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HomeMy WebLinkAbout2012ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 16, 2012 Debbie Doyle East End Hospice P O Box 1048 Westhampton Beach, NY 11978-7048 Dear Ms. Swain: Enclosed herewith is the Special Permit for the annual Tree of Lights Ceremony to be held on the Cutchogue Village Green on Sunday, December 2, 2012. Within the next ten (10) days you must contact Captain Kruszeski at the Southold Town Police Department (765-2600) to coordinate traffic control. Very truly yours, Lynda M Rudder Deputy Town Clerk Enc ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 27, Section 27-1-B of the Code of the Town of Southold, to the East End Hospice to hold their "Annual Tree of Lights Ceremony" on the Cutchogue Village Green, Cases Lane, Cutchogue, New York, on Sunday~ December 2, 2012 at 2:30 PM provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of Southold as an additional insured. Dated: November 16, 2012 Elizabeth A. Neville Southold Town Clerk (Certificate on File) cc: Chief of Police Flatley Superintendent of Highways Harris Building Department (tents) * If a tent is to be erected, you must obtain a permit from the Southold Town Building Department. Please contact Chief Flatley at the Police Department within the next ten (10) days to coordinate traffic control. Thank you. ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town tlall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 sour holdtown.nor th fork.net OFFICE OF THE TOWN CL~--RK TOWN OF SOUTttOLD APPLICATION for a SPECIAL EVENTS PERMIT Organization's Name: Contact's Phone N~ber' Email Address: Type of Event: __ Time of Event: Location of Event: /~(3~ 0<'~.ee~q (,' (Use additioml pape~ ifn~SS~) ~ticipated number of attendees/p~icipanm: Is this a Not-for-Profit Event? Yes or No If Not-for-Profit, identi~ the Recipient of ~oceeds: Are ~y special requirements needed tbr ~is event? (i.e. M~ne ~lice, road closures, etc) If so please aaach ~ explanation to this applicmion. ~q Have you read the copy of the Town's regulations concerning Special Pe~its aaached to appli~tion? ¥ d ~ Signa~e . Date ACOR CERTIFICATE OF LIABILITY INSURANCE ~ 11/14/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Ii an ADDITIONAL INSURED, the policy(fei) must be endorled. If SUBROGATION IS WAIVED, aubJect to the terms and ¢ondltlona of the policy, certain pollcle~ may require an andorlement. A it~tement on this certificate deal not confer rlghte to the certificate holder In lieu of iuch endorlement~e), CONTACT Pauia l~gleveky, .~m Maran Corporate Risk Aaeociatee, ThC.~uc~O~ENo.~,: (631) 283--8000 I (~C. No~: (632)2e~-22o? 300 Hampton Road io~DA~:peglevekyimcrai~su~anco,com Southampton NY 11968 ~su~R^~merican Alternative Insurance P.O. Box 1048 ~NSO~RO: Westhampton Beach NY 11978 ~~SUmmF= COVERAGES CERTIFICATE NUMBER:12-13 GL AU ~ Prof REVISION NUMBER: FHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE iNSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDiTiON OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLiCiES LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. GENF. RAL LIABILITY I EACH OCCURRENCE S 1 ~ 000 # 000 A X I CLAIMS-MADE mi L%ccuR ~HHH~G3053033-03 I/1/2012 t/1/2013 MEO EXP (Any o~e p~so~l $ 50,000 (~a a~:c~) ; 1,000~000 WORKERS COM~N~i'ATION [ TO~¥ LIMITS [ i E~ AND EMPLOYERS' LIABILITY Y I N CERTIFICATE HOLDER CANCELLATION Town of Southold PO Box 1179 Southold, NY 11971 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. Page 1 of 2 Rudder, Lynda From: Flatley, Martin Sent: Thursday, November 15, 2012 3:01 PM To: Rudder, Lynda Subject: RE: [New Sender - ] - FW: East End Hospice.doc Hi Lyn I wholeheartedly approve of Christmas tree lightings, especially this one. will be no cost analysis as it does not require our resources. have no objections and there From: Rudder, Lynda Sent: Thursday, November 15, 2012 10:51 AM To: Flatley, Martin; Kruszeski, Frank; Blasko, Regina Subject: FW: [New Sender - ] - FW: East End Hospice.doc please approve/disapprove and provide cost analysis From: Debbie Doyle [mailto:ddoyle@eeh.orq] Sent: Thursday, November 15, 2012 10:22 AM To: Rudder, Lynda Subject: RE: [New Sender - ] - FW: East End Hospice.doc Lynda: Attached is the permit app along with the COl. Must we pay a fee for non-profit? Thanks. Debbie- From: Rudder, Lynda [mailto:tynda.rudder@town.southold.ny.us] Sent: Wednesday, November 14, 2012 3:18 To: Debbie Doyle Subject: RE: [New Sender - ] - FW: East End Hospice.doc H:i Debbie, We have a new form now, I have attached it From: Debbie Doyle [maitto:ddoyle@eeh.orq] Sent: Wednesday, November 14, 2012 3:15 PM To: Rudder, Lynda Subject: [New Sender - ] - FW: East End Hospice.doc Hi Lynda: Our tree of lights ceremony is happening again on Sunday, December 2nd on the Village Green in Cutchogue. What else do I need to send you besides our certificate of insurance naming the town? 11/15/2012 Having a senior moment and cannot remember. Thanks. Debbie- From: Rudder, Lynda rmailto:lynda.rudder@town.southold.ny.usl ~ent: Tuesday, November 09, 2010 12:15 PN To: ddoyle@eeh.orq Subject: East End Hospice.doc Please contact Capt. Flatley for traffic control Page 2 of 2 11/15/2012