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ELIZABETH A. NEVILLE, MMC h~ ~ Town Hall, 53095 Main Road
TOWN CLERK ~ P.O. Box 1179
to : Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 0 • Fax (631) 765-6145
MARRIAGE OFFICER Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER ~l # www.southoldtownnygov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 16, 2013
Renee T. Hindo
191 I Catalpa Court
Ferndale, MI 48220
Dear Ms. Hindo:
Enclosed please find your check # 1163, in the amount of $250.00 for the clean-up deposit you
provided for the event held on September 2, 2013.
Hope your event was a success.
Very truly yours,
rn-
Lynda MRudder
Deputy Town Clerk
enc
WAIO W~~gIPrNmY 1-Wp-r~idiN '/ww.ixmtMN/Rh.xn
¦ Renee T. Hindo &37/720 1 ~ 6 3
306 Fbwetdele SL _ y I ~J
Ferndale, MI46220 o J
/ Date
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RIGHTS to tta I /v'1W I, (n(- ~j~(J
CAMPAIGN OrdR OI $ 2 V~
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CHASE BANK
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~:0 7 2000 3 26~: 65230087211' ii63
August 7, 2013
Renee T. Hindo
1911 Catalpa Ct
Ferndale MI 48220
RE: Beach Parking Permits for 9/2/13 Wedding
Dear Ms. Hindo:
Enclosed herewith are 25 permits for yore wedding guests to park at Kenney's
Beach, Southold on September 2 2013 for your wedding eB#'emony. Please have
your guests place the permit on the vehicle's dashboazd, passenger side. Failure
to display the permits could result in the vehicles being issued parking tickets.
I have also included the receipt fux4he Beach. Wedding permit.
I'll keep my fingers crossed that you hate beautiful weather for you special day.
Very truly yours,
Linda J. Cooper
Deputy Town Clerk
Enclosures
Cooper, Linda
From: Renee Hindo <renhindo~a gmail.com>
Sent: Tuesday, August 06, 2013 10:31 AM
To: Cooper, Linda
Subject: Re: Beach Parking Permits for wedding guests
Thanks, Linda! We will have 40 guests.
Have a nice day,
Renee
Sent from my iPhone
On Aug 6, 2013, at 10:20 AM, "Cooper, Linda" <Linda.Cooper@town.southold.nv.us> wrote:
Actually you requested 15 permits but I figured on a couple of extra (just in case. I will increase the
number of permits to 26; it's not a problem. In your application you stated the number of participants
would be approximately 30; do you expect a larger number than that? If so I will need to amend you
application accordingly.
Linda
From: Renee Hindo [mailto:renhindoCalomail.com]
Sent: Tuesday, August 06, 2013 10:15 AM
To: Cooper, Linda
Subject: Re: Beach Parking Permits for wedding guests
That address is correct. I think I asked for 20 permits, but I need to increase it to 25 permits, if possible?
Thanks!!
Renee Hindo
Sent from my iPhone
On Aug 6, 2013, at 10:02 AM, "Cooper, Linda" <Linda.Cooper@town.southold.nv.us> wrote:
Good Morning.
• I just wanted to let you know that I will be mailing out the beach parking permits
tomorrow. The address I will send them to is:
1911 Catalpa Ct
Ferndale MI 48220
Please contact me ASAP if the mailing address is incorrect.
t
o~~gUFFO(,~co
ELI7.ABETH A. NEVILLE, MMC ti~ ~fy Town Hall, 53095 Main Road
TOWN CLERK o= ~ P.O. Box 1179
~ Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS p • Fax (631) 765-6145
MARRIAGE OFFICER 'j' 0~ Telephone (631) 765-1500
RECORDS MANAGEMENT OFFICER ~~l ~ ~a www,southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD TOWN BEACH PARKING PERMIT
for
Hindo/Stewart Wedding
This permit allows entrance and pazking at:
Kenney's Beach ,
Monday, SEPTEMBER 2, 2013
2:00 PM - 3:00 PM
Elizabeth A. Neville
Southold Town Clerk
(seal)
Display permit on vehicle's dashboard, passenger side
a S /ssuf~
• ~s,,,~ 970 Peconic Lane
Ken Reeves P.O. Box 267
Recreation Supervisor np'~ Peconic, NY 11958
Town of Southold gi,,~ 631.765.5182
Ken.Reeves@town.southold.ny.us
TOWN OF SOUTHOLD
RECREATION DEPARTMENT
APPLICATION FOR WEDDING CEREMONY
ON SOUTHOLD TOWN BEACHES
PLEASE PRINT LEGIBLY
APPLICATIONS DUE AT LEAST
T/HREE (3) MONTHS BEFORE EVENT
Today's Date: ~~I I ~ ~
Applicant's Name: ~ EN ~p n !'1 i,ill p o
Address: j 9/ ~ I ~ ~ ~ ~i~~ ~~Ls f /1'71 ~~Z= Z::
Home Phone: 2y~' ~ 3~ ' O 3 BnsineAASS Phone: 2y~ ~ ~ 3 ~ a~J
Cell Phone: ~SMh~ E-mail address: r EiLI 1 Nqq ~ u G L ~
r i ppR~DE .Ji~~f.~NA' Sl~l.~~k'-lam
Name of Bride: ~iL E~ ~c. Name of 6t'eern:
Beach Desired: ketl'"I S 8~G G~+
(Town Beach, Gull
Pon~'s, McCabe~s~~New Suffolk, G~ e k, etc.)
Number of Guests: (~IJD(G )C ~ Ntunber of vehic0l
/es: iv k
~i
Day and date of use: _ . Se Z ~ G~ % 13
Length of ceremony: From: A.M. ~(/t i'.M. To: A.M. = L-_ P.M. Cc~~X
Number of temporary parking permits requested: _
Please allow ample time to set up and clean beach after use. Town beaches are
closed from dusk until dawn.
Is applicant a reside he Town of Southold? ?YES I..INO
Applicant's Signatu
FEES:
Residents: Free of Charge Non-Residents: $50 (under 50 participants)
$75 (over 50 participants)
Refundable cleanup deposit of $250 required for all applicants.
Please note: Fees must be paid once application is approved. Checks made
payable to TOWN OF SOUTHOLD. Please submit separate
checks.
.
TOWN OF SOUTHOLD 2009 INDEMNITY AGREEMENT
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK )
This Agreement is made this ~~day of I L 20~, between the Town of
Southold (hereinafter "Town") and K~,vEF Nr^~ tk.~
(hereinafter "Applicant").
In consideration of issuance by the Town's Recreation Department of an approval to
utilize a Town Beach, the Applicant voluntazily agrees to indemnify and hold the Town
and its officers, employees, and agents harmless from and against any and all losses,
liabilities, damages, or costs sustained by any person for personal injury, death, or
property damage arising out of, or as a consequence to the use of the Town property.
The undersigned further agrees to indemnify and hold harmless the Town and its officers,
employees, and agents from and against any and all losses, liabilities, damages, or costs
which may be imposed upon, incurred by or asserted against the Town by reason of any
act of omission of the undersigned, which result in damage or injury of any kind to any
person or any property and which azises out of or is any way connected with the event
permitted by this approval.
AP
Sworn to before me` his
~1`day o, 20L. KiM M. ALLEY
NOTARY ?UBLIC. STATE OF Mi
COUNTY OF WRYNE
rY
COMM~SSIOC~ "7~"RES Jar t, 2014
N tazy Public
l~~~i~i
'~i~i~i~i~~~~~5'~i~~i~i~i~i~i~i~i~i~~i~~~'S'S~i~i~i~i~i~i~'
,~v~l~Ki~~i~i~i'li~~i~~i~i~i~~ki~i~~i~~i~i~iK'
i~
~FFF!-/-/-/-~fFff~/~~fff~F1-/-/-/-~FFff//~/~Ff~F/F!-/-~~F~F/~ff~f/~//~FFFffF/!-fI
FOR OFFICE USE ONLY
FACILITY IS: REQUEST IS: /
AVAILABLE APPROVE j/}'
NO~E
{ } DENIE { }
Recreation Department Supervisor
CERTIFICATE OF INSURANCE REQUIRED? f1 ` t`N+'1 ~ NO
Application fee of lJ0 $50 0 $75 received on: III
~~13 l Il~~
Date Check Number
Deposit of $250 received on: ~I ~ 7113
Date Check Number
ACORDTM CERTIFICATE OF LIABILITY INSURANCE oaTE (Mevoo/ryrvr
04/08/2013
- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI
CERTIFlCATE 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), AUTHORIZE
REPRESENTATIVE OR PRODUCE AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certHit:ate holder Is an ADDITIONAL INSURED, the policy(les) must Ua andoned. IT SUBROGATION IS WAIVED, subJtxt to th
farms and conditions of the policy, certain policies may require an andonament. A statement on this cartiflgte does not confer rights to th
certifcate holder in lieu of such endorsements .
PROWLER coNTACr Affini Insurnce Services, Inc.
NAME: ty
Aifinity Insurance Services, Inc. PHONE: IA/c, 877-723-3933 1-516.294-4449
300 Jericho Quadrangle, 3b FI No. Ext : FAX: (AIL, Nol:
Jericho, NV 11753 EiWL
DRESS:
INSURER(S) AFFORDING COVERAGE NAIL
INSURER A: Nat10nWId8 MUIURI InSUrenCe Com an 23787
INSURED INSURER B:
Renee Hindo INSURER C:
1911 Catalpa Court INSURER D:
Ferndale, MI 48220 INSURER E:
A Member of the Sports, Leisure 8 Entertainment RPG
INSURER F;
COVERAGES CERTIFICATE NUMBER: WS00014312 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE
ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE ADDL SUBR PoOCV NUMBER POLICY EFF PoQCY E%P UMITS
LTR INSR WVD MMIDWYY MMIWIYY
A GENERAL LIABILITY X 6BWED0000005372300 09/02/2013 09/03/2013 EACH OCCURRENCE $1,000,00
X COMMERCIAL GENERAL LIABILITY 12:01 AM ED 12:01 AM DAMAGE TO RENTED $1,000,00
PREMISES Ea occunence
CLAIMS-MADE OCCUR MED EXP (Any ane wrson)
$5,000
PERSONALBADV INUURY $1,000,00
GENERAL AGGREGATE $5,000,00
GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTSCOMP/OP AGG $1,000,00
POUCV PROJECT LOC LEGAL UAB TO PARTICIPANT
AUTgAOBILE LIABILnY COMBINED SINGLE LIMIT
Ea A¢iEent
ANY AUTO BODILY INJURY (Per person)
ALL OWNED AUTOS ~TpSULED BODILY INJURY (Peraaitlenl)
HIRED AUTOS NON-0WNED PROPERTY DAMAGE
UTOS Per acgOam
Not PaW0e0 wTlle in Hav2ii
UMBRELLA LIAR OCCUR EACH OCCURRENCE
EXCESS LIAR CLAIMSMADE AGGREGATE
DEDUCTIBLE RETENTION
WORKERS CdAPENSATON WC STATU-
ANDEMPLOYERS'UABILITY Y/N TORY LIMITS OTHER
ANV PROPRIETORSHIP/PARTNER/ ~ E.L. EACH ACCIDENT
EXECUTIVE OFFICER/MEMBER
EXCLUDED9 NIA E.L. DISEASE - EA EMPLOYEE
(ManEatory In NH)
If yes, tlescnbe Mger
DESCRIPTION OF OPERATIONS E.L. DISEASE - POUCY LIMIT
belvn
e one s e u s, mon awca a raga n
EventType: A wedding ceremony, reception and/or rehearsal; Honorees: Renee Hindo, Jenne Stewart; Event Dale: 09/02/2013; Loration: Town of Southold, A
Lure Restaurant.
It the event continues past 12:01 am a[ the location named on [he certificate of insurance, such continua8on shall be considered as the event date. The event
includes se[ up antl break down, at the event location, that occurs no more than 24 hours prior to the event or 24 hours after the event. The event also
includes the rehearsal or rehearsal dinner ifsUeduled within 48 hours of the event, if Me event is a wedding.
Property Damage Liability, as provided by this policy (inclutling Damage to Premises Rented to You), is subject to a $1,000 per occurrence deductible.
The certifipte holder is an additional insuretl but onl with res ect to liabili caused b the acts or omissions of the insured named above.
CERTIFICATE H LDER ANCELLA I
Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
53095 Main Road EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
Southold, NeW York 11971 THE POLICY PROVISIONS.
AU~T~HOyRQ~_ED/R~EPRE/SEMA/TVE
ACORD 35 (2010105) O tOBB4010 ACORD CORPORATION. All rights rssarva0.
Tha ACORD name aM l00o era raSlstere4 marks o/ACORD
***RECEIPT***
Date: 05/01/13 Receipt: 149426
Quantity Trensactiorro Reference Subtotal
1 Beach Wedding 9/2/2013 KB $50.00
Total Paid: $50.00
Notes:
Payment Type Amount Pald ey
CK #1163 $50.00 Hindo, Renee T.
Name: Hindo, Renee T.
1911 Catalpa Ct
Ferndale, MI 48220
Clerk ID: LINDAC Internal ID: 9/7!2073 KB
Cooper, Linda
From: Reeves, Ken
Sent: Tuesday, April 30, 2013 11:10 AM
Ta: Renee Hindo
Subject: RE: Wedding Application
Good Morning Renee:
Not a problem...we will make the change to 2:00 p.m. on the application.
Thanks,
Ken
From: Renee Hindo [mailto:renhindo@gmail.com]
Sent: Tuesday, April 30, 2013 11:00 AM
To: Reeves, Ken
Subject: Re: Wedding Application
Hi Ken,
I was in New York this past weekend and met with Valerie from A Lure. She indicated that the restaurant
would prefer if our reception would start at 5 pm, so that they could have the patio open for lunch on Labor
Day. As such, I was hoping that we could move the ceremony to 2 p.m. on Kenney's beach? I hope this is not a
problem. Please let me know!
I was also able to go to Kenney's beach, and it is BEAUTIFUL!
Thanks,
Renee
On Mon, Apr 22, 2013 at 2:53 PM, Renee Hindo <renhindo(a~emaiLcom> wrote:
Thank you! Have a good week.
On Mon, Apr 22, 2013 at 2:51 PM, Reeves, Ken <ken.reeves(a~town.southold.ny.us> wrote:
Not a problem...Kenney's Beach is fine. I sent all applications to the town clerk's office
last week.
Thanks,
t
a~ , , .
970 Peconic Lane
Ken Reeves s~'aj~~ P.O. Box 267
Recreation Supervisor * Peconic, NY 11958
Town of Southold 631.765.5182
Ken.Reeves @ tow n.southol d.ny.us
TOWN OF SOUTHOLD
RECREATION DEPARTMENT
APPLICATION FOR WEDDING CEREMONY
ON SOUTHOLD TOWN BEACHES
PLEASE PRINT LEGIBLY
APPLICATIONS DUE AT LEAST
THRE 3;
Today's Date: / ~ 3
Applicant's Napme• ~ ESN
p~q
p f'7 ~.~tl rJ U
Address: ~ I'~r
+ ~ ~4-t ~ ~i! /hl ~~~220
Home Phone: 2 y~ ' ~ 3J ' o t ~ 3 Business Phone: 2 ~ 3 I ~ 2 b ~ `T
Cell Phone: ~.~^~•~47~+C' 1~-mail address: ~ EN H IN5y ~Mr4 ~L ,
Name of Bride:. TILNE~ ~-''J~ na Name of -J~iL~~tl ~ `JTt't~r'~ ~T
Beach Desires:.. )Cer~rl Guy 5 t7V" ~ tt CtLy)-rt. s ~ tJ/ e'i-tt~l Olh~d t~.vcv ~~,~e }
(Town Beach, Gull Pond, euney's, McCabe's, New Suffolk, Goose reek, etc.) JJ
Number of Guests: fiYJOro ~C Number of vehicles: U Vin, k
Day and date of use: 1~~ i>'r ~ ~ Z ~ ~ J
Length of ceremony: From: A.M. ~ ~ P.M. To: A.M. ~ P.M. Ccp~X
Number of temporary parking permits requested: ( U
Please allow ample time to set up and clean beach after use. Town beaches are
closed from dusk until dawn.
Is applicant a resid a Town of Southold? DYES uNO
ApplicanNs Signatu
FEES: ^
Residents: Free of Charge Non-Residents: $50 (under 50 participants
$75 (over 50 participants)
Refundable cleanup deposit of $250 required for all appBcants.
Please note: Fees must be paid once application is approved. Checks made
payable to TOWN OF SOUTHOLD. Please submit separate
checks.
.
t3
TOWN OF SOUTHOLD 2069 INDEMNITY AGREEMENT
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
This Agreement is made this ~ day of , 20_, between the Town of
Southold (hereinafrer "Town") and
(hereinafter "Applicant").
In consideration of issuance by the Town's Recreation Department of an approval to
utilize a Town Beach, the Applicant voluntarily agrees to indemnify and hold the Town
and its officers, employees, and agents harmless from and against any and all losses,
liabilities, damages, or costs sustained by any person for personal injury, death, or
property damage arising out of, or as a consequence to the use of the Town property.
The undersigned further agrees to indemnify and hold harmless the Town and its officers,
employees, and agents from and against any and all losses, fiabilities, damages, or costs
which may be imposed upon, incurred by or asserted against the Town by reason of any
act of omission of the undersigned, which result in damage or injury of any kind to any
person or any property and which arises out of or is any way connected with the event
permitted by this approval.
APPLICANT:
By:
Sworn to before me this
day of , 20_
Notary Public
FOR OFFICE USE ONLY
FACILITY IS: REQUEST IS:
AVAILABLE APPROVED [ }
NO AVAILABLE { } DENIED { }
Recreation Department Supervisor
CERTIFICATE OF INSURANCE REQUIRED? V Y ES ~ NO
Application fee of ? $50 0$75 received on:
Date Check Number
Deposit of $250 received on:
Date Check Number
Page 1 of 3
Cooper, Linda
_
From: Reeves, Ken
Sent: Wednesday, April 03, 2013 8:44 AM
To: Renee Hindo
Subject: RE: Wedding Application
I think we can accommodate you for Monday, September 2. We will probably
only have
2 or 3 beaches open as many of our lifeguards head back to college in mid-late
August.
In case the beach is open, the ceremony can be held at the western end of Kenney's
Beach...the lifeguard stand is on the eastern end. Kenney's Beach is one of our
smaller
beaches so I don't think this should be a problem.
Thanks,
Ken
From: Renee Hindo [mailto:renhindo@gmail.comj
Sent: Wednesday, April 03, 2013 8:39 AM
To: Reeves, Ken
Subject: Re: Wedding Application
Hey Ken,
Thanks for the quick response! Would there be any way at all for us to use one of the beaches on
Monday at around noon? It's approx 30 people, and should only take an hour.
I'm just concerned that, since we are all coming from out of state, most of our guests will have a
hazd time with Tuesday. Please let me know if you can do anything! Work your magic! Lol
If it absolutely has to be on Tuesday, would that be any time Tuesday?
Thanks!
Renee
Sent from my iPhone
On Apr 3, 2013, at 8:14 AM, "Reeves, Ken" <ken.reeves(a,town.southold.nv.us> wrote:
Hi Renee:
I sent the application to the town clerk's office. I will contact them later
today.
4/12/2013
Page 2 of 3
I put the date down for 9/2, the day after our beaches close. I think Kenney's
Beach should be fine.
We will probably need the second page completed and notarized before final
approval. The two checks and the certificate of insurance need to be submitted
as well.
I will keep you posted.
Thanks,
Ken
From: Renee Hindo lmailto:renhindo@gmail.com]
Sent: Tuesday, April 02, 2013 9:57 PM
To: Reeves, Ken
Subject: Re: Wedding Application
Hey Ken!
Any idea when we will hear back on availability? I am trying to set up the reception site,
but can't do that until the beach ceremony is set up.
Thank you!!
Renee
On Mon, Apr I, 2013 at 4:35 PM, Renee Hindo <renhindo(a~email.com> wrote:
Ken,
Thanks for the quick response with the application. I filled it out and it is attached hereto. I
am flexible with the times, as we discussed, and also with the beach location (as long as it is
pretty and suitable for a wedding ceremony!). As I mentioned, I am not from the area, so I
am not familiar with the beaches.
Please let me know if you need anything else. When can I expect to heaz back about what is
available for us?
Thank you!
Renee Hindo
On Mon, Apr 1, 2013 at 2:27 PM, Reeves, Ken <ken.reevesCa~townsouthold.ny.us> wrote:
Good Afternoon:
Please see attached.
4/12/2013
Page 3 of 3
. .
With kind regards,
Ken
Ken Reeves
Recreation Supervisor
Southold Recreation Department
970 Peconic Lane
PO Box 267
Peconic NY 11958
631.765.5182
http: //www. southoldtownnv. gov/
Ken. Reeves(aftown. Southold. nv. us
Rcn~e 7~. llindc,~, J.U.
248.830.0163
renhindo(a~gmail.com
Renee T. Hindo, J.D.
248.830.0163
renhindona gmail.com
4/12/2013