activity Code ~
Contract Program Revenues
Page 2 of 4
Part 1 - Government Grants
1) Total mount of revenue received from Suffolk County for Contract
Program.
2) Total revenue received directly from State Government for Lhe
Contract Program. Please identify names and amounts of grant(s):
2010 Actual .2011 Estimated
230,702 262,113
o ! 0
3) Total revenue received directly from Federal Government for the
Contract Program. Please identify names and amounts of grant(s):
[) Total revenue received directly fi:om all other Municipalities for the
2ontract Program. Please identify names and amounts of grant(s):
Town of Southold
0 I 0
353,280
'618,656
Part 2 - Medicare/Medicaid~ Fundraising and All Other Revenues
5) Total revenue received from Medicare/Medicaid for the Contract I 0
Program.
6) Total Fund Raising revenue received for the Contract Program. I 0
7) Total amount of other revenues received for the Contract Program. ] 127,306
Please identify types of revenues and mounts below:
South Oaks Hospital-Community Integration Grant
18,000
Participant Income III-C 1 and 2 Nutrition Programs 109,306
(voluntary and anonymous contributions)
o
126,ooo
9,000
117,000
Total Contract Program Revenue (Add Limes 1 - ?) ~ I 986,769
C'ontrol Number Page 3 of 4
['~ Activity Code
Contract Program Expenses
Part 3 - Direct Contract Pro,,ram Expenses 2010 Actual
9) Direct Contract Program Salaries [' 530,543
10) Direct Contract Program Fringe Benefits ~] 59,163
11) Direct Contract Program Fee for Service [ 0
12) Direct Other Contract Program Expenses ] 215,842
13) Total Direct Contract Program Expenses
(Add Lines 9 through 12)
711,288
2011 Estimated
559,800
[~167,940
'"[ 0
I 259,029
I 986,769
Part 4 - Administrative Contract Program Expenses
14) Administrative Contract Program Salaries
15) Administrative Contract Program Fringe Benefits
16) Administrative Contract Program Fees
17) Other Administrative Contract Progrmn Expenses
18) Total Administrative Contract Program Expenses
(Add Lines 14 through 17)
19) Total Contract Program Expenses
(Add Lines 13 and 18)
2010 Actual 2011 Estimated
0 0
o [ 0
0 0
20) Please provide a shoa description of your Direct Con~act Program Expenses:
Direct contract expense'Snclude all costs related to operating our home delivered
and congregate nutrition programs for the elderly ±e: salaries, food, supplies,
equipment, etc.
Part 5 - Top 5 Agency Employee Salaries
Employee Name
Surozenski, Antony
Cochran, Carlisle
Flatley, Martin
Police Sargent
Police Chief
Police Captain
294,506
183,691
174,721
Ginas, James
Beebe, Theodore
Police Sargent
I 164,346
Amount of Salary
Charged to the
Contraci Program
Police Sargent
21) Total Agency Support and Revenues
22) Total Agency Program Expenses
23) Tolal Agency A~inistrative Expenses
24) Total Agency Expenses ¢.ua~ 22 p~ ~i,~c
25) Total Agency Net Income/(Loss) {Li.¢ 2~ mi.us
26) Please indicate your fiscal year if it is not the calendar year:
Conl. rOl~ Nuimber [~ Activity Code ['~
Agency Information
:Part 6 - Financial and Other A~ency Information
2011} Actual
36,327,372
28,780,227
I
I 5,005,614
33,785,841
I 2,541,53i
I
27a) Is your agency affiliated with any other corpom~ons ? (Yes / No)
27b) If yes, name corporation(s), and explain your agency's affiliation:
Page 4 of 4
2011 Estimated
I 36,266,486
I 32,203,734
· [ 6,351,137
' I 38,554,871
I (2,288,385)
I NO
~.8) Does your Agency: (Check all that apply, if none apply please check the box marked not applicable)
[-] Administer a corps of volunteers [] Administer the collection and distribution of food to
the needy
[] Administer federal, state or other pass through funding
[] Not Applicable for my Agency
[] Disseminate educational materials for a public purpose
[9) I certify that enclosed herein, along with my dise,losure form, is my Agency's most re~nt
inancial r~port (audited or unaUdited Financial Statements, IRS form 990 or Profit/Loss
ltatement); and a listing of all 2010 salaries paid to my Agency's employees. I understand that ff
he required f'mancial r,ports are not enclosed my Agency will be det~l~d[ Non-Compliant until I
tare submitted the required report to the Comptroller's
arm Prepared By Title Phone Number
Karen McLaughlin Director of Human Services 631-298-4460
gencyProgram Contact Title Town of Southold Phone Number
you would prefer to be contacted via E-mail, please enter an E-mail address where we may contact you in
e event that we have any questions regarding the completion of this form (Optional):
:ertify, to the best 9fxny knowledge and belief, that all of the information provided on this form is tree and
,r e t/ f/) / /
COUNTY OF SUFFOLK
OFFICE OF THE COUNTY COMPTROLLER
JOSEPH SAWICKI, JR.
Comptroller
June 25, 2012
Ms. Karen McLaughlin
Town of Southold
53095 Main Road, P.O. Box 1179
Southold, NY 11971
Dear Ms. McLaughlin:
In accordance with Suffolk County Local Law No. 9-2001, "A Charter Law To Reqmre
Annual Expenditure Disclosure For Contract Agency Funding," your agency is required to
complete the attached Contract Agency Disclosure Form(s).
Instructions for the completion of the form are attached for your convenience. Each form
includes agency and program data that was entered based on information provided by the County
department responsible for the oversight of your contract. A separate form should be completed
for each of your contracts with Suffolk County. Please be aware that you are now required to
provide a listing of all employee salaries for 2011 with your Disclosure Form. If you have any
questions regarding completion of the form, please call 631-853-5061.
Please complete and return the Disclosure Form(s), along with a copy of your agency's
most recent audited financial statements, IRS Form 990 or a Profit/Loss Statement and Balance
Sheet to the following address, no later than July 31, 2012.
Attn: Contract Compliance Unit
Suffolk County Comptroller's Office
H. Lee Dennison Building
100 Veterans Memorial Highway
P. O. Box 6100
Hauppauge, NY 11788
Failure to comply with this request will result in a suspension of payments and
recommendation to eliminate funding for your program(s) in the County's 2013 operating budget.
Thank you for your anticipated cooperation.
Very truly yours,
Frank Bayer, CPA
Executive Director of Auditing Services
H. LEE DENNISON BUILDING · 100 VETERANS MEMORIAL HIGHWAY · P.O. BOX 6100 · HAUPPAUGE, NY 11788-0099
(631) 853-5040 Fax (631) 853-5057
KAREN McLAUGHLIN
Town Dir~tor of Human
Services
Town of Soulhold
750 Pacific Street
P.O. Box 85
Mattitucl~ NY 11952
T~L (63 !) 298-4460
Fax (631) 2984462
Nutrition Program
Home l~liv~md M~mls
Cas~ Management
Esamtial Transportation
Sealor Adult Day Care
Kat/nka House
Telephone Reassurance
R~idonfi~l R~ir
July 19, 2012
Frank Bayer, CPA
Executive Director of Auditing Services
Contract Compliance Unit
Suffolk Couuty Compi~ollar's Office
P.O. Box 6100
Hauppauge, New York 11788
Dear Mr. Bayer:
Enclosed please find the completed Contract Agency Disclosure Forms for Southold Town for
the following programs:
,-, Transportation/lssistance Program for the Elderly
r, CSE-Residential Repair for Seniors
llI-CNutrition Programs for the Elderly
Also, included is a listing of salaries for employees of the Town of Southold and the Town's
most recent financial statement (2011) per your request. Please contact me at 2984460 should
you have any questions or need additional information. Thank you.
Very truly yours, ~
Town Dire~t0r of Human Services
CONTRACT AGENCY DISCLOSURE FORM
(For 2013 Budget Process)
Contract Agency Information Page 1 of 4
Before completing this form, please read the instructions in order to ensure that accurate,
relevant and consistent information is provided. If you have any questions regarding
completion of this form, please refer to the contact information in the attached letter.
Please Note: In addition to completing this form, please be sure to provide a copy of your
Agency's Financial Statements, IRS Form 990 or a Profit/Loss Statement and Balance Sheet
for your most recent fiscal year. Please also provide a listing of all salaries paid to your
employees for the 2011 calendar year (Ex: Year end payroll repot0.
Control Number 120476 ]
Activity Code
Suffolk County Office Use Only
Entered By ~ Reviewed By ~ Date Received
Financial Statement Type: ] ......... ] Notes I
Department
Division
Fund ~
IOffice for the Aging
Agency ~'~ Org 168061 Object 14980 ]
If any of the information below has changed, you may cross out the printed information and fill
in the correct information.
Contract Amount: 2011 Actual: l
$5,402 ] 2012 Estimate: l
$5,402
Contractor Name:
Program Name:
Contractor Phone Number:
Contractor Contact Name:
Contractor Street Address:
Contractor City Address:
Contractor State Address:
Contractor Zip Code:
Town of Southold
Transportation Assistance Program
~631)298-4460
I Extension:
[Karen McLaughlin [
[53095 Main Road, P.O. Box 1179
[.s?~[hold
[11971 I
."Control Number ] 20476 Activity Code
Contract Program Revenues.
Part I - ~overnment Grants
I) Total mnount of revenue received fi'om Suffolk County for Contract
Program.
l"a§e 2 ol q.
~011 Actual 2012 Estimated
5,402 ] 5,400
2) Total revenue m*,eived directly fi'om State Oovermnent for the
Contract Program. Please identify names and amounts of grant(s):
3) Total reve~me rex~ived directly from Federal Government for the ]
Contract Program. Please identify names and amounts of grant(s}:
4,1 Total revenue received directly from all other Municipalities for the
Contract Program, Please identify names and amounts of grant(s):
Town of Southold
12,108 14,883
Part 2 - Medie~re/Medicaldt Fundralsinv and All Other Revenues
5) Total revenne received fi'om Medicare/Medicaid for the Contract I'
Program.
0 I 0
6) Total Fund Raising revenue received for the Contract Progrmn. 0 J 0
7) Total amount of other t~evenues received for the Contract Program.
Please identify types of revenues and amounts below:
2,203 I 3,200
8) Total Contract Program Revenue (&ad ],t.c~ ~.?~ 19,713 I 23,483
Control Number Page
20476 Activity Code I "
Contract Program Expenses
.p.art 3 - Direct Contract Program Expenses
9) Direct Contract Program Salaries '
10) Direct Contract Program Fringe Benefits
1 I) Direct Contract Program Fee for Service
12) Direct Othe,' Contract Program Expenses
13) Total Direct Gourmet Program Expenses
(Add L~nes 9 through [2)
2011 Actual 2012 Estimated
i 191~1'~ .... i 23483
Part 4 - Administrative Contract Program Expenses 201! Actual 2012 Estimated
4 Adm'nist,,,i eCout,'a tProg mSala ies i 0 "'i" 0 '"
15) Administrative Contmnt Program Fringe Benefils 0 0
16) Administrative Contract Program Fees I 0 { 0
17) Other Administrative Contract Program Expenses I' ' 0 I 0
18) Total Administrative Contract Program Expenses I 0 I 0
(Add Lines 14 (hrot~gh 17)
19) Total Contract Program Expenses
(Add t,h~es 13 and 18)
20) Please provide a short description of your Direct Contract Program Expenses:
Direct Contract expenses include a percentage of the salary and fi-inge benefits
for a part-time Driver in operating AAA Transportation Program
,.,Part 5 - Top 5 Agency Employee Salari~
[*.i All Volunteers [] No Salaries lfi0K+, Ha~l copy available
Emnlovee Nqme Emnlovee Title
Carlisle E. Cochran, Jr. I Police Chief 'j 339,726.37
2'['"KeVinJ. Lynch t Police Sergeant '[' 258,976.85
4' [ Martin Flatley [ Voli~ 'C~ef I 175,891.09
Amount of Salary
Charged to the
Contract Program
' .00 '
l, .00
[ .00
[" .00
'[ .00
Control Number ] '20476 Aetivily Code ] '
Agency Information
Part 6 - Financial and Other Agency Information
21) Total Agency Support and Revennes
22) Total Agency Program Expenses
23) Total Agency Administrative Expenses
24) Total Agency Expenses (Line 22 ~.* Ll,, esi
25) Total Agency Net Income/(Loss) (u,,e 2i ,.is.$ Line 24)
26) Please indicate your fiscal year if it is not the calendar year:
27a) Is your agency affiliated with any other corporations ? (Yes / N
27b) If yes. name corporation(s), and explain your agency's affiliation:
Page 4 of 4
2011 Actual 2012 Estimated
37,180,606.13 37,298,915.00
iL,269.91 t 33,423,995.0°
5,274,774.74 t ' 6.211,777.00
39,635,772.00
~i (2,336,857.00)
[] Yes [] No
28) Does your Agency: (Check all that apply, if none apply please check the box marked not applieabl~)
[] Administer a corps of volunteers [] Administer the collection and distribution of food lo
[] Admini~er federal, stale or other pass through funding the needy
[] Not Applicable for my Agency
[] Disseminate educational materials ~or a public purpose
29) ! certify that enclosed herein, along with my disclosure form, is my Agency's most recent
financial report (audited or unaudited Financial Statements, IRS form 990 or Prefit/Lesa
Statement); and a listing of all 2011 salaries paid to my Agency's employees.' I understand that if
the required financial reports are not enclosed my Agency will be deemed Non-Compliant until 1
have submitted the required report to the Comptroller's Offles.
Form Prepared By Title Phone Number
[ KarenMcLat~hlin ~ i TownDirectorofHumanServi[es 631-298-4460
Ageoey Program Contact Title Phone Number
If you would prefer to be contacted via E-mail, please enter an E-mail address whe~e we may contact you in
the event that we have any questions t~garding the completion of this form (Optional):
I eet'ti~to the best of my knowledge and belief, fha! all of the information provided on this fon~ is true and
correct/
~~ Supervisor July 13. 2012
Activity Code
EXECUTIVE
Department I
Division I Oaice for the Ag!ng I
~u~d 1001 I ^gency
CONTRACT AGENCY DISCLOSURE FORM
(For 2013 Budget Process)
Contract Agency Information Page 1 of 4
Before completing this form, please read the instructions in order to ensure that accurate,
relevant and consistent information is provided. If you have any questions regarding
completion of this form, please refer to the contact information in the attached letter.
Please Note: In addition to completing this form, please be sure to provide a copy of your
Agency's Financial Statements, IRS Form 990 or a Profit/Loss Statement and Balance Sheet
for your most recent fiscal year. Please also provide a listing of all salaries paid to your
employees for the 2011 calendar year (Ex: Year end payroll repor0.
Suffolk County Office Use Only
Control Number 120477 ] ~ntered By ['~ Reviewed By ['~ Date Received I
I Notes [
If any of the information below has changed, you may cross out the printed information and fill
in the correct information.
2011 Actual: I
ITown of Southold
ICSE
- Residential Repair
Contract Amount:
Contractor Name:
Program Name:
Contractor Phone Number:
Contractor Contact Name:
Contractor Street Address:
Contractor City Address:
Contractor State Address: '
Contractor Zip Code:
1(631) 298-4460
$18,274
[Karen McLaughlin
2012Estimate: [_ $16,381 ]
]Extension:
53095 Main Road, P.O. Box 1179
[S~u~0ld
Il 1971 ~
· ~ Control Number t'age ;z ol '~
20477 Activity Code
Contract Program Revenues
Part I - Government Grants
I) Total amount of revenue received fi~om Suffolk County for Coalraet
ProgmnL
~011 Actual 2012 Estimated
[ 17,691 I 20,400
2) Total revenue received directly fi'om State Oovernmenl for the
Contract Program, Pleas~ identify names and amounts of grant(s):
3) Total revenue received directly from Federal Government for the
Contract Program. Please identify ~mmes and amounts of grant(s):
4) Total revenue received directly from all other Municipalities for the
Contract Program. Please identify names and amounts of grant(s):
Town of Southold
Part 2 - Medicare/Medicaid, Fundraising and All Other Revenues
5) Total revenue received fi'om Medicate/Medicaid for the Contract
Program.
6) Total Fund Raising revenue received for the Contract Program.
0
0
7) Total amount of other t~ovenues received for the Contract Program. I 968
Please identify types of revenues and amouuts below:
1,100
8) Total Contract Program Revenue tsaa~a.est.?~ {' 28,525 { 28,259
· ~ .. Page 3 of 4
Control Numbea' [ 19680 Activity Code I
Contract Program Expenses
Part 3 - Direct Contract Program Expenses ~01 i Actual
9) Direct Contract Program Salaries '
10) Direct Contract Program Fringe Benefits
1 I) Dire, et Contract Program Fee for Service
12) Direct Other Contract Program Expenses
13) Total Direct Contract Program Expenses
(Add Lines 9 through 12)
569,311
170,793
o
213,212
953,316
2012 Estimated
600,002
180,001
0
243,850
1,023,853
Part 4 - Administrative Contract Program Expenses 20/1 Actual
14) Administrative Contract Program Salaries
15) Administrative Contract Program Fringe Benefits
16) Administrative Contract Program Fees
17) Other Administrative Contract Program Expenses
18) Total Administrative Contract Program Expenses
(Add I,ines 14 through 17)
19) Total Contract Program Expenses
[ o,
2012 Estimated
..... 0"
0
o
o
953,316 '[ ' 1,023,853 ' '
20) Please provide a short description of your Direct Contract Prograt~ Expenses:
Part 5 - Top 5 Agency Employee Salaries
I',] All Volutl oor$ [] No $~lartes I§0K+, Hard oopy available
Employee Name Employee Title 2,011 Sa!ar¥
~.1 Carlisle E. Cochran, Jr. I Police Chief ] 339,726.37
2, I'""Kevin J. Lynch I Police Sergeant 258,976.85
3, I' James D. Franke I Police Officer [ 211,7')n,69
4' i- M&rtin Flatley I Polic'e ~h'i~ f 175,891.09
5. t' Oinks I Po"ce Set,can, fi6 .77 '.i2
Amount of Salary
Charged to the
Contract Program
i .00
I. .00
[ .00
' I .00
[ .00
Page 4 of 4
Control Number 119680 Activity Code i '
Agency Information
Part 6 - Financial and Other Agency Information
21) Total Agency Support and Revenues
22) Total Agency Program Expenses
23) Total Agency Administrative Expenses
24) Total Agency Expenses ~Li.~: pt., Un. ~Sl
25) Total Agency Net Ineomed(Loss) tu.e :J el.us u.e :41
26) Please indicate your riseal year if it is not the calendar y~ar:
27a) Is your agency affiliated with any other corporations ? (Yes / N
27b) If yes, name corporation(s), and explain your agency's affiliation:
201,,1 Actual 2012 Estimated
37,180,606.13 137,298,915.00
31,124,269.91 33,423,995.00
5,274,774.74 6,211,777.00
~[ (2,336,857.00)
[] Yes S] No
28) Does your Agency: (Check all that apply, if none apply please check the box marked not applicable)
[] Administer a corps of volunteers [] Administer the collection and distribution of fuod to
[] Administer federal, state or other pass through funding the needy
[] Not Applicable for my Agency
[] Disseminate educational materials for a public purpose
29) i certify that enclosed herein, along with my disclosure form, is my Agency's most recent
financial report (audited or unaudited Financial Statements, IRS form 990 or Profit/Loss
Statement); and a listing of all 2011 salaries paid to my Agency's employees. 'I understand that if
the required financial reports are not enclosed my Agency will be deemed Non-Compliant until !
have submitted the required report to the Comptroller's Office.
Initials
Form Prepared By Title Phone Number
IKaren McLaughlin Director of Human Services 631-298-4460
Agency Program Contact Title Phone Number
sam; I I
If you would prefer to be contacted via E-mail, please enter an E-mail address where we may contact you in
the event that we have any questions regarding the completion of this form (Optional):
karen.mclaughlin~town.southold.ny.us
I certi~/]o the best of my knowledge and belief, that all &the information provided on this form is true and
corre~./
_~_a~O~t~~ Supervisor July 13, 2012
CONTRACT AGENCY DISCLOSURE FORM
(For 2013 Budget Process)
Contract Agency Information Page 1 of 4
Before completing this form, please read the instructions in order to ensure that accurate,
relevant and consistent information is provided. If you have any questiogs regarding
completion of this form, please refer to the contact information in the atthched letter.
Please Note: In addition to completing this form, please be sure to provide a copy of your
Agency's Financial Statements, IRS Form 990 or a Profit/Loss Statement and Balance Sheet
for your most recent fiscal year. Please also provide a listing of all salaries paid to your
employees for the 2011 calendar year (Ex: Year end payroll report).
Activity Code
Suffolk County Office Use Only
Control Number 119680 ] Entered By [--~ Reviewed By [--~ Date Received
[ J Financial Statement Type: I l Notes [
Department IEx cu E I
Division [Office for the Aging' [
Fund [001 [ Agency ~ Org ~ Object [4980
If any of the information below has changed, you may cross out the printed information and fill
in the correct information.
Contract Amount: 2011 Actual: [ $224,248 ] 2012Estimate: [ $249,353
Program Name: [IIIC Nutrition
Contractor Phone Number: [(631)298-4460
Contractor Contact Name:
Contractor Street Address:
Contractor City Address:
Contractor State Address:
Contractor Zip Code:
[Karen McLaughlin
Extension: 1_ __ ]
53095 Main Road, P.O. Box 1179
[S_°uth°ld~
I.!1971
~ControlNumber
9680 Activity Code [
Contract Program Revenues
Part 1 - Government Grants ,2011 Actua,!
i '
l) Total amount of revenue received from Suffolk County for Contract 224,248
Program.
2) Total revenue received directly from State Government for the
Contract Program. Please identify names and amounts &grant(s):
Page 2 ol ,~
2012 Estimated
242,000
3) Total revenue received directly from Federal Government for the
Contract Program. Please identify names and amounts &grant(s):
I 0 [ 0
4) Total revenue received directly from all other Municipalities for the
Contract Program. Please identify names and amounts of grant(s):
Town of Southold.
Part 2 - Medicare/Medicaid, Fundraising and All Other Revenues
5) Total revenue received from Medicare/Medicaid for the Contract [' 0 I 0
Program.
6) Total Fund Raising revenue received for the Contract Program.
7) Total amount of other revenues received for the Contract Program.
Please identify types of revenues and amounts below:
South Oaks Hospitak - Community Integration Grant
Participant Contributions III-C Nutrition Programs for the Elderly
i 119,242 [ 119,000
9,000 0
110,242 119,000
8) Total Contract Program Revenue {naa~,es~-TI i 953,316 [ 1,023,853
Control Number Page 3 of 4
I 19680 Activity Code ] .....
Contract Program Expenses
Part 3 - Direct Contract Program Expense~ 2011 Actual
9) Direct Contract Program Salaries ' i 569,311
I0) Direct Contract Program Fringe Benefits 170,793
I I) Direct Contract Program Fee for Service J' 0
12) Direct Other Contract Program E×penses I 213,212
13) Total Direct CoHtract Program Expenses [ .... ¢~31316
(Add Lines 9 through 12)
2012 Estimated
600,002
180,001
0
243,850
1,023,853
Part 4 - Administrative Contract Program Expensea 2011 Actual
2012 Estimated
ministmtive Coqtract Program Salaries 0 0
15) Administrative Contract Program Fringe Benetlts i ..... 0 } 0
16) Administrative Contract Program Fees I ' 0 - ['" ' ' 0
17) Other Administrative Contrac! Program Expenses J' 0 I 0
18) Total Administrative Contract Program Expenses I' 0 i' 0
(Add I,{ncs 14 thmug,~ 17}
19) Total Contract Program Expenses
(Add t.in~s 13 and 181
953,316 I ..... 1,023,'853''
20) Please provide a short description of your Direct Contract Program Expenses:
Part 5 - Top 5 A~encv Employee Salarie-~
I.} All Volunloers E} No Salaries lfiOK+, Hard copy available
Emolovee Name gmnlovee Title ~
I. i Carlisle E. Cochran, Jr. I Police Chief ] 339,726.37
3'1 JamesD. Franke I PoliceOfficer I"' 211,7')4.69
4.] Martin Flatley [ Police Chief f 175,891.09
5. [ 'James'A. Ginas [ Police Sergeant C i65,774'. 12
Amount of.Salary
Charged to the
Contract Program
.00
I. .00
.00
.00
.00
Control Number J 19680 Activity Code } '
Agency Information
Part 6 - Financial and Other Apenev Information
2 I) Total Agency Suppert sod Revennes
22) Total Agency Program Expenses
23) Total Agency Administrative Expenses
24) Total Agency Expenses (Li.e :: ~,~., U.c :al
25) Total Agency Net Income/(Loss) (u.e :l m~.us u.e z4)
26) Please indicate your fiscal year if it is nol the calendar year:
27a) Is your agency affiliated with any other corporations ? (Yes / N
27b) If yes, name corporation(s), and explain your agency's affiliation:
Page 4 of 4
2011 Actual 2012 Estimated
137,180,606.13 137,298,915.00
I 31,124,269.91 'i 33,423,9~:07
I 781,561.48 1(21336,857.00)
[] Yes [] No
28) Does your Agency: (Check all that apply, if none apply please check the box marked not applicable)
[] Administer a corps of volunteers [] Administer the collection and distribution of food lo
[] Administer federal, state or other pass through funding the needy
[] Not Applicable for my Agency
[] Disseminate educational materials for a public purpose
29) I certify that enclosed herein, along with my disclosure form, is my Agency's most recent
financial report (audited or unaudited Financial Statements, IRS farm 990 or Profit/Loss
Statement); and a listing of all 2011 salaries paid to my Agency's employees,' I understand that if
the required financial reports are not enclosed my Agency will be deemed Non-Compliant until !
have submitted the required report to the Comptroller's Office.
Initials
Form Prepared By Title Phone Number
jKar;nMcLaughlin ~i~ .... ~~S;~C~S" I' 631-~;8-4460
Agency Program Contact Title Phone Number
isa;; ................ l'""" ....... I
If you would prefer to be contacted via E-mail, please enter an E-mail address where we may contact you in
the event that we have any questions regarding the completion of this form (Optional):
J' karen.mclaughlin~i0~vn.sot~th0id.x~y, us .........
l certi~.~o the best of my knowledge and belief, that all of the info,'mation provided on this form is true and
COrreCt,/
~_a. to' ./~--~/~ Supervisor Julv 13. 2012
Sign Name Title Dale
Town of Southold - Year End Payroll Report (2011)
Employee Name
SAUTKULIS/MARGARET H
DEUEL/MARIE
TAYLOR/BARBARA D
REIDY/MARGAUX J
5CHROEDER/ROBERT R
TAYLOR/LYN DSIE J
FAULKNER/PATRICIA J
SALZMANN/DENIS M
CONROY/MICHAEL L
WHYARD/SEAN M
DOROSKI/JORDAN P
ALLEN/DEBORAH M
BARRY/ROBERT J
METZ/EMILY H
COMANDO/DAVID
ATKINSON/PHYLLIS
MCCONLOGUE/DANIEL J
SCHULTHEIS/GERARD H
WELLS/CARA J
WIGGINS/JONATHAN
WORTHINGTON/BRETON S
METZ JR/KEVIN D
GOLDING/AGNIESZKA
GRAMAZIO/RICK A
5TROMSKI/SARAH L
GADOMSKI/HEATHER M
QUINTANA/ARTHUR
RUDDER/BARBARA A
HORN/SUSAN E
TULLY/PAUL H
FARRELL/RYAN S
PARMA/KEVIN E
CHYLINSKI/EMMA A
YUELYS/MARGARITE M
MCDONNELL/JESSICA L
5COTT/KATHRYN P
SKINNER/MATTHEW R
DELLAQUILA/MAI-rHEW C
HALLOCK/MATTHEW L
KUMJIAN/CLAUDE L
MEGEY JR/MICHEL V
KNOTE/BRITrANY E
ROSS/MEGAN N
NORBERG/SEAN C
Employee Title
LIFEGUARD TRAINER
DETENTION ATFENDANT
DETENTION ATFENDANT
LIFE GUARD
AEO
LIFE GUARD
SENIOR CITIZEN AIDE II
SCHOOL CROSSING GUARD
PUMP-OUT BOAT OPERATOR
LIFE GUARD
LIFE GUARD
HOME HEALTH AIDE
PUMP-OUT BOAT OPERATOR
BEACH ATTENDANT
PUMP-OUT BOAT OPERATOR
BOARD OF ASSESSMENT RVW
BOARD OF ASSESSMENT RVW
BOARD OF ASSESSMENT RVW
BOARD OF ASSESSMENT RVW
BOARD OF ASSESSMENT RVW
LIFE GUARD
BEACH ATTENDANT
CLERK TYPIST PT
BEACH ATTENDANT
8EACH ATTENDANT
BEACH ATTENDANT
BEACH MANAGER
ADMIN ASSISTANT (ACCT)
SCHOOL CROSSING GUARD
SCHOOL CROSSING GUARD
LIFE GUARD
LIFE GUARD
RECREATION SPECIALIST
BEACH ATTENDANT
RECREATION SPECIALIST
LIFE GUARD
PUMP-OUT BOAT OPERATOR
LIFE GUARD
LIFE GUARD
PUB. SAFETY DISPATCH. I
LIFE GUARD
LIFE GUARD
LIFE GUARD
LIFE GUARD
2011 Gross Earnings
253.84
356.18
379.92
632.84
711.79
711.95
752.50
775.53
816.00
1,077.96
1,120.86
1,183.08
1,192.00
1,204.14
1,276.00
1,389.00
1,389.00
1,389.00
1,389.00
1,389.00
1,443.04
1,481.56
1,550.25
1,701.38
1,836.90
1,907.31
1,968.59
2,000.00
2,074.44
2,154.50
2,232.36
2,232.36
2,405.26
2,474.70
2,539.82
2,563.08
2,592.00
2,886.08
2,991.82
3,193.88
3,197.08
3,219.14
3,294.48
3,315.26
Page 1 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
MARRON/CHRISTIANA C
CROTEAU/IVY J
WOOD/MAEGHAN A
SCHWARTZ/KEVlN J
STAVROPOUS/ANDREAS K
WlLCENSKI/WINSTON D
BRODERICK/THOMAS F
G RZESlK/MA'I-fHEW J
ORLANDO/J ESSICA L
MC ELROY/TIMOTHY F
BRUST/EDWARD J
SILE0/DONALD R
TRAMONTANA/JOHN T
BANKS/ANN K
WILLIAMS/SHAWN A
MAGUIRE-BURNS/AMY D
JACOBS/DAWN M
DOYLE/SEAN P
BURDY/THOMAS R
CAPPABIANCA/DONATO
ROMANELLI/ETHAN A
SCOI-I'/BONNIE L
MCCARTHY/DANIEL J
PONTINO/SUSAN N
THOMAS/MARIA
DZENKOWSKI/PEGGYLEE
FAHRBACH/GEORGE W
SAWICKI/ASHLEY A
BORN/SABRINA M
CASSIDY/ERIC M
BELLOMO/DEBRA A
RICHERT/THEODORE A
NIELSEN/THOMAS S
PISCATELLI/HEATHER K
WlNSER/KRISTY M
GREBE/ALFRED R
CROSSER/JOHN M
TASCA/LESLIE A
MCCLEERY/JUDITH B
HYDELL/MARY F
BOERGESSON/ROBERT E
HAASE JR/ROBERT J
BURKE/CHRISTOPHER
ZUREK/STANLEY J
Employee Title
LIFE GUARD
LIFE GUARD
LIFE GUARD
LIFE GUARD
LIFE GUARD
LIFE GUARD
FOOD SERVICE WORKER
LIFE GUARD
LIFE GUARD
LIFE GUARD
MINI BUS DRIVER
COURT OFFICER
PT SCALE OPERATOR
SCHOOL CROSSING GUARD
TRAFFIC CONTROL OFFICER
CLERK
PUB. SAFETY DISPATCH. I
ASSISTANT COOK
GUARD
COURT OFFICER
TRAFFIC CONTROL OFFICER
SCHOOL CROSSING GUARD
CLERK TYPIST PT
CLERK TYPIST PT
JUST CT CLRK(SPNSH SPK)
DETENTION ATTENDANT
MINI BUS DRIVER
TRAFFIC CONTROL OFFICER
TAX CASHIER
TRAFFIC CONTROL OFFICER
HOME HEALTH AIDE
TRAFFIC CONTROL OFFICER
HOME HEALTH AIDE
SENIOR CITIZEN AIDE II
SITE PLAN REVIEWER
HIGHWAY LABOR CREW LDR
SEASONAL PO (TOWN&VlLL)
CLERK TYPIST PT
CLERK TYPIST PT
CLERK TYPIST PT
SCHOOL CROSSING GUARD
SEASONAL PO (TOWN&VlLL)
FOOD SERVICE WORKER
GUARD
2011 Gross Earnings
3,536.46
3,555.24
3,557.84
3,559.73
3,720.60
3,800.42
3,874.77
3,885.96
4,085.37
4,618.51
4,692.71
5,174.48
5,193.95
5,271.74
6,090.60
6,139.68
6,156.64
6,290.72
6,45~..20
6,558.48
6,561.54
6,733.19
6,748.59
7,532.64
7,570.08
8,471.32
8,783.00
9,262.70
9,857.70
9,895.74
9,939.48
10,123.31
10,392.52
10,587.38
10,943.13
11,292.58
11,513.26
11,686.24
11,853.65
11,928.05
12,025.35
12,091.06
12,099.28
12,199.20
Page 2 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
ARZT/'FAMARA S
CREMERS/WILLIAM J
DINIZIO/JAMES
EDWARDS/KENNETH
GOEHRINGER/GERARD P
HORNING/GEORGE E
RICH Ill/JAMES H
SCHNEIDER/KENNETH
WlLCENSKI/DONALD J
SAKARELLOS/ELIZABETH
GATZ/DIANE K
GRATHWOHL/KRISTIN L
WlLKE/JEAN NE'I-rE P
WHITECAVAGE/DIANA V
SCHMIDTCHEN/DOROTHY
WALL/ROBERT
BROCK/PETER J
DOUBRAVA/JOSEPH E
DEFRIEST/VlCKIE
SlDOR/MARTIN H
WEISMAN/LESLIE K
BOGDEN/JACOB J
CHITUK/DOROTHY
BERGEN/DAVID R
BREDEMEYER Ill/JOHN M
GHOSIO JR/ROBERT
KING/JAMES F
DICKERSON/BRIAN L
SUGLIA/ROSINA
BELL/FREDERICK D
INGARRA/FRANK V
STEPNOSKI/JEAN T
DAVlDS/SANDRA E
DOHERTY/JILL M
CAPPABIANCA/LUCILLE
RAY/ANNETfE E
DEVlTO/MICHAEL J
EDWARDS/JEFFREY D
HORN/LAWRENCE
BOOTH/ANTONIA
KLAHRE/LAURA E
AUGUSTINE/GEORGE T
FISHER/ROBERT A
SABATINO/ALYXANDRA K
Employee Title
PLANNER
PLANNING BOARD MEMBER
ZONING BD OF APPEALS MB
PLANNING BOARD MEMBER
ZONING BD OF APPEALS MB
ZONING BD OF APPEALS MB
PLANNING BOARD MEMBER
ZONING BD OF APPEALS MB
PLANNING BOARD MEMBER
SENIOR CLERK TYPIST
HOME HEALTH AIDE
SCHOOL CROSSING GUARD
SCHOOL CROSSING GUARD
ACCOUNT CLERK
HOME HEALTH AIDE
BUILDING INSPECTOR
CONSTABLE FISHERS ISLAN
MINI BUS DRIVER
TAX CASHIER
PLANNING BOARD MEMBER
ZONING BD OF APPEALS MB
SEASONAL PO (TOWN&VlLL)
TAX CASHIER
TRUSTEE
TRUSTEE
TRUSTEE
TRUSTEE
MINI BUS DRIVER
TAX CASHIER
SCHOOL CROSSING GUARD
MAINTENANCE MECHANIC I
CUSTODIAL WORKER I (PT)
FOOD SERVICE WORKER
TRUSTEE
LEGAL STENOGRAPHER
SCHOOL CROSSING GUARD
SENIOR COOK
CONSTABLE FISHERS ISLAN
CONSTABLE FISHERS ISLAN
TOWN HISTORIAN
LAND MANAGEMENT SPEC II
SCHOOL CROSSING GUARD
FIRE MARSHALL 1
PLANNER TRAINEE
2011 Gross Earnings
12,351.97
12,500.02
12,500.O2
12,500.02
12,500.02
12,500.02
12,500.02
12,500.02
12,500.02
12,557.34
12,576.35
12,591.90
12,744.44
12,878.83
12,914.44
13,299.78
13,381.37
13,514.35
13,644.53
14,100.06
14,100.06
14,270.29
15,458.24
15,484.04
15,484.04
15,484.04
15,484.04
15,777.94
16,214.13
16,267.54
16,573.92
16,602.14
16,940.97
17,084.08
17,318.17
17,350.82
17,606.45
17,841.72
17,841:72
18,387.20
19,423.55
21,714.12
24,784.93
28,554.51
Page 3 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
CUMMINGS/BRIAN A
RICHERT/ROGER F
KRUPSKI/ALBERT J
ORLANDO~VINCENT M
RULAND/WILLIAM P
TALBOT/CHRISTOPHER M
RICHARDS/MIRIAM L
OI-SEN/DEBORAH
LESSARD/DIANE E
SULLIVAN/GEORGE R
LASKEY Ill/DONALD H
FOOTE/NANCY L
NUNEMAKER/AMANDA M
RAICO/IRENE
NORKELUN/BEVERLY J
DRAKE/MICHELE C
VAN DUZER/DIANA C
SCHNEIDER/TERRY E
ANDERER/ROSEANN
OSTROSKI/GARY
O. UILLIN/MICHAEL T
CANTRELL/ELIZABETH A
STROMSKI/LORETTA J
KNIGHT/MARVIN S
WOLSERT/STEVEN C
VISSER/FREDRIC J
8YRNES/SHAWN P
ZUCCHERO/STEPHANIE
HYDELL/CAROL A
HAAS/ERICK R
CRUZ/ROXANA L
EVANS/LOUISA P
MILLER/KIMBELL
DELORME/JEAN T
WEINGART/JEFFREY L
WELCH/DANIEL P
HUBBARD/MICHAEL L
DROSKOSKI/CHRISTINE M
ATKINSON/DANIA M
MARKOPOULOS/PHYLLIS
WADLINGTON/KENDRA M
TOTH/VICKI R
SALMON/CHRISTOPHER W
FLISS/AMY L
Employee Title
PLANNER TRAINEE
ELECTRICAL INSPECTOR
TOWN BOARD COUNCIL MEMB
TOWN BOARD COUNCIL MEM8
TOWN BOARD COUNCIL MEM8
TOWN BOARD COUNCIL MEMB
REC. PROGRAM CORD. PT
MINI BUS DRIVER
CLERK TYPIST (PD)
TOWN TAX RECEIVER
AEO
CLERK TYPIST
CLERK TYPIST
HOME HEALTH AIDE
FOOD SERVICE WORKER
JUSTICE COURT CLERK
JUST CT CLRK(SPNSH SPK)
SENIOR CITIZEN AIDE II
MINI 8US DRIVER
SENIOR COOK
AEO
CLERK TYPIST
CLERK TYPIST (HWY)
MINI BUS DRIVER
AUTO MECHANIC
CEO
CUSTODIAL WORKER I
SCALE OPERATOR
ACCOUNT CLERK
CUSTODIAL WORKER I
CLERK(SPANISH SPEAKING)
TOWN JUSTICE/COUNCILWOM
DATA ENTRY OPERATOR
ADULT DAYCARE PROG SUPV
DRIVER/MESSEGER
SCALE OPERATOR
CUSTODIAL WORKER I
CLERK TYPIST
JUSTICE COURT CLERK
CASEWORKER
JUSTICE COURT CLERK
SECRETARY
PO (TOWNS AND VILLAGES)
PUB. SAFETY DISPATCH. I
2011 Gross
Earnings
28,774.15
29,364.32
30,066.92
30,066.92
30,066.92
30,066.92
32~738.16
34,261.24
34,390.98
34,674.12
37,368.69
37,696.62
37,696.62
39,137.28
39,284.18
39,714.22
39,714.22
40,531.40
40,674.66
40,817.19
40,927.60
41,465.51
42,126.50
42,708.38
43,859.86
43,895.37
43,903.34
45,248.43
45,847.88
45,861.69
46,350.72
47,161.92
47,173.10
47,804.12
48,026.47
48,386.58
48,531.60
48,928.88
49,288.70
49,804.05
49,822.24
49,859.94
51,163.00
51,349.52
Page 4 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
MCBRIDE/FRANK H
BUNCH/CONNIE D
GARCIA/ANDREW R
KASWELL/CHERYL A
TOMASZEWSKI/MICHELLE L
DICANDIA/PETER J
DOROSKI/DAVID A
5WEENEY JR/MICHAEL J
DE JESUS/DONALD J
FANNON/WILLIAM F
SAYRE JR/DONALD R
LILLIS/DANIEL J
8EDNOSKI/JAYME L
ZEBROSKI/WILLIAM
EDSTROM/JANE
KESSLER/SCOTT A
FOSTER/CHRISTINE L
ROGERS/JAMES S
DOROSKI/BONNIE J
BERLINER/SANDRA L
ROGERS/ROBERT B
SCHWEITZER/GREGORY C
JEROME/JOHN
CORWlN/EVERETT C
RANDOLPH/LINDA P
ACKROYD/RUSSELL A
DE FIO/VALERIE A
CAPRISE/MICHAEL A
COUGHLIN/DAVlD
VAN HOY/COLLEEN S
KIRINCIC/JONN P
STULSKY/CHRISTINE
BONDARCHUK/JOSEPH W
SINRAMM/JOAN E
MCCAFFERY/ROBERT A
KAPUSTKA/PAUL A
LANE/DONNA L
GEIER/CRAIG J
ADDAMO/JOHN M
CONKLIN/PATRICIA
TABOR/ROGER M
GRILLI/JOHN D
KALIN/CAROL A
ORIENTALE/MICHAEL C
Employee Title
LABORER (SOLID WASTE)
SENIOR CLERK TYPIST
PO (TOWNS AND VILLAGES)
ACCOUNT CLERK TYPIST
SECRETARIAL ASSIST (PD)
PO (TOWNS AND VILLAGES)
AEO
AEO
AEO
PUB. SAFETY DISPATCH. I
AEO
PO (TOWNS AND VILLAGES)
AEO
CUSTODIAL WORKER I
SENIOR CLERK TYPIST
MAINT MECHANIC III
SECRETARIAL ASSISTANT
HIGHWAY LABOR CREW LDR
ADMINISTRATIVE ASSIST.
SECRETARY TO SUPERVISOR
AEO
SCALE OPERATOR
CUSTODIAL WORKER II
AEO
SECRETARIAL ASSISTANT
MAINT MECHANIC III
SENIOR ACCOUNT CLERK
SCALE OPERATOR
AEO
PUB. SAFETY DISPATCH. I
BAY CONSTABLE
SENIOR JUSTICE CT CLK
HEO
SECRETARY
LABORER (SOLID WASTE)
HEO
PUB, SAFETY DISPATCH. I
AEO
GROUNDSKEEPER II
BUILDING PERMITS EXAM
HEO
HEO
SECRETARIAL ASSISTANT
HEO
2011 Gross Earnings
51,850.58
52,152.56
52,616.03
52,907.14
52,988.52
53,644.11
53,879.33
54,071.71
54,170.68
54,189.27
54,422.77
54,614.51
55,447.29
55,638.36
55,758.30
56,107.71
56,294.16
56,521.26
56,744.68
56,878.90
57,148.52
57,360.46
57,607.55
57,995.54
57,995.97
58,138.23
58,656.77
58,749.14
59,116.88
59,917.43
60,031.08
60,291.40
60,366.30
60,382.66
60,701.84
60,707.67
6:~,327.17
6:~,812.80
61,881.38
61,894.82
62,255.30
62,713.35
62,791.82
63,139.82
Page 5 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
GLEW/CLAIRE L
FRIEDBERG/FREDERICK W
ABRAMS/TIMOTHY F
BRUER/RUDOLPH H
PRICE/WILLIAM H
TARPEY/MARTIN J
DOROSKI/MELANIE
REEVES/KENNETH J
SKABRY/THOMAS M
ZUHOSKI/EDWARD A
FOSTER/ROGER T
NORKLUN/STACEY A
MARTINEZ/JACQU ELINE
HULSE/LORI M
ANASAGASTI/MICHAEL
RALLIS/DAMON P
DEFIO/BRUCE W
DUFFY/DARLINE J
WEBSTER/KEVl N
DOHERTY/PETER J
GATZ/PETER H
SCOTT/ROBERT I
SALMON/WILLIAM F
MELLAS/RICHARD G
FOG LIA/JANICE L
FISH/GARY J
GILLEN/GEORGE J
BOKEN/MICHAEL C
KALIN/LLOYD A
WEINGART/HOLLY A
KUMJIAN/DEBORA L
GLOVER/EVERE'I-D B
GAFFGA/WlLLIAM
GRATTANfrAMMY J
RUDDER/LYNDA M
KRAUZA/LYNNE M
HUZSEK/ANDREW H
WELLS/RANDALL A
ECKHARDT/MICHAEL C
VOLINSKI/MICHAEL C
EPPLE/ANDREW
STANDISH/LAUREN M
RICHTER/JAM ES A
ZALESKI/MARK A
Employee Title
SR ASSESSMENT ASSISTANT
MAINTENANCE MECH II
MAINT MECHANIC III
JUSTICE
JUSTICE
CEO
SENIOR ADMIN ASSISTANT
RECREATION SUPERVISOR
HEO
CEO
HEO
RECORDS MANAGEMENT ASST
SENIOR CIT CENT MANAGER
ASSISTANT TOWN AI-fORNEY
CEO
ZONING INSPECTOR
DIESEL MECHANIC
BD OF ASSESSORS MEMBER
BD OF ASSESSORS MEMBER
GROUNDSKEEPER II
GROUNDSKEEPER II
BD OF ASSESSORS MEMBER
MAINT MECHANIC III
CEO
PRINCIPAL ACCOUNT CLERK
BUILDING INSPECTOR
BUILDING INSPECTOR
PUB. SAFETY DISPATCH. I
HIGHWAY LABOR CREW LDR
PUB. SAFETY DISPATCH. I
PUB. SAFETY DISPATCH. I
HEO
MAINT MECHANIC III
PUB. SAFETY DISPATCH. I
PRINCIPAL ACCOUNT CLERK
SECRETARY TOWN ATTORNEY
CEO
AUTO MECHANIC III
MAINT MECHANIC III
HIGHWAY LABOR CREW LDR
BAY CONSTABLE
SECRETARIAL ASSISTANT
ENGINEERING INSPECTOR
PUB. SAFETY DISPATCH. I
2011 Gross Earnings
63,220.42
64,053.19
64,068.38
64,118.08
64,118.08
64,128.90
64,563.46
64,678.90
64,966.42
65,117.97
65,311.90
65,536.31
65,580.58
65,592.24
65,930.00
66,095.90
66,149.03
66,213.94
66,213.94
66,409.32
66,892.74
67,813.98
68,402.65
68,579.59
69,189.38
69,200.82
69,605.90
69,897.57
70,161.55
70,362.19
70,520.70
70,803.01
70,957.48
71,046.13
71~208.28
71,468.54
71,771.68
71,977.56
72,324.45
73,134.27
73,227.53
73,405.85
73,710.78
74,646.60
Page 6 of 8
Town of Southold - Year End Payroll Report (2011)
Employee Name
AVENT/AARON
WEINGART/BRYAN R
WOODHULL/RUTHANNE
ROHRBACH/GEORGE
KLOS/SHEILA
SMITH/THOMAS
TERRY/MARK B
BELTZ/BRUCE P
STANDISH/JEFFERY T
SOLOMON/CONNIE D
TOMASZEWSKI/ZACHARY T
ZUHOSKI/DAVlD
COOPER/LINDA J
RUSSELL/SCOTT
BLADOS/DAVlD
SEPENOSKI/JOHN P
NEVILLE/ELIZABETH
SPIRO/ME/ISSA A
FLATLEY/RORY M
HELF JR/JOHN M
WlTZKE/STEVEN J
ANDALORO/JENNIFER A
JERNICK Ill/RICHARD E
DAVIDS/CURTIS F
HARRIS/PETER W
DZENKOWSKI/DONALD
SIMMONS/GREGORY J
REISENBERG/LLOYD H
MCLAUGHLIN/KAREN
HUNSTEIN/DAVlD C
LANZA/HEATHER M
CONLAN/LAURA L
JACOBS/PETER J
ALLEN/MARIANNE
WYSOCKI/JOSEPH S
MCNAMARA/BRIAN P
BUNCHUCK/JAMES
GILLAN/SEAN M
BUONAIUTO/RICHARD J
GRA~DAN/STEVEN M
OKULA/DAVID M
MCGOWAN/TIMOTHY J
WlLINSKI/ROMAN S
FINNEGAN/MARTIN D
Employee Title
GROUNDSKEEPER III
PUB SAFETY DISPATCHER 2
SENIOR STENOGRAPHER
AUTO MECHANIC 4
PUB. SAFETY DISPATCH. I
HIGHWAY LABOR CREW LDR
PRINCIPAL PLANNER
SPEC PROJ COORDINATOR
TOWN MAIN CREW LEADER
DEPUTY TOWN COMPTROLLER
TECHNICAL COORDINATOR I
SANIT. SITE CREW LEADER
SENIOR ADMIN ASSISTANT
SUPERVISOR
SANIT. SITE CREW LEADER
TECHNICAL COOR II
TOWN CLERK
PRINCIPAL PLANNER
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
ASSISTANT TOWN A'I-I'ORN EY
PO (TOWNS AND VILLAGES)
DEPUTY SUP OF HWYS
SUPERINTENDENT OF HWYS
SENIOR BAY CONSTABLE
PO (TOWNS AND VILLAGES)
NETWORK & SYSTEMS ADMIN
TWN DIRECTOR/HUMAN SERV
PO (TOWNS AND VILLAGES)
TOWN PLANNING DIRECTOR
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
SOLID WASTE COORDINATOR
PO (TOWNS AND VILLAGES
PO (TOWNS AND VILLAGES
PO (TOWNS AND VILLAGES
PO (TOWNS AND VILLAGES
PO (TOWNS AND VILLAGES
PO (TOWNS AND VILLAGES
TOWN A-i-I'OR NEY
2011 Gross Earnings
75,064.18
75,624.10
75,806.86
75,819.O6
75,870.99
76,214.56
77,128.74
80,091.70
80,765.71
83,484.70
84,267.04
85,505.32
86,092.40
86,992.10
87,144.17
89,307.65
90,275.12
90,703.06
9:1,343.61
91,826.41
92,079.14
92,820.00
93,747.14
95,543.33
95,857.06
97,618.21
100,697.14
101,438.94
103,482.60
104,462.96
105,742.OO
106,015.46
107,272.56
107,377.54
112,849.11
112,999.42
113,267.94
114,070.S0
114,102.35
:114,164.48
114,339.34
1~4,387.47
115,470.86
116,693.98
Page 7 of 8
Town of Southold ~ Year End Payroll Report (2Oll)
Employee Name
MCMAHON/JAMES
JERNICK JR/RICHARD E
HELINSKI/WILLIAM E
BREWER/WILLIAM A
CUSHMAN/JOHN A
SPRINGER/RYAN L
LYBURD Ill/FRANK
MACKEY/DANIEL A
ZUHOSKI/STEVEN
MELE/FRANK J
RICHERT/KENNETH D
HARNED/STEVEN L
ONUFRAK/PETER C
BOPP/ROBERT
LATHAM/SCOTT
PERKINS/RICHARD A
VE RITY/M ICHAEL J
GRATHWOHL/EDWARD D
ROGERS/FRANCIS J
H UDOCK/'I'HOMAS F
CONWAY/JOSEPH A
SAWlCKI/HOWARD W
SINNING/JOHN D
BEEBE/THEODORE O
KRUSZESKI/FRANK R
SANTACROCE/HENRY F
GINAS/JAMES A
FLATLEY/MARTIN
FRANKE/JAMES D
LYNCH/KEVlN J
COCHRAN JR/CARLISLE E
GRAND TOTALS
Employee Title
EXECUTIVE ASSISTANT
PO (TOWNS AND VILLAGES}
SERGEANT:POLICE TOWN &
PO (TOWNS AND VILLAGES)
TOWN COMPTROLLER
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES}
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
SERGEANT:POLICE TOWN &
SERGEANT:POLICE TOWN &
CHIEF BLD INSPECTOR
PO (TOWNS AND VILLAGES)
PO (TOWNS AND VILLAGES)
SERGEANT:POLICE TOWN &
PO (TOWNS AND VILLAGES)
LIEUTNANT:POLICE TOWN &
POLICE DETECTIVE SGT
SERGEANT:POLICE TOWN &
LIEUTNANT:POLICE TOWN &
SERGEANT:POLICE TOWN &
SERGEANT:POLICE TOWN &
POLICE CHIEF(TOWN&VILL)
PO (TOWNS AND VILLAGES)
SERGEANT:POLICE TOWN &
POLICE CHIEF(TOWN&VILL)
2Oll Gross Earnin§s
117810.21
118150.81
118 517.45
118736.38
122 010.27
122 847.16
122 937.29
123 431.30
125 937.28
126 115.20
128,166.50
131,019.29
131,188.36
131,190.10
134,512.73
139,004.87
139,522.54
143,334.4!
144,589.05
145,793.70
149,592.65
152,907.34
154,456.91
157,066.33
160,981.73
165,486.23
165,774.12
175,891.09
211,774.69
258,976.85
339,726.37
17,337,690.46
Page 8 of 8
STATEMENT
OF
ANNUAL FINANCIAL AND OPERATING INFORMATION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATED: JUNE 1, 2011
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
Town Hall
PO Box 1179
Southold, NY 11971
Telephone: (631) 765-4333
Fax: (631) 765-4157
TOWN BOARD
Scott A. Russell, Supervisor
Louisa P. Evans
Albert J. Krupski, Jr.
Vincenl M. Orlando
William P. Ruland
Christopher M. Talbot
Elizabeth A. Neville, Town Clerk
Peter W. Harris, Superintendent of Highways
John A. Cushman Il 'Town Comptroller
Martin D. Finnegan, Esq., Town Attorney
George Sullivan, Receiver of Taxes
BOND COUNSEL
Hawkins Dolafield & Wood LLP
New York, New York
FINANCIAL ADVISOR
MUNISTAT SERVICES, INC.
Municipal Finance Advisory Service
12 Roosevelt Avenue
Po~l Jefferson Station, N.Y. 11776
(631) 331-8888
E-mail: info@munistat.com
Website: http://www.munistat.com
STATEMENT OF ANNUAL FINANCIAL
AND OPERATING INFORMATION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
The mar'erin] set forth he~,'~in in.eluding the cover page. has been prepared by the Town of Soutlold,
Suffolk County, New York (the Town ', the "County", and the "State", respectively) in connection with its
obligation toprepare and sub,nil such material in accordance with the Cunt lung D s~losure Undertakings and
.the Official Statements having been prepared in connect on w th the sa e and issuance of the following bond
Issues:
2,380,000
3,000,000
4,650,000
8,850.000
5,283,000
2,125,000
Refunding Serial Bonds - 2005
Fishers Island Ferry District Serial Bonds - 2005
Public Improvement Serial Bonds - 2007
Public Improvement Serial Bonds - 2008
Public Improvement Serial Bonds - 2009
Refunding Serial Bonds ~ 2009
THE TOWN
There follows in this Statement a brief description of the Town, together with certain information concerning
its economy andgovemmental organization, its indebtedness, current major revenue sources and expenditures and
general and specific fonds.
General Information
The Town, with a land area of 54.5 square miles, is located in eastern Suffolk County. on the north fork of
Long Island, Settlement took place in {640. The ,~Village of Greenpon s Geared wholly ?th n the Town. The
Town also includes the area of Fishers Island which is located approximately twelve m les east of the main and
Fishers Island is accessible only by water or air. There is also ferry serv ce operating between Orient Point and New
London, Connecticut.
The Town is primarily a rural resort area with sub.s, tantia shopp ng fac lit es a.v, ailable at Greenport, at
various shopping centers within the Town and at Riverhead just to the west. Some commercial services are available
within the T6wn in the hamlets of Sou]hold, Cutchogue and Mattituck.
· .Agriculture has been a major industry n the Town since its origins In recent years, farm crops have
granuahy evolved from basic production to nursery crops inc ud ng shrubs, sod, potted giants and other ornamentals,
3, substantial portion of these products are shipped by ,i'~rry across Long Island Sound for distribution throughout
New England. A ,lumber of vineyards have,been estab']ished and wine-making is an important industry. Fishing and
fish pro~ssing are now .growing industries due to improved transportation facilities. The Town is also a major
summer resort area, utilizing bays, inlets and Long Island and Block Island Sounds.
The main highways in the Town are New York State Route 25 and the North Road. Rail transportation is
provided by the Long Island Rail Road with stations at Mattituck, Sou]ho d and Oreenpor/. Ferry service is also
available b~ween Orient Point, east of Gre~nport, and New London, Connecticut as well as from Oreenport to
Shelter
Electric service is provided by the Long Island Power Authority; gas service is provided by National Grid,
Fire pr.otection is the responsibility of volunteer fire and fire protection districts. The T6wn provides its own po{ice
protect,on. In the Village of Oreenport, electric service and fire protection are provided by the Village.
.Subject to tile provisions of the State Constitut on the Town operates pu 'suant to the Town Law, the
Generat Municipal Law the Loca F lance Law, other laws genera y applicable to the Town, and any special
laws specifically applicable to the Town. Under such laws, there is no authority for the Town to have a charter,
but pursuant to the Town Law and other laws general y applicable to home rule, tle Town may from time to time
adopt local laws which do not conflict w th ex~sting laws as enacted by the State.
The legislative p~wer of the Town is vested in the Town Board which consists of f ye members, elected
for a term of four years, ',a, nd the Supervisor, who is the chief executive officer of the Town, elected for a term of
foul' years. Such terms are staggered such that two or three councilmen are e ected every two years. All the
Town Board members are electe~at large and there is no limitation to the number of terms each may serve.
Six independently governed sc ~oo districts are ocated wholly or partially within the Town. which rel~
on their own taxing powers granted by the S!ate to raise revenues. The school districts use the Towns
assessment roll as their basis for taxation of property located within the Town.
Employees
The Town provides services through approximately 204 full-time, 51 part-time, and 14 seasonal
employees, some of whom are represented by orgamzed labor.
The following table presents the number of employees' represented by organized labor, name of union
and contract expiration dates.
Approximate Date Contract
Name of Union Membership Expires
Civil Service Employees Asset ....................................... 142 12-31 ~ 12
Police Benevolent Asset ................................................. 49 12-31-09'
*Contracl in ncgotialion
ECONOMIC AND DEMOGRAPHIC INFORMATION
Population Characteristics
The Town has had a population trend, as compared to the County and the State, as indicated below:
Town of Suffolk New York
Southold County State
1970 ........................................................................... 16,804
1980 ........................................................................... 19,172
1990 ..... 19,836
2000 ............. 20,599
Source: U.S. Bureau oflhe Census.
1,127,030 18,241,391
1,284,231 17,557,288
1,321,977 17,990,455
1,419,369 18,976,457
1,518,475 19,541,453
2
Income Data
Per Capita Money Income
990 2000 2009*
Town of Southold $19,037 $27,619 $ 40,137
County of Suffolk 18,481 26,577 30,062
State of New York 16,501 23,389 30,634
Median Houshold Income
1990 2000 2009*
Town of Southold $35,392 $49,898 $ 72,899
County of Suffolk 49,128 65,288 84,530
State of New York 32,965 43,393 55,233
Source: Uni(cd Slales Bureau of thc Census
*Note: Bas~ on American Community Survey 4-Year Estimates (2005-2009)
Unemployment Rate Statistics
Unemployment statistics are not ava able for the Town as such. The smallest area for which
such statistics are available (which inc udes the Town) is the County of Suffolk. The information set
forth below with respect to such County is included for informat on purposes only.. It should not be
i!npl~ied from the inclusion of such data in this Statement that the Town is necessarily representative of
the uounty or vice versa.
Annual Averages:
Suffolk New York
County State
2006 ............................................................
2007 ...........................................................
2009 ............................................................
2010 ............................................................
2011 (2 months) .........................................
4,0% 4.6%
3,9 4.5
4,9 5.4
7.3 8.4
7.6 8.9
8.2 8.7
Source: Deparlra~nl of Labor, State of New York
Selected Listing of Larger Employers
Name
Eastern Long Is sod Hospital .....
lure Island ADC ....................................................
Mattituck-Cutchogue UFSD ................................................
Town of Southold- ................................................................
Peconic Landing ........................................................
Southo d UFSD ....................................................................
San Simeon by the Sound ....................................................
Oreenport UFSD ..................................................................
Apl~,rox.
lNG.
Type of Emnlovee~
Hospital 390
U.S. Govt. Facility 330
Public School 380
Local Government 276
Life Care Community 210
Public School 198
Nursing Home 175
Public School 120
*Note: As of Ihe date of this Official Sla(emenl, the U.S. General Services Administration is undcrlaking measurers Io study the
decommission and polemial sala of Ihe Plum Island and PIADC faciliries pending ¢omplalion of the replaccmenl National Bio
and Agro-Defcnse Facility ("NBAF") in Manhattan, Kansas, anticipated in 2014.
Fiscal Year
Ending
December 31:
INDEBTEDNESS OF THE TOWN
The following pages set forth ce~ain details with respect to the Indebtedness of the Town.
Computation of Debt
Limit and Calculation of Net Debt Contracting Margin
(As of June 1,2011)
State
Assessed Equalization
Valuation Rate
2007 ................................................................ $106,950,027
2008 ................................................................ 108,292,749
2009 ................................................................ 108,991,562
2010 ................................................................. 109,089,429
2011 ................................................................. 108,465,500
Full
Valuation
1.04% $10,283,656,442
0.95 11,399,236,736
1.05 10,380,148,761
1.06 10,291,455,566
1.09 9.950.963,303
Total Five Year Full Valuation ................................................................................................ $52,305,460,810
Average Five Year Full Valuation ........................................................................................... 10,461,092,162
Debt Limit - 7% of Average Full Valuation ............................................................................. 732,276,451
Inclusions:
Outstanding Bonds:
General'Purposes ........................................................................................................... 31,400,000~
Other ......................................................................................................................... -0-
Sub-Total ......................................................................................................................... 31,400~000
Bond Anticipation Notes ........................................................................................................... 7,081,000
Total Inclusions ................................................................................................................... 38.481.000
Exclusions:
Appropriations for Outstanding Bonds ................................................................................ 190,000
Appropriations for Outstanding Notes ................................................................................. 681,000
Other Exclusions ................................................................................................................. -O-
Total Exclusions .................................................................................................................. 871.000
Total Net Indebtedness ............................................................................................................... 37.610,000
Net Debt Contracting Margin .................................................................................................... 694.666.45~1
Percent of Debt Limit Exhausted ............................................................................................... 5.13%
a. Includes $20,024,100 issued for thc preservation of open space. Sen "Community Preservation Fund" hurcin.
Trend of Town Indebtedness
The following table represents the outstanding indebtedness of the Town at the end of the last five
preceding fiscal years.
Fiscal Year Ending December 31:
2006 2007 2008
Debt Outstanding End of Year:
Bonds ...................................... $11,349,098
Bond Anticipation Notes ......... 8,244,000
Total Outstanding Debt .................. ~
$25,020,000 $32,175,000
6,224,000 6,579,100
2009 2010
$35,418,000 $33,375,000
9,150,800 6,218,000
$41.568.800 $39.593.000
Details of Short-Term Indebtedness Outstanding
Bond Anticipation Notes
Maturity Purpose Amount
04-12-12 Various Capital Projects ............................................................... $ 307,000
09-02-11 Various Capital ProJects .......................................................................... 5,224,000u
04-12-12 New London Wharf and Open Space Presentation .................................. 1,550.000
Total ................................................................................................. L7~
a, A porlion of such notes in (he amounl 0£$3,275,000 will be convened lo long len~ bonds on June 29, 2011. The balance ~f such amounl wilt be paid
for by appmpria0ons and renewal notes.
Debt Service Requirements - Outstanding Bonds
Fiscal Year
Ending
Decem§er 31: Principal
$2,165,000
2,130,000
1,965,000
2012 ................................................
2013 ................................................
2014 ................................................ 1,980,000
2015 ................................................ 2,000.000
2016 ................................................ 1,935,000
2017 ................................................ 1,200,000
2018 ................................................ 2,055,000
2019 ................................................ 1,620,000
2020 ................................................ 1,515,000
2021 ................................................. ! ,550,000
2022 ................................................. 1,360,000
2023 ................................................. 1,420,000
2024 ................................................. 1,465,000
2025 ................................................. 1,475.000
2026 ................................................. 1,310,000
2027 ................................................. !,325,000
2028 ................................................. 1,355,000
2029 ................................................. 1,370,000
2030 ................................................ 1.380.000
Totals .........................................
Interest Total
,312,972 $3,477,972
,233,976 3,363,976
1,159,162 3,124,162
,084,704 3,064,704
,006,994 3,006,994
929,416 2,864,416
848,289 2,848,289
762.012 2,817,012
685,501 2,305,501
621,800 2,136,800
559,213 2,109,213
495,325 1,855,325
437,975 1,857,975
378,463 1,843,463
317,381 1,792,381
258,863 1,568,863
203,063 1,528,063
146,113 1,501,113
88,207 1.458,207
29,547 1,409.547
$12.558,9~ ~
b. Includes $20,024,100 for thepmsenlationofopcn apace, Se¢"Conmlunily Preservation Fund"herein. Doesnm rcflcc(payments made to date.
5
Calculation of Estimated Overlapping and Underlying Indebteduess
Overlapping
Units
Couaty of Suffolk ............................................
Village of Greenport ........................................
Applicable Ap.i~licable
Date of Percentage Total met
Reporl Applicable Indebtedness Indebtedness
12/09/l 0 3.71% $55,366,601 48,635,45 I
I 1/30/I 0 100.00% 8,899,400 8,262,700
School Districts:
Fishers Island ............................ 06-30-11 100.00 180,000
Greenpm~ .................................... 06-30- I 1 100.00 0
Mattituck-Cutchogue ................ 12-15-10 98.49 29,015,154
New Suffolk Common .............. 06-30-I I I00.00 0
Oyster Ponds .............................. 06-30-11 100.00 0
Southold .................................... 12-03- l 0 100,00 7,702,681
Fim Districts:
Cutchogue ................................... 12-31-09 100.00 0
East Marion ................................. 12-31-09 100.00 127,476
Fishers Island .............................. 12-31~09 100.00 0
Mattituck ..................................... 12-31-09 100.00 1,527,932
Orient .......................................... 12-31-09 100.00 0
Southold ...................................... 12-31-09 100.00 1.150.000
180,000
0
26,548,866
0
0
7,702,681
0
127,426
0
1,527,932
0
1.150.000
Sources: Annual Financial Reports on file with the Office of Iht State Complroller, or more reconlly published Official
Statement.%
Authorized But Unissued Items
The following Bonds are authorized but unissued:
Date
,Authorized Purpose
A. mount
02-25-03
02-27-07
08-28-07
Mattituck Inlet Erosion Study .............................................................................. $ 82,750
Open Space PreservationI Including Non-Agricultura Lands ..........................10,000,000
Open Space Preservation. Agrieu rural Lands .................................................... 3,100.000
Total ................................................................... ~
a. To be financed by the issuance of serial bonds ~cheduled to close m~ June 29, 201 I.
Capital Program
The Town annually adopts a three year Cap?al Improvem?~t P an. Projects may
Federal aid, reserves, proceeds of obligations property taxes or a combination thereof. A
Budget for 20 -20 3 is set forth below:
.D..epa~tment 2011
General Town .......................................................................... $1,422,807
Highway Dept .......................................................................... 284,000
Solid Waste District ................................................................ 8,000
Total ........................................................................................
Sources
Appropriations ......................................................................... $159,807
Grants ................................................................................ 4)-
Town Debt .................................................................... 1,555,000
Total ........................................................................................
be funded by State and
summary of the Capital
2012 20 3
$129,063 -0-
-0-
-0- 4)-
~ [129.063 ~
$129,063 -0-
-0~ -0-
-0- -0-
Community Preservation Fund
In 1998, the voters of the five East End towns (East Hampton, Riverhead, Shelter I,s, land,,,S, outhampton,
and Southold) approved a referendum creating the Commun ty-Preservation Fund, (the Fund ) which is a
conservation program to preserve open space and farm and n the five towns. The fund is financed by a 2% tax
on real estate sales. This ~s a one-time tax that the buyer &real estate is required to pay when purchasing a new
or used home or vacant property. In 2006, the voters in all five towns approved a referendum to extend the
collection of the tax through 2030.
The Fund facilitates a voluntary program whereby landowners can se their land or the development
rights to the land to the respective towns at fair markeA value. The towns may issue bonds for purchases to be
paid ha? through the life of the Fund with the 2% tax revenues. When a town finances an acquisition through
~he issuance o.f §onds Section 6.4p of Town La~ requires the preparat o ~ of a report by or on behalf of the Town
aupervisor which demonstrates now such indebtedness will be repaid by the Fund; including an estimate of
projected revenues of the Fund durin~ the period of indebtedness, an accounting of all other indebtedness
incurred against the Fund to be repaid for the same period, and a finding that there will be sufficient revenue to
repay such indebtedness in its entirety from the Fund..
As of the date of this Official Statement, there are $20.024,100 in bonds outstanding, the debt service on
which is expected to be paid for by the Fund.
Landfill Closure and Postclosure Care Costs
C The Town owns a landfill on ,a. site in the unincorporated area of Cutchogue, commonly known as the
utchogue Landfill. The Town ceased accepting waste at its Cutchogue Landfill as of October 8, 1993.
Placement of the final cover, referred to as capping,, on the landfill was completed in November 2003. In
addition to placement of the final cover on the landfilY, state and federal regulations presently require the Town to
perform certain maintenance and monitor ng functions at the site for up to thirty years. The Town has and will
continue to comply with said requirements. ~The ongoing post closure costs are estimated to be between $35,000
and $40,000 per year from 2011 through 2013. The Town paid $19,050 for such costs in 2010 and will continue
to pay these costs in the future.
Actual costs associated with the capping totaled $7,681,720. Financing for closure activities was
?,rovided inpart through a grant from the New York State Depa~ment of Environments Conservation in the
amount of $2,000,000. The balance was provided through a State subsidized can reee veal n July, 2004 from the
New York State Environmental Facilities Corporation. Costs associated with postclosure care wi I be paid fi'om
charges to future users &the collection facility and site and future tax revenue.
FINANCES OF THE TOWN
Financial Statements and Accounting Procedures
The Town maintains its financial records in accordance with the Uulform Sys 'em of Accounts for Towns
prescribed by the State Comptroller. The financial records of the Town are auditedby independent accountants,
The last such audit made available for public inspection covers tie fisca year ended December 31, 2009, In
addition, the financial affairs of the Town are subject to per od c compl ance review by the Office of the State
Comptroller to ascertain whether the Town,. has complied with the requirements of various State and Federal
stalutes. A summary of the 2010 unaudited fiuancial results of the Town are presented in Appendix A.
Fund Structure and Accounts
b _ The Town utilizes fund accounting~to record and report its various service activities. A fund represents
otl~ a legal and an accounting entity which segregates the transactions of specific programs in accordance with
special regulations, restrictions or limitations.
There are three basic fund types: (l) governmental funds that are used to account for basic services and
capital projects; (2) proprietary funds that account for operations cfa commercial nature; and, (3) fiduciary funds
that account for assets'held in a trustee capacity. Account groups, which do not represent funds are used to
record fixed assets and long-term obligations that are not aecounted fur in a spec f c fund.
The Town presently maintains the fo ow nggoveromental funds: General Fund, Highway Fund and
Special Districts Funds, and the Capital Projects Fund. Fiduciary funds consist of a Trust and Agency Fund.
There are no proprietary funds. Account g~'oups are maintained for fixed assets and long-term dabt.
Basis of Accotmting
The Town's governmental funds are accounted for on a medil~ed accrual basis of accounting, Under the
.modified,, accrual bas!s, re,v, enues are, recognized when they become susceptible to accrual - that is, when the
oecome measurable and available' to finance expenditures to the current period. Revenues are susceptible toy
accrual include real property taxes, intergovernmental revenues (State and Federal aid) and operating transfers.
Expenditures are generally recogn zed under the modified accrual basis of accounting in which
recognition occurs when the related fund~liability is nourred. An exception to this general rule is unmatured
interest on general long-term debt which is recognizmd when due.
Investment Policy
3' . Pursuan,.t to State l.aw, including Sections 10 and of the General Municipal Law (the "GML"I, the
own ~s generally permittetl to deposit moneys in banks or trust companies located an[I authorized to do business
Ln the State. All such deposits, including special time deposil aecofints and certificates of deposit, in excess of
the amount insured under the Federal Deposit Insurance Act, are required to be secured in accordance with the
provisions of and subject to the limitations of Section I 0 of the GML.
..... The Town may. also tem. porar~ily invest moneys in: (1) obligations of the United States of America; (2)
OO]lgatmns guarantecany ageae~es ct me United States of America where the payment of principal and interest
are guaranteed by the United States of America (3) obligations of the State of New York; (4) w~th the approval
of the New York State Comptro er, in tax antic pat on notes or revenne anticipation notes issued ~6y any
municipality, school district, or district corl?oration, other than those notes issued by the Town, itself (5)
certificates of participation issued in connection with installment purchase agreements entered into by political
subdivisions of the State pursuant to Section 109-b(10) of the GML; (6) obligations cfa New York public benefit
corporation which are deemed lawful investments for municipalities pursuant to the enabling statute of such
public benefit corporation; or (7) in the case of moneys held m certain reserve funds established by the Town
pursuant to law, in obligations of the Town.
All of the foregoing invest nents are required to be payable or redeemable at the option of the owner
within such times as the proceeds w be leeded to meet expenditures for purposes for which the ,,moneys were
provided and. in the case of obligations purchased with the proceeds of bonds or notes, sba be payable or
redeemable in any event at tile opt on of the owne', w t 1 n two years of the date of purchase. Unless registered
or inscribed in the name of the Town, such instruments and investments must be purchased through, delivered to
and held in custody of a bank or trust co npany in the State pursuant to a written custodial agreemenl as provided
by Section I 0 of the GML.
The Town Board has adopted an investmeut policy and such policy confm'ms with applicable laws of the
State governing the deposit and investment of public motleys. All deposits and investments of the Town are
made tn accorffance with such policy.
Budgetary Procedures
The head of each administrative un t of the Town is required to file detailed estimates of revenues (other
than real prope~,~,h taxes) and expenditures for the next fiscal year with the budget officer (Supervisor) on or
before August 15". Estimates for each f re district situated within the Town must also be filed with the budget
officer by this date. After review n,~ these estimates, the budget officer prepares a tentative budget whteh
includes his recommendations. A budget message explaining the main features of the budget is also prepared at
this time. The tentative budget is file(fw th the Town Clerk not later than the 30th of September. Subsequently,
,the, .Town Cler~k presents the tentative budget to the Town Board at the regular or specialhearing which must be
neia on or before Oct'ober 5th. The Town Board reviews the tentative budget and makes such changes as it
deems necessary and that are not inconsistent with the provisions of the law. Following this review process, the
ten. t.a. tiv.e bu. dget and suc~h m.od. ifieation, s, if.' a, ny, as approved by the .B, oard become the pre im nary budget. A
punltc nearing notice et which must t~e amy published in the Town s official newspaper, oa the preliminary
budget is generally required to be held on the~¥hursday immediate y fo lowing the general election. At such
hearing, any person may express his opinion concerning the prell ~a nary budget; l~owever, there is no requirement
orprovision that the preliminary budget or any portion thereof be voted on by members of the public. Afler the
public hearing, the Town Board may further change and rev se the pre iminary budget. The Town Board, by
resolution, ad-opts the preliminary budget as submitted or amended no later than November 20th, at which time,
the preliminary budget becomes the annual budget of the Town for the ensuing fiscal year. Budgetary control
during the year is the responsibility of the Superv sot who s ass sted in this area by the Town Comptroller. Any
changes or modifications to the annual budget, including the transfer of appropriations among line items, must be
approved by .resolution of the Town Boarff. However, the supervisor is authorized to transfer certain budgeted
amounts within departments.
Budget Summaries for the 2010 and 2011 fiscal years may be found in Appendix A.
Financial Operations
The Supervisor functions as the chief fiscal _o, ffieer as l~rovided in Section 2 of the Local Finance Law; in
this role, the Supervisor is responsible for the Town s accounting and financia reporting activities. In addition
the S.up~.rvisor is also the Town% budget officer and must therefore prepare die annual tentative budget
submlsston to the Town Board. Pursuant to Section 30 of the Loeal'Fifianee Law, the .Supervisor ha~
authorized to issue or renew certain speci.f, ic types of notes. As required by law, the Supervtsor must execute an
authorizing certificate which than becomes a matter of public record.
The Town Board, as a whole, serves as the finance board of the Town and is responsible for authorizing,
by resolution, all material financial transactions such as operating and capital budgets and bonded debt.
fFr , Town finances are operated primarily through the General and Special Revenue Funds. The General
uno receives most et its revenue from real property tax and State aid. Current operating expenditures are paid
om these funds subject to available appropriations. The Town also has re,f,~se, sewer and wastewater districts,
which are accounted for within separate funds The primary sources of income for these districts comes from
special assessments levied against district propert es at the same time real estate taxes are levied. Capital
prgjects and equipment purchases are accounted for itl spec/al capita! projects funds. The Town observes a
calendar year (January I through December 31) for operating and reporting purposes.
9
Revenues
The Town receives most of its revenues from a real prope~'ty tax on all taxabl6 property situated within
the Town and from State Aid. A summary of such revenues ffr the five most recently completed fiscal years may
be found in Appendix A.
Real Property Taxea'
See "Real Property Tax Information", herein.
State Aid
The Town receives finane al ass stance from the State. If the State should not adopt its budget in a
timely manner, municipalities and school districts ia the State, includ ng the Town, may be affected by a delay in
the payment of State aid. Additional y, f the State should experience difficulty in borrowing funds in
anticipation of the receipt of State taxes in order to pay State aid to municipalities and school districts in the
State, including the Town in this year or future years, the Town may be affected by a delay n the receipt of State
aid until surf cxent State taxes have been received by the State to make State aid payments.
Based on the unaudited Annual Financ al Report Update Document of the Town, the Town received
approximately 4.3% of its total General Fund operating revenue from State aid in 2010. There is no assurance,
however that State appropriations for aid to municipahties will continue, either pursuant to existing formulas or
in any form whatsoever. The State is not constitutionally ob gated to maintain or continue such aidand, in fact,
the State has drastically reduced funding to municipalities and school districts in the last several years in order to
balance its own budget.
Although the Town cannot predict at this time whether there will be any delays and/or reductions in State
aid in the current year or in future fiscal years or whether there will be additional Federal Stimulus Act monies
made available to pay State aid in future years, the Town may be able to mitigate the impact of any delays or
reductions by reducing expenditures, inereasing revenues appropriating other available fun~ts on hand, and/or by
any combination of the foregoing
Expenditures
T The major categories of expenditure for the Town are General Government Support Public Safety,
ransportation Econmmc Assistance and Opportunity, Home and Community Services, Cu'l[ure and Recreation,
Employee Benefits and Debt Service. A summary of the expenditures for the five most recently completed fiscal
years may be found in Appendix A.
Pension Systems
R" Substantially. .all ~ployees of the Town are members of the New York State and Local Employees'
eurement :System {the ~etirement System" or "ERS"). The Retirement System is a cost-sharing inultiple
public employer retirement system. The obligation of employers and employees to contribute and the benefits to
sempl°yees are .... governed by the New York Slate Retirement System andSocial Securit. Law (the "Retirement
ystem Law ). The Retirement System offers a wide range ofp ans and benefits wh~c~ are related to years of
service and final average salary, vesting of r~tirement benefits, death and disability benefits and optional methods
of benefit payments...~ll beeeI~its generally vest after five years of credited service. The Retirement System Law
generally provides that allparticipeting employers in the Retirement System are jointly and severally liable for
any unfunded amounts. Such amounts are collected through, annualbillings to all participating employers.
Generally, all employees, except certain part-time employees, participate m the Retirement System. The
oRnetoi[e~enrt,~s~ !s,,~n?n-con. tri§t~t.o, ry wi.th respect to m~e.mbers hi/ed prio,r to. July 27, 1976. All members hired
tm .~Uly ,~t ~ ~/o must conmoute tnree percent pt meir gross annual salary towards the costs of retirement
programs untilthey attain ten years in the Retirement System, at such time contributions become voluntary. On
December 10, 2009, the Governor signed into law the creation of a new Tier 5, which is effective for new ERS
emplo~,oes hired after January 1, 2011). New ERS employees in Tier 5 will now contribute 3% of their salaries.
There ~s no provision for these contributions to cease for Tier 5 employees after a certain period of service.
On May 14 2003, the Governor s gned a pension reform bill into law as Chater 4 f
"Chat ........ P 9 o the Law of 2003
( p er 49 ). Chapter 49 changed the b~Ihng cycle for employer contributions to the ERS ret rement system to
match budget cycles of the Town. Under the previous method, the Town was not provided with required
payment until after the budget was implemented. Under the reforms implemented by Chapter 49, the employer
Io
contribution for a given fiscal year will be based on the va ue of t ~e pens on fund on the prior April 1, instead of
the following Aprd 1. As a result the Town is notified of and cai inc ude tie actual cost of the employer
contribution m its budget. Chapter 49 also required a mni hum payment of 4,5% of payroll each year, including
years in which investment perf6rmance of the fund would make a lower employer contribution possible.
C' D~u?..ing. its 2004 Session ~,e, New York ,S. tate Legislature enacted further pens on relief in the form of
napter zou ol the Laws of 2004 ( Chapter 260 ). Chapter 260 changed thepenslon payment date for all local
governments from December 15 to February I and perm ts the legislative body of a nun cipality to establish a
retirement contribution reserve fund l'or the purpose of financing retiremeat contributions in tile future.
The New York State Retirement System has adv sed the Town that munic pa t es can e ect to make
employer contribution payments in the D~ember or the following February, as required. If such payments are
made in the December prior to the scheduled payment date in3~ebruary, such payments may be made at a
discount amount. The Town has prepaid its e np oyer contr but OhS each December since the option was made
available in 2004,
_ As a result of significant capital market dec ines in the recent past, the State's Retirement System
portlolio has experienced negative investment performanee and severe downward trelds, n market earn ngs. As
a result of the foregoing, it is anticipated that the employ, er contribution rate for the State s Ret rement System in
future years may be s~gnificantly higher than the mimmum contribut!on rate estab shed by Chapter 49 To
mitigate the expected increases in the employer contribution rate, le. gislation has been enacted that would permit
local governments and schools districts to bon'ow a portion of their required payments from the State pension
plan at an interest rate of 5% percent. The new legislation also authorizes Iocalgovemmems and school distr ct
to e,§tablish reserve accounts to fund future payment increases that are a result of fluctuations in pension plan
performance.
The Town is required to contribute an actuarlally determined ,r~te, The Town's contributions made to the
System were equal to 100% of the ,contributions required for each year. The required contributions for the five
most recently completed fiscal years are as follows:
Contributions to the Retirement Systems
Fiscal Year Amount
Ending of
December 31: Contribution
2006 ............................................................................... 1,837,992
2007 ................................................................................ 1,947,914
2008 ................................................................................. 1,838,376
2009 ................................................................................. 1,656,415
2010 ................................................................................. 2,222,691
2011 (Budget) .................................................................. 3,101,700
Other Post Employnrent Benefits
The Town provides post-retirement healthcare benefits to various categories of former employees. These
costs may be expected to rise substantially in the future, Accounting rules now require governmental entities,
~.ch..~as~.~e Town~ .to acc~,u~nt ~r pos, t.-retirement health care benefits as its accounts for vested pension benefits.
c,~.on ~tatement No. 45 ( oAot~ ~5 ) described below requires such accounting.
~o OPEB refers to "other post-employment benef ts," meaning benefits other than
pension oenents, ~'~ consists primarily of health care benefits, and may include other benefits such as
disability benefits and life insurance. Before GASB 45, OPEB cost, s were generally accounted for and managed
as current expenses in the year paid and were not reported as a liabihty on governmental financial statements.
GASB 45 requires munlc!palities and school districts to account for OPEB liabilities in the same manner
as they already account forpensmn liabilities. It requires them to adopt the actuarial methodologies used for
pensions, with adjustments for the different characteristics of OPEB and the fact that most municipalities and
school districts have not set aside any funds against this liability. Unlike GASB Statement No, 27, which covers
accounting for pensions, GASB 45 does not require municipalities or school districts to report a net OPEB
obligation at the start.
I1
Under GASB 45, based on actuarial valuation an annual required contribution ("ARC") is determined
for each municipality m' school district. The ARC is the sum of (a) the normal cost for the year (the present value
of future benefits being earned by current employees) plus (h) amortization of the unfunded accrued liability
(benefits already earnedby corrent and former employees but not yet p. rovided for), using an amortization period
of not more than 30 years. If a municipality or school district eonmbutes an amount less than the ARC, a net
OPEB obligation will result, which is required to be recorded as a liability on its financial statements.
As of January 1, 2010, the actuarial accrued liability ("AAL"), the portion of the actaarialpresent value
of the total future benefits bas,~_ on the employees' service rendered tO the measurement date, is $66.6 mil on
The actuarial value of the Plan s assets was $0, resulting in an unfunded actuarial accrued liability ("UAAL"~ of
$66.6 million. The Town's annual OPEB cost was $6.8-million and the ARC was $6.6 million. ~'he Town i~on
a pay-as-you-go funding basis and paid $1 3 million to the Plan fol' the fiscal ear endin December 31, 2010
resulting in a projected year-end Net OPEB'obligation of $13.9 million. There isYno authol~ty in New York State
to establish a reserve fund for the liability at this time.
Actuarial valuation will be required every 2 years for OPEB plans with more than 200 members, every 3
years if there are less than 200 members.
REAL PROPERTY TAX INFORMATION
Real Property Taxes
The Town derives a significant portion of its annual revenue through a direct real property tax.
The following table presents the total tax levy, by purpose, with adjustments and collection performance
for each of the last five fiscal years.
Tax Levy and Collection Record
Fiscal Year Ending December 31:
2007 2008 2009 2010 2011
TotalTaxLevy ................................. $97,216,091 $103,216,661 $108,610,530 $110,942,393 $115,099.433
Amount Collected ............................. 94,288,000 100,030,520 104,970,256 106,195,135 NA
Returned to County
Amount .......................................... 2,928,091 3,186,141 3,640,274 4,747,258 NA
Percentage ..................................... 3,01% 3.09% 3.35% 4.27% NA
Uncollected at End of Year
of Levy ........................................ None None None None NA
Tax Collection Procedure
. Property taxes~or the Town are collected by the Town tax receiver. Such taxes are due and payable in
equm installments on L~ecember I and May 10. but may be pa d without pena ty by January 0 and May 31.
respectively. Tbepenalty added to delinquent taxes is one-twelfth the rate of interest de,trained by the State
Commissioner of Taxation and Finance. The rate is determined each year by July 15 based on the one-year
consta..nt m.aturit}(..yield, index for United States Treasury securities for the quarter-year ending on the immediate y
preceaing June .~o. t'i~e rate is effective for a twelve month period commencing August I each year and in no
event will be less than ten per centum per annum.
The Town receives its full levy before the end of its fiscal year U,n. co coted amounts are not segregated
by the Town tax receiver, and any deficiency in tax collection is the County s liability.
Tax Levy Limit Bill
B ..... ,On ,January 31 2011 the New Y.ork Sta. te Senate adopted Senate Bi I S2706 (the "Se tare Tax Levy Limit
itt ), which p. roposes to medify current law rctatingto the property tax ev es of municipalities. The Senate Tax
Levy Limit Bill would restrict among other th rigs the amount of rea property taxes that may be levied by or o ~
beha f of a municipal ty in a particular year, beginning with fiscal years commencing on or after January 1,2012.
12
Pursuant to the Senate Tax Levy Limit Bill, the tax levy of a municipal ty could ~ot,!ncr~ase by mo~e than the
lesser of (i) tw, o percent (2%) or (ii) the annual increase in the consumer price index ( CPI ), over the amount of
the prior year s tax levy. Each municipalily wou d be notified by the State Coraptroller of ~ts t,ax levy limitation
for the upcoming risc,a? year no later than 120 days prior to the start of such municipality s fiscal year. A
municipality could exceed the tax levy limitation for the coming fiscal year only if the governing body of such
municipality first enacts by at least a two-th rds vote of the total voting sn'ength .,o,t' the board a local aw to
override such limitation for such co n ng fiscal year only. In the ,c, ase ora fire district, the governing board must
adopt a resolution by at least a two-thirds vote ot- the total voting strength of the board, to override such limitation
for such coming fiscal year only. There are .per hiss b e exceptions to the tax levy limitation provided in the
Senate Tax Levy Limit Bill, incl'ud ng expend,utes made on account of certain tort settlements and increases in
Federal and State mandated programs specifically de ~t fled in the bill. However, il is unclear from the text of
the bill whether municipalities wou d be authorized to exclude from their tax levy limitations debt service on
account of all capital projects or just those financed pursuant to a bond resolution that was approved by the voters
at referendum. Municipalit es would also be permitted to carry forward a certain portion of their unused levy
limitation from a prior year. -
On May 24 2011, a simi ar bil was introduced in the New York State Assembly which would impose a
tax levy I mitatmn upon municipalities and School Districts (the "Assembly Tax Limitation Bill")
Neither bill can become law until an identical bill is adopted by the other house and signed by the
Governor. There can be no assurances that the Senate Tax Levy Limit Bill, the Assembly Tax Limit Bill or any
other similar law, if enacted n law, will not come under legal challenge for violating the relevant provisions of
Article VIII, Section 12 of the New York State Constitution, which recognizes, the power of the State Legislature
to re.stric.t local government taxation of Property but also expressly states that the legislature shall not, however,
restrict tt~e power to levy taxes on real estate for the poymeat of interest on or princi al of indebt
theretofore contracted." See "Constitutional Requirement"under "Indebtedness of theTow~~ herein, edness
Tax Rates
(Per $100 Assessed Valuation)
2OO7
General - Town wide .................................. $151.02
General - Outside Village .......................... 3.99
Highway .............................................. 39.63
Fiscal Year Endin£ December 3 I:
2008 2009
2010 201_.__[1
$160.22 $184.44 196.97 $199.96
7.84 6.87 8.69 7.57
41.74 39.75 38.72 44.32
Large Taxable Properties
2010-2011 Assessment Roll"
Name
Peconic Landing at Southold .................................................
LILCO, LIPA, gl'arketspan, Keysuan .....................
Village of Greenport-Power Planfi .........................................
Fishers Island Dev. Cor~ ..................................................
Robins Island Holding tLC ...................................................
Alan Cardinale .......................................................................
North Fork Bank ....................................................................
Damianos, Herodotus .............................................................
New York Telephone ... : ........................................
Levin Family Limited Partnership .........................................
Anderson, Brad ey & Francesca .............................................
Norris, Susan ..........................................................................
Laurel Links & Country Club ................................................
Kimogenor Pt Co ...................................................................
Driftwood Cove .....................................................................
,Type
Commercial
Utility
Utility
_Re, sid'ential Development
l'nvate Lands
Shoupjn~t Center
Bank Building
Vineyard
Utilifv
Motel& Restaurant
Farmland & Private Lands
Various Properties
C~ou~ntry Club
uo-~p
Co-up
a. Assessraenl Roll established in 2010 for levy and collection of taxes during 201 { Fiscal Year.
b. Represents approximal¢ly 5.54% of Ibc total taxable assessed valua0on of Ib~ Town for 201 {,
13
Assessed
1,3~
58 000
45 900
330 500
297 500
234131
234~00
179, g 3
159,~50
120,~00
111
107,700
94,600
90.000
$6.011.800b
LITIGATION
The Town of Southo}d is subject to a number of lawsuits in the ordinary conduct of its affairs. For the
most part, any potential adverse decisions in such su ts, ¢ther individually or in the aggregate, are not likely to
have a material adverse effec! on the Town.
There are certain matters worthy of special mention:
Negro. Ltd, and The Heritage at Cutchogue, LLC v. Scott A. Russel, et al. - This action seeks to nullify
certain actions of the Town Board and/or the Planning Board including the adoption of residential ~ubdivisioa
regulations and certain resolutions pertaining to the State Environmental Quality Review Act, as well as
compensatory damages in the sum of $40,000,000 and punitive damages based upon allegations that the Town
defendants conspired to deprive it of certs n const tutmnal rights Insurance coverage may be available for
potential liability for alleged compensatory damages. The Suffoik County Supreme Court dismissed all actions
against each governmental officer named personally in the su t T~is decision may be appealed to the Second
Department by the plaintiffs. The Town has demed all wrongdoing and intends vigorously to contest these
claims.
East End Resources, LLC v Town of Southold Planning Board, et a ~ This action arises from a
residential site plan application pend ng before the Town of Southold Planning Board, seeking the approval of a
mu]ti-unit planned.retirement commumty (the "Apl~ cation"). Plaintiff/Petitioner alleges that the Town, and its
various agencies, nave systenat ca y oelayed ano sought to defeat the approval of the Application. In this
action, P]'aintiff/Petitioner asserts e ght claims, seek ~g declaratory relief compe lng the approval of the
Application as well as compensatory re ief in the amount of $20 million as a result of alleged federal and state
const tut onai violations. The Town intends vigorously to defend this action and to contest all asserted claims.
Yu, et al. v. Town of Southold, et al. - This actio ~ seeks damages in the sum of $10 million against the
Town and its various agencies. The c aimants allege that the Town and its agencies, beginning in 1985 and
continuing forward, pamcipated in bias, liable and slander, among other action,s? that allegedly vio]-ated plaintiffs
C. iv. il an~d. o~er consfitqtional rights. The Town has filed a motion to dismiss all claims for failure to state a
ctmm. the town intenas to vigorously contest these claims and will deny all wrongdoing.
FINANCIAL ADVISOR
Munistat Services,/nc. has assisted the Town as financial advisor in certain matters with respect to the
preparation of this Statement.
RATING
· ~Moody s Investors Serwc~s has assigned ts rating o~ "Aa2' to the outstanding bonds of the Town. This
ratm.g reflects only the, view of such rating agency, and an exp anation, of.the significance_ . of .such. rating.should. . be
9b!amed f~m Moody s. There. can b.c, no assurance that such rating will no! be rewsed or w~thdrawn. ~f m the
~agment or marzet price and tr~e avaimbili£y of a secondary market for the outstanding bonds and notes of the
14
ADDITIONAL INFORMATION
Additional information may be oblained upon request from the office of the Supervisor, Town of
Southold, 53095 Route 25, P.O. Box 1179 Southold, New York 1197 , telephone number 6317765-1800, or from
the office of Munistat Services Inc., 12 Rooseve t Avenue Port Jeft~rson Stat on, New York 776, telephone
nu nber 63 /331~8888.
Any statements in this Statement involving matters of opinion or estimates, whether or not expressly so
stated, are intended as such and not as representations of fact. No representation is made that any of such
statements will be realized.
This Statement is submitted only in connection with the Towns "Undertakineto Provide Noti
Information"pursuant
to
Rule
15c2-12
aspromulgated by the Securities and Exchange~2ommission and
be reproduced or used in whole or in part for any other purpose.
By: s/s SCOTTA, RUSSELL
Supervisor
Town of Southold
Southold, New York
June 1, 2011
15
TOWN OFSOUTHOLD
APPENDIX A
FINANCIAL INFORMATION
Balance Sheet
General Fund
ASSETS
Cash and Investments
Accounts Receivable
Due From Other Funds
State and Federal Aid Receivables
Due From Other Governments
Supply Inventory
Prepaid Expenses
Total Assets
LIABILITI ,ES AND FUND EQUITY
Accounts Payable
Due to Other Funds
Due to Component Units
Due to Other Governments
Deferred Revenues
Total Liabilities
Fund Balances - Reserved:
Encumbrances
Insurance claims
Supply Inventory
Prepaid Expenses
Fund Balances - Unreserved:
Designated - Ensuing Years Budget
Undesignated
Total Fund Equity
Total Liabilities and Fund Equity
Fiscal Year Ending December 31:
2009 2010
11,202,324 $ 13,276,529
31.579 61,006
469,887
122.184 79,623
1,547,885 1,533,747
1,730 2,637
424,177 420,963
13,329,879 $ 15,844,392
949,814 $ 926,609
2,177,582 2,893,055
513,316
1,766 1,834
5,143,708 4,638,261
8,786,186 8,459,759
26,119 27,961
646,911 1,149,498
1,730
424,177
100,000 1,914,000
3,344,756 4,293,174
4,543,693 7,384,633
$ 13,329,879 $ 15,844,392
Sources: 2009 Audited Financial Reports of the Town
2010 Unaudited Financial Reports of the Town
'Fable itself NOT audited.
Town of Southold
A1
Stalemeni of Revenoes, Expenditures and Cbanges in Fund Balance
General Fund Town Wide
Fiscal Year Ending December 3 I:
Real Properly Taxes
Olher Real Properly Tax hems
Non-Properly Tax Items
Departmental Income
Intergovernmental Charges
Use of Money & Properly
Licenses & Permits
Fines & Forfeitures
Sale of Prop~rty & Comp. for Loss
Mi~ellaneous Local Sources
State Aid
Federal Aid
Expeadilures:
Oeneral Oovernmenl Support
Public Safety
Public Heahh
Transpoflalion
Economic Assi~tm~ce & Opporlunily
Cullum & Recreation
Home & Community Seawices
Employee Beaefils
Debl Service Principal & Interest
Total Enpendilurec
Excess (Deficiency) of Revenues Over
Expendilttres
Operating Transfers In
Operating Transfors Out
Tolal Other b-mancing Sour¢os (Uses)
Excess (Deficieaey) or Revenues and
Other Sources Ovgr 'Expenditures and
Fund Balance Beginning of Year
Fund Balance End of Year
~006 2007 2008 2009 2{) ] 0
14,872,736 $ 16,205.911 $ 17.391,288 $ 20,165,953 $ 21,532,952
85,808 92,606 94, I 13 63.585 84.200
616,670 683.873 751,073 818,273 885.473
477.849 411,790 61 1,598 461,257 416.599
316.049 329.202 262.977 356.548 276.019
684,166 764,912 496.395 223,229 306,952
258,794 253`4 94 244,910 228,699 261.339
171,763 155,477 169,119 210,209 225,31 )
95,057 148,283 159,726 288,425 300,228
146,260 185,945 ) 90.816 I 17,182 369.407
2.725.177 2.412.869 1,656,760 I,! 95,671 1,124,217
228`491 145.568 147,711 165,231 231.419
20,678,820 21,789,930 22,176,486 24,294.262 26,014, I 16
5,177.745 5,234,683 5,479,661 5,548.092 5,125,065
7,371,280 7,816,643 8,398,429 8,599,974 8,626,23 I
32.988 35.238 35.238 35.138 33.788
452.050 550,907 470,797 486,434 424,569
949.740 1,064,904 1,147,293 1,139.753 I.I 18,864
384,983 345,540 452,588 335,993 282,290
530.270 417,654 426,656 401,114 402.959
5,811,868 6,172.279 7,276,770 4.980.929 7,543,281
1,313,234 787.775 973.787 1,053,169 1,21 1,610
22.024.158 22.425.623 24.661.219 22.580.596 24.768.657
(1,345,338) (635,693) (2.484,733) 1,713.666 1,245.459
2,253.944 2,738,349 3,493,057 4.318.203
( 1.531,369) (2,403,563) (2,729,790) (532,299) (2,722,722)
722,575 334,786 763,267 (532,299) 1,595,481
(622,763) (300,907) ( 1,721,466) I, 181.367 2,840,940
6,007.462 5.384,699 5,083,792
5.384.699 $ 5,083,792 $ 3,362,326
3.362.326 4.543,693
$ 4,543,693 $ 7,384.633
Sources: Audited Financial Reports oflhe Town (2006-2009), Unaudited Financial Reports of the Town (2010)
Table ilself NOT audited.
Tow, of Soudlold
A2
Statement of Revenues, Enpeadilurcs and Clmnges itt Fund Balance
ltighway Fund Towu Wide
Fiscld Year Ending Decemher 3 I:
Real Property Taxes
Other Real Properly Tax hems
Depanmelrlal Income
Use of Mor~y & Property
Licenses & Permits
Sale of Properly & Comp. for Loss
Miscellaneous Local Source~q
Stale Aid
Federal Aid
2007 2008 2009 2010
$ 4,095,347 $ 4,027,695 $ 4,316.095 $ 4,137.746 $
12,689 12,722 I 1.777 3.057
140.578 142,501 61,374 6,558
9,484 10.362 13,190 7,788
7,521 29,213 7,416 246
13,703 106
276,337 296,263 326,820 318,906
Bmp!oyea Benefits
Excess (Deficiency) of Revenues Over
Operaling'rransrers In
Operating Transfers Out
F. xcess (Deficiency) of Revenue..{ and
Fund Balance End of Year
4,032,425
6,477
250
5.635
6OI4
1.419
343.024
120,630
4,541,956 4,518,756 4.750,375 4,474,407 4,516.774
135 6,203 6,884
3,028,076 3,437,186 3,543,617 3.132,768 2,959.458
515,106 510,185 498,813 1A33,883 526.106
283,652 17,001 40.228 41.473 {28,070
3,826,834 3,964.372 4,082,793 4,614,327 3,620,518
715,122 554,38~ 667,582 (139.920) 896,256
211
(452.648) (794.696) (823,241 ) (78,917) (958,513)
(452,648) (794,485) (823.241) (78.917) (958,513)
262,474 (240,101) (155.659) (218,837)
1.056,848 1.319,322 1,079.221 923,562
$ 1,319,322 $ ,1,079,221 $ 923,562 $ 704.725 $
Sources: Audited Financial Repons of the Town (2006.2010), Unaudil~d Financial Repons of the Town (2010)
Table itself NOr audited.
(62,257)
704,725
642A68
Statement of RevenGes, I,Zxpeuditnres and Changes in Fund Balance
Non-M~or Governmen! Fonds
Use of Money & Properly
Sale of Property & Comp. for Loss
State Aid
Federal Aid
Public Salary
Public Health
Home & Community Services
fmployee Benefits
Debt Service Principel & interest
Total F. xpendilure~
Excess (Deficiency) of Revenues Over
Expenditures
Operating Transfers ]n
Operating Transfers Out
Total Olher Financing Sources (Uses)
Excess (Deficiency) of Revenues and
Other Sources Over Expendlture,x and
Giber Uses
Fund Balance Beginning of Year
Fund Balance ~nd of Year
Fiscal Year 'l~{ding December 3 l:
2006 2007 20o8 gO0O
2010
$ 2.741,362 $ 2.831,897 $ 2.861.630 $ 2,815.13l $ 3,747,620
4,489 4,581 6,415 3,375 1,825
229,346 234,091 256.296 276,999 300,987
2.275,935 2,147,502 2,387,861 2,105.725 2,CR6.829
1,809 905
95,272 94,361 42,936 7,379 9,004
163,780 169,338 167,760 185,257 144.470
{35,662 216.437 212,655 287,643 288,026
6,652 13,283 889 24,728
127,278 93,135 216.273 [45,768 98,359
41,163, 210,175 144,838 67,974 57,36l
5.822,748 6,015,705 6,297,553 5,895,251 6,769.209
103,654 87,970 267,423 6],807 33.433
869,154 948,311 1,056,786 1,094.034 1,132,102
7.104 7.370 7,370 7,370
3,363,781 3,173,114 3,322,615 3,155,421 3,051,836
470.377 468,989 470,182 1,164.035 490,589
822,590 530,796 651,896 661,125 821,977
5,636,660 5,216,550 5,776,272 6,143.792 5.529,937
186,088 799,155 521,281 {248,541) 1.239,272
(429,145) (874,115) (618.408) (139,031) (703.388)
(429,{45) (874,115) (6{8.408) (139.03{) (703,388)
(243,057) (74.960) (97.127) (387.572) 535,884
1,446,849 ~ 1,203,792 {,t28.832 1,031,705 644,133
$ 1.203,792 $ 1,128,832 $ 1.03{,705 $ 644.133 $ 1.180.017
(I) Includns the following funds: General Fund Part Town, Special Grant Fund, East-West Fire ProleClion Fund, Soulhold
DislricL Fishers Is{and Sewer Dislricl and Solid Wasie Managemenl District,
(2) Difference due to Prior Year Accounting Adjust~nenl
Sources: Audited Financial R~ports of the Town (2005-2009)
Table itself NOT audited.
Town of Southold
A4
Clcnera~-Outsido Vflla§¢
Highway-Townwid=
Community Dev=lopmont
Risk Retcnlkm Fund
Community I~'escr valion P'und
Employoe~ Health Plan
3.750
659.965
2,953,000
4,287,544
237.375
37,200
556,950
80.000
50O
25.000
4,369.900.
3,750
6.900 652.565
750,000
2.184.244
225.000 4.375
7,100 0
150,000 381,950
36.136 0 0 36,136
315.000 0 0 315,00~
142.083 0 12.083 130.000
664.202 29.250 175.000 459.952
1.157.421 et 29.250 $ 187.083 $ 941,088
359,700 3,300 356,400
529.800 6[ .975 467.825
557,952 42.11 I 20.000 495.841
1,760,225 25,000 1.735,225
16,072,726 4,539,036 696,083 10.837,6ff7
59.908,578 $ 16.425,247 $ 6.180,083 $ 37,303.248
OrienI-East Marion Park District
Southold Park DLslrict
Cutchogue-H=w Suffolk Park
Mallituck Park Dfslrlct
Total-A0 Districls
Amounl to Be Raised
by Tax
21,734,453
783.364
4.583.93i
0
0
0
0
27.101.748
3,815 0 850 2.965
714,563 500 1.500 712,563
3.! 82,000 2.400,(I)0 132,000 650.000
3.842.996 1.858.750 107.000 1.877.246
177.385 0 177,385 0
34,800 30JO0 4.700 0
607,660 51,000 40,000 516.660
80,000 0 0 80,000
4.340.350 $ 463.435 $ 3.839.434
0 0 34,250
0 0 315,000
0 12,083 130,000
28.500 106,000 432.360
28,500 $ 118,083 $ 911,610
3.300 0 356,400
1,058,193 $
359,?00
514,300
579.496
1,768,300
1,793,803
6,163,039 $
15,864.451 4.512,649 726,518 10,625,284
Grand Total $ 60,196,573 $
Source: Adopted Budgot of thc Town.
17,160,023 $ 5,309,518 $ 37,727,032
To'am of $outhold
A6