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Home My WebLink About2014 hValk, RESOLUTION 2014-201 ADOPTED DOC ID: 9563 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-201 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 25, 2014: RESOLVED the Town Board of the Town of Southold does hereby grant permission to the Mattituck Lions Club to use Strawberry Fields in Mattituck from Sunday, June 8 through Thursday, June 19, 2014 for the annual strawberry festival and be it further RESOLVED the Town Board of the Town of Southold authorizes the Town Clerk to issue a Special Events Permit to the Mattituck Lions to hold its Annual Strawberry Festival at Strawberry Fields on Thursday, June 12 through Sunday, June 15, 2014 provided 1. They file with the Town Clerk a Two Million Dollar Certificate of Insurance naming the Town of Southold and the County of Suffolk as an additional insured; 2. Coordinate traffic control upon notification of the adoption of this resolution with Captain Kruszeski 3. No permanent markings be placed on town, county or state roads or property for the event; 4. Any road markings or signs for the event be removed within twenty-four (24) hours of the completion of the event. Some of the requirements for issuing a Special Permit may be waived. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:Jill Doherty, Councilwoman AYES: Ghosio, Dinizio Jr, Roland, Doherty, Evans, Russell o�$uFFot�-oo ELIZABETH A.NEVILLE,MMC �� y Town Hall, 53095 Main Road TOWN CLERK C P.O. Box 1179 CA Z Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER 'y� 0` Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l `�•� www.southoldtownnygov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 28, 2014 Joseph Doorhy Mattituck Lions Club 1125 Ole Jule Lane Mattituck NY 11952 Dear Mr. Doorhy: Enclosed herewith is a certified copy of the Southold Town Board resolution No. 2014-201 adopted on Tuesday, February 25, 2014. All fees are waived however I still need to receive a Certificate of Insurance for a minimum of$2,000,000 for the event. Also included is a copy of the town's Policy for Special Events on Town Property. Please be sure to contact this Captain Kruszeski at the Southold Town Police Department to coordinate traffic control. Good luck with your event. Very truly yours, Linda J. Cooper Deputy Town Clerk Enclosures TOWN OF SOUTHOLD Policy for Special Events on Town Properties and Roads In addition to the criteria set forth in Chapter 204 of the Southold Town Code with respect to the review of events are proposed to utilize or be held on any land owned, leased or controlled by the Town of Southold and, in particular, special events on Town roads, and with the exception of community organized parades, the issuance of a Special Event Permit by the Town Board will be subject to the following guidelines: 1. All events must be sponsored by a not-for-profit organization or recognized charity and the applicant must verify that all proceeds generated by the event are wholly for the benefit of said organization or recognized charity. 2. Events that require the closing of a road shall not be held on a holiday or at the same time or location of previously approved community or special events absent the authorization from the Chief or Captain of the Police Department. 3. All bicycle or motorcycle events shall be limited to 600 participants. 4. Applicants may only receive approval for one event in each calendar year. 5. The prior issuance of an approval does not bind the Town Board to approve the same or a similar event in the future. All special event approvals shall be subject to the compliance with the following conditions: 1. They file with the Town Clerk a Two Million dollar Certificate of Insurance naming the Town of Southold as an additional insured; a$100 filing fee; a remuneration of determined by the Chief or Captain of the Police for traffic control; $500 deposit for clean-up (deposit to be returned after event upon recommendation of Southold Town Police Chief); 2. Make every effort to control noise; 3. Comply with Chapter 205 of the Southold Town Code to notify neighbors in advance of the event; 4. Coordinate traffic control upon notification of the adoption of this resolution with Police Captain; 5. No permanent markings be placed on Town, County or State roads or property for the event; and 6. Any road markings or signs for the event be removed within twenty-four(24) hours of the completion of the event. The Town Board reserves the right to waive or modify any or all of the above guidelines and conditions as it may deem appropriate under the circumstances presented and to deny any application for a special event that is determined to not be in the best interest of the residents of the Town of Southold. $100 filing fee $500 Clean-up Deposit $ remuneration for traffic control Certificate of Insurance for $2,000,000.00 Cooper, Linda From: Flatley, Martin Sent: Tuesday, February 18, 2014 1:44 PM To: Cooper, Linda Cc: Blasko, Regina; Kruszeski, Frank; Reeves, Ken Subject: RE: Lion's Strawberry Festival Attachments: CA for Strawberry Festival 2014.xls I have no objections to this event being held again.Attached is our department's cost analysis for the festival. ftgoffis Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Cooper, Linda Sent: Tuesday, February 18, 2014 1:13 PM To: Flatley, Martin Cc: Blasko, Regina; Kruszeski, Frank; Reeves, Ken Subject: Lion's Strawberry Festival t Town of Southold Police Department Special Event Cost Analysis Event: Mattituck Lions' Strawberry Festival Date s) June 12-15, 2014 Location: Strawberry Fields Fair round , Mattituck Reg Hours IOT Hrs Hrl Wade- Total Comments Lt Ginas 16.6-6 78.52 1256.32 Lt Sawicki 8.00 79.96 639.681_ PO Gillan 16.00 59.40 950.40' SPO Haase 24.00 _ 20.81 4_99.44_ SPO Richert 16.00 20.81 332.86 ------ ------------------ --- ----- SPO Ficner 24.00 20.81 499.44 Re Hours OT Hrs lHrlyWage Total Comments PO Brewer 24.00 4 00 60.47 181410] - - - r -- - - - — - PO Flatley 16 00 57.76 82416+ PO Male 8.00 59.94 479.52 PO Onufrak 24.00 58.62 Reg Hours OTHM Hrly Wage Total Comments TC Officer 128 00+ 67.50 16.46 3217.93 AII hours for 5 TCOs TC Officer TC Officer TC Officer TC Officer TC Officer Total De artment Cost for Event= $ $12,020.83 Prepared by Chief.M. Halley 2/28/2014 Page 1 Cooper, Linda From: Reeves, Ken Sent: Tuesday, February 18, 2014 4:08 PM To: Cooper, Linda Subject: RE: Lion's Strawberry Festival The full week, plus a couple of more days..., they need it from June 8 — 19 allowing time for setting up and breaking down. From: Cooper, Linda Sent: Tuesday, February 18, 2014 2:57 PM To: Reeves, Ken; Flatley, Martin Cc: Blasko, Regina; Kruszeski, Frank Subject: RE: Lion's Strawberry Festival So they will want it for the full week, is that correct? DeputyTown Clerk Town of Southold 631-765-1800 70 uack aFe 444C4,Eea4 VW waat OW 8allaa you care. From: Reeves, Ken Sent: Tuesday, February 18, 2014 2:00 PM To: Cooper, Linda; Flatley, Martin Cc: Blasko, Regina; Kruszeski, Frank Subject: RE: Lion's Strawberry Festival I just spoke with Mr. Doorhy...they need to amend the start date to Sunday, June 8. I will submit a resolution for the 2/25 town board meeting. Thanks, Ken From: Cooper, Linda Sent: Tuesday, February 18, 2014 1:13 PM To: Flatley, Martin Cc: Blasko, Regina; Kruszeski, Frank; Reeves, Ken Subject: Lion's Strawberry Festival 1 ELIZABETH A.NEVILLE,MMC �� f. lbwn Hall,53095 Main Road TOWN CLERK P.O.Box 1179 N : Southold,New York 11971 REGISTRAR OF VITAL STATISTICSp Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER wwwsoutholdtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Chief Martin Flatley From: Linda J. Cooper, Deputy Town Clerk Dated: February 18, 2014 Re: Mattituck Lions Club Transmitted herewith is a request by the Mattituck Lions club to hold its annual Strawberry Festival at Strawberry Fields. Please review this request and send me your recommendation. FF01/( ELIZABETH A.NEVILLE,MMC �� ry Town Hall,53095 Main Road TOWN CLERK p P.O. Box 1179 H Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER �� Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER �! southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER RECEIVED OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FEB 6 2014 APPLICATION for a SPECIAL EVENTS PERMIT Southold Town Clerk Organization's Name: Mailing Address: //,?S- OZe- Contact's Name: Doff -e/iy Contact's Phone Number: 63/— -41Vj-- f, Email Address: wee o,e,Gs z4v L,,,z Type of Event: STe av g<c... r-W, Date(s)of Event: ao-49- f Time of Event: 9:00 "9w, /a:o a iav- Location of Event: �s z p. . B a .ea y i c' toi f (use aMidonal papa if sacesavy) Anticipated number of attendees/participants: ez oa a Is this a Not-for-Profit Event or No If Not-for-Profit, identify the Recipient of Proceeds: Are any special requirements needed for this event? (i.e. Marine police,road closures, etc) If so please attach an explanation to this application. Have you read the copy of the Town's regulations concerning Special Permits attached to this application? Si a Date Cooper, Linda From: Cooper, Linda Sent: Tuesday, February 18, 2014 1:13 PM To: Flatley, Martin Cc: 8lasko, Regina (rblasko@town.southold.ny.us); Kruszeski, Frank; Reeves, Ken Subject: Lion's Strawberry Festival Attachments: Strawberry Festiva 1_20140218130835.pdf t .a►co opCERTIFICATE OF LIABILITY INSURANCE °"'003/04/120142014 "' 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: U the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder In lieu of such endoreemen s. PRODUCER CONTACT John Adams Willis of Illinois, Inc. 1-8m-31"705 1 7- 378 arAIL 425 N. Martingale Road, Suite 1100 w.Ilonedubs@Mlis.Gom Schaumburg, IL 60173 AFFORDING COV aMlE NAIC0 INSURED INSURERA: ACE American Insurance Company 22067 INSURER B: MattiWcic Lions Club INSURERC: Mattituck New York INSURER D: INSURER E: INIVNERF: COVERAGES CERTIFICATE NUMBER: 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 ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTV TYPE OF INSURANCE POLICY NUMBER POL EFF PO EXP A GENERAL LNBRITY LAWS EACHOCCUIVIIENCE S 1.000,000 X CaMS1ERC4YM RAL LIABILITY HDOG27022923 09MI2013 OB/012014 g 1,000,000 FXCLANS-MADE OCO� NO EXP M aM s 1,000 tisxt Per Named Insured PERSONALAADVINAIRY 5 1,000,000 2,000.000 GENERALAGGREGATE s 10,000,000 GENL AGGREGATE LMR APPLIES PER: X PROOIICTg.COMPIOPAGG 5 2,000,000 POLICY LOC S A AUTOMOBILE LMMLnY COMBINED IIIdUd� ANY AUTO ISAH08721415 12013 09/012014 SLY INIURY(Per peseDlALL s AMOS AMOS ED BODILY MRStY(POISMOn) 5 HIRED AUTOS �D Per S 5 UMBRELLA LIAS OCCUR EACH OCCURRENCE EXCESS UAB S AGGREGATE 5 DED I I RETENTIONS WORKERS COMPENSATION S AND EMPLOYERS`UASUTY YIN ANY PROPRIFTORPARTNERAiXECUrryE RAEMMBNEIR EXCLUDEDI NIA El EACH ACCIDENT S Ryy��S,,erfOM! EL DISEASE-EA EAf+I S DEarXaPTION OF ePEMTIWS below E.L DISEASE-POLICY LRM I s DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES tlkft ,ACORD 101•AWMw IRs seMduN.Nmen tpr bnqui ,q Provisions of the policy apply to the named Insureds participation in the following activity during the policy period shown above:6/10/14 thru 6/15/14 Mattituck Lions Strawbwerry Festival&Country Fair Fairway Goa Cart Corp,dMyartha Cham Vineyards,Suarls! out of the use of pffroelk Countyy,Town of Southold,MaWtucic UFSD, is included as an Additional Insured(a),but Doty with PROVISIONS OF THE eral (POLICY DO NOTAPPLY TO THE premisesby ORthe ISERVING OF ALCOHOLIC BEVERthe AGES shown above and not out of negligence of saki additional insured CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1179 Southold New York 11971 APR 2014 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVHMON& AUTHORIZED REPRESENTATIVE /�� Southold Town 4lefli 1:J'"-L- ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD A&C>d CERTIFICATE OF LIABILITY INSURANCE °ATE'N�°°-77- `-� 03/04/20,4 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: B the car6flcata holder is an ADDITIONAL INSURED,the poNey(les)must be endorsed. M SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsament. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PROWLER CONTACT NAME John Adams Willis of Illinois, Inc. • 1-800-316.6705 K m o: 1-888467-2378 425 N. Martingale Road, Suite 1100 , norlsclubsQwllis.com Schaumburg, IL 60173 AFFORMMCOVERAGi NABCIF INsw1ERA: ACE American Insurance Company 22867 INSURED INSURER B: Mattttuc k Lions Club INSURER C: Mattituok New York INSURER 0: INSURER E: I RF: COVERAGES CERTIFICATE NUMBER: 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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MLTR UMTYPE OF INSURANCE POLICY NUMBER P YEFF POLICY EXP LIMITS A GENERALLIABLITY EACH OCCUNIRENCE S 1.ODO,000 X COMMERCIAL GENERAL LIABILITY HDOG27022923 09/01@013 09/01/2014S 1,000.000 F7 OCCUR MEDEXP abN S 1,000 X AN.Per Named Insured PERSONAL SADYPOURY S 1,000,000 is$2.00D.000 GENERAL AGGREGATE S 10,000,000 GENL AGGREGATE LIMIT APPI.IEg PER: PROoucTs- G S 2,ODO.000 X POLICY LOC cOLPIOPAGS A AUTOMOBILE LIABILITY acti SIM LE LIMIT S Included ANY AUTO ISAH08721415 D910112013 09/01/2014 ANY NLURY(Per pouin) S ALL OwHED SCHEDULED AUTOS AUTOS BODILY INANW(Pa swdeM S HIRED AUTOSAD Per S S UMBRELLA UA 9 � EACH OCCURRENCE S EXCESS LUIS CIAIMSA1110E AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN FIR ANY PROPPETORIPARTNEIVEXECUTNE OPFICERIMEMBER EXCLUDED'I ED NIA EL EACH ACCIDENT S (�Luy0ngd,�wsSpy aIn�n" E.L.DISEASE-EA Si OESCrtlPr10N OFOPERATIONSbelow E.L.DISEASE-POLIOYLBAT DESCRN'rION OF OPERATIONS I LOCATIONS I VEHICLES UUU1Ch ACORD 101,Abdilb,al Ra .Sdwdula.Nem space a M4.kadl Provisions of the policy appyy to the named insureds participation in the following activity during the policy period shown above:6/10/14 the 6/15/14 Mat ituck Lions Strawbweny Festival 8 Country Fair Fairway Golf Cart Corp.Martha Clara Vineyards,Suffolk County,Town of Southold,Matliluck UFSD, is included as an Additional Insured(s),but only with respect to General Liabil'Ry arising out of the use of premises by the Insured shown above and not out of the sole negligence of said additional insured. PROVISIONS OF THE POLICY DO NOTAPPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION Suffolk County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 144 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN West Sayville New York 11796 APA 1 2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��I Southold Town Bled ff��"" ®1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD o�Og�FFO(,�c0 ELIZABETH A.NEVILLE,MMC �� /y Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 cz N Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • .F Fax(631)765-6145 MARRIAGE OFFICER �' �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��,( `�►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 15, 2014 Tony Blados 225 Pine Street Mattituck, NY 11952 Dear Mr. Blados: The Southold Town Board, at its regular meeting held on October 7, 2014, granted permission to the Mattituck Lions to hold its annual Halloween parade on October 31, 2014. A certified copy of the resolution is enclosed. An insurance policy naming the Town as additionally insured has been filed with this office. Please be sure to contact Captain Kruszeski, at the Police Department, 765-2600, as soon as possible, to coordinate traffic control. Very truly yours, Lynda M Rudder Southold Deputy Town Clerk Enc. Southold Town Board - Letter Board Meeting of October 7, 2014 �`ID6UF10(,FCO RESOLUTION 2014-788 Item # 5.5 1A ADOPTED DOC ID: 10128 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-788 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 7, 2014: RESOLVED that the Town Board of the Town of Southold hereby grants permission to the Mattituck Lions Club to use the following roads for its Annual Halloween Parade in Mattituck, on Friday, October 31, 2014 beginning at 5:30 PM: beginning at the Firehouse, west on Pike Street, South on Westphalia Road, east on Old Sound Avenue, north on Love Lane, east on Pike Street to Mattituck High School, provided they adhere to the Town of Southold Policy for Special Events on Town Properties and Roads. Support is for this year only, as the Southold Town Board continues to evaluate the use of town roads. All Town fees for this event, with the exception of the Clean-up Deposit, are waived. 0�as*?Oex� Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Jill Doherty, Councilwoman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell Generated October 7, 2014 Page 14 SOIJ ELIZABETH A.NEVILLE,RMC, CMC '` O Town Hall, 53095 Main Road TOWN CLERK l�[ 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CnSouthold, New York 11971 G MARRIAGE OFFICER �p� Fax (631) 765-6145 � RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER UNV southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR A PERMIT TO HOLD A SPECIAL EVENT P Icase provide ALL of the information repucsted below.Incomplete applications WILL NOT be reviewed. Date of Submission y'43 //L/ Name of Event 12V,4 ?Ti 4 c b`o ,6 W,4 l/0(� Je e-� ' ("dName of Organization: lw q T'j{,tel J—/"Yj Is this a Not-For-Profit Event es o_ Contact's Name: / 4?44,7 -5 _—__—___.__-___—_-- Mailing Address: 9,71-5 5 ) Contact's Phone Number: 6121' .33-5 16J, Contact's Email Address: Event location and Site Diagram: d-J J9 7TI' -{CK. j=. 'D, 7-0 P u( (Use additional paper if necessary) .5 e e Event Date(s): /0A/h</ _,t �� .t jJ �-ri�L�4150 530 'OL (Include set up and shutdown times and dates) k.),e iD ,-;V Nature of Event: ANrJ U 6 rr /�.41��t E"�� P/4-1- k (Please attach a detailed description to this application) Time Period (Hours)of Event: From ( .,) /n to &�3 _ Maximum Number of Expected Attendees: n l Specify any special requirements (i.e. road closure, police presence): g�� e os"ke See If a Tent or other temporary structure will be used please contact the Southold Town Building Department at 631-765-1802 Mailing Address to Send Event Permit to: p,JT 34/4 Du.S s7 'tv'-:;177;1_t"4 w�/ liS3Z Fees: $250 for events with less than 1000 expected attendees $350 for events with 1000 or more expected attendees $250 or more Clean-up deposit t-� NOTE: Additional deposit may be required (see attached regulations)and shall be made in an amount determined prior to issuance of the permit based upon the estimated direct costs attributable to additional police, highway and cleanup costs associated with the event. The deposit will be used to cover such costs and any unused monies will be returned to applicant. CERTIFICATE OF INSURANCE REQUIRED: Not less than $2,000,000 naming the Town of Southold as an additional insured. Additional information and requirements may be required as deemed necessary by the Town Board. 141)1t�o Y,j I�L,4 Das Print name of Authorized Person filling out Signature of Auth ize Person filling out application application *Upon the request by applicant,the Town Board may waive in whole or in part any of the application requirements. 2 SPECIAL EVENTS INSTRUCTIONS AND APPLICATION Please submit application at least 30 business days prior to the event. The Town reserves the right to request additional information from an applicant to address issues related to the health, safety, and welfare of the community.. When is a Town Board Permit Required? Events held on Town lands or events exceeding 1000 attendees. a. Any event held on property owned, leased or controlled by the Town or any event where the expected attendance exceeds 1000 people shall be subject to approval by resolution of a majority of the Town Board following the submission of an application to the Special Events Defined: Any temporary gathering, demonstration, performance, exhibition, amusement or activity that is not currently a permitted use of the property in the applicable zoning district or which requires a parking area to accommodate all vehicles transporting attendees to the event that is larger than the existing parking capacity of the site that is sponsored by a person, organization entity or association, including but not limited to, carnivals, circuses, fairs, bazaars, outdoor shows and concerts, parades, walks, runs, marathons, bicycle races or motorcycle rallies, which may involve one or more of the following: A. The closure of a public street B. The use, blocking or restriction of Town property, roads or rights-of way; C. The use of amplified sound exceeding the standards set forth in Chapter 180 (Noise) of the Town Code; D. The sale of merchandise that is not ordinarily sold in the normal course of the applicant's business; E. The sale or service of food to the public with exceptions. (See Town Code 205-2 E for exceptions) F. The,substantial increase or disruption of the normal flow of traffic on any street or highway G. The placement of portable toilets. H. The placement of temporary no-parking or directional signs or banners I. The use of any Town services that would not be necessary in the absence of such an event. Occasional events on private residential properties hosted by the owner thereof to celebrate family events, holidays, charitable or other not-for-profit fundraisers do not require permits. Any use of residential property for profit, such as a venue for weddings or other events is prohibited. 3 TOWN OF SOUTHOLD Policy for Special Events on Town Properties and Roads In addition to the criteria set forth in Chapter 204 of the Southold Town Code with respect to the review of events are proposed to utilize or be held on any land owned, leased or controlled by the Town of Southold and, in particular, special events on Town roads, and with the exception of community organized parades, the issuance of a Special Event Permit by the Town Board will be subject to the following guidelines: 1. All events must be sponsored by a not-for-profit organization or recognized charity and the applicant must verify that all proceeds generated by the event are wholly for the benefit of said organization or recognized charity. 2. Events that require the closing of a road shall not be held on a holiday or at the same time or location of previously approved community or special events absent the authorization from the Chief or Captain of the Police Department. 3. All bicycle or motorcycle events shall be limited to 600 participants. 4. Applicants may only receive approval for one event in each calendar year. 5. The prior issuance of an approval does not bind the Town Board to approve the same or a similar event in the future. 6. Failure to comply with any condition of approval may result in revocation of approval and/or denial of future applications. All special event approvals shall be subject to the compliance with the following conditions: 1. They file with the Town Clerk a Two Million dollar Certificate of Insurance naming the Town of Southold as an additional insured; a$250 or $500 filing fee (depending on size of event); a remuneration of determined by the Chief or Captain of the Police for traffic control; $250 or more deposit for clean-up (deposit to be returned after event upon recommendation of Southold Town Police Chief); 2. Make every effort to control noise; 3. Comply with Chapter 205 of the Southold Town Code to notify neighbors in advance of the event; 4. Coordinate traffic control upon notification of the adoption of this resolution with Police Captain; 5. No permanent markings be placed on Town, County or State roads or property for the event; and 6. Any road markings or signs for the event be removed within twenty-four(24) hours of the completion of the event. 7. Any Parade Participants shall not throw candy or other objects at or in the direction of spectators along the parade route but such items may be handed directly to spectators. The Town Board reserves the right to waive or modify any or all of the above guidelines and conditions as it may deem appropriate under the circumstances presented and to deny any application for a special event that is determined to not be in the best interest of the residents of the Town of Southold. $250 or $350 filing fee (depends on size of event, see law) $250 or more Clean-up Deposit - Cannot be waived. $ remuneration for traffic control Fees Waived Certificate of Insurance for $2,000,000.00 Revised 5/20/14 s CERTIFICATE OF LIABILITY INSURANCE F DATE(MMlDDJYYYY) 08/27/2014 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 is an ADDITIONAL INSURED,the policy(ies)must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: John Adams Willis of Illinois, Inc. PHON o : 1-800-316 6705 FAX No): 1-888-467-2378 425 N. Martingale Road, Suite 1100 ADDRESS: IlonsGUbS@wiliis.com Schaumburg, IL 60173 INSURER(S) AFFORDING COVERAGE nwc NI INSURER A: ACE American Insurance Company ! 22667 INSURED INSURER 8: Mattituck Lions Club INSURER C Mattituck New York INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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 ANY REOUIREh1ENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1 TR L TYPE OF INSURANCE POLICY NUMBER MMMIDSUBR D YYYY MF J M1DD EXP LIMITS A GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COFMMMERCrALGENERALUABILTY HDOG27336395 �09/Ol/2014�09/Ol/2015 PREMISES Ea occurrence S 1,000,000 CLAIMS-MADE FX OCCJR ry— MED EXP IArN one I S 1,000 X Agg.Per Named Insured 7 PERSONAL&ADV INJURY S 1,000,000 IS$2.000,000 GENERAL AGGREGATE S 10.000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-CCNAPiOP AGG S 2,000,000 X POLICY PRO LOC S A AUTOMOBILE LIABIL17Y COMBINED SINGLE LIMIT ISAH08827552 109/01/2014 09/01/2015 BODILY INNl S1,000,000 ANY AUTO JURY(Per person) $ ALL OWNED F SCHEDULED AUTOS AUTOS BODILY INJURY(Per attdent) S _ NON-OWNED PROPERTY DAMAGE MIRED AUTOS AUTOS per accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAN"AS-IMADE i AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PEPAIEETOR+PACLUDE EXECUTI\'E� E L EACH ACCIDENT S OFRCERrhAEMBER EXCLUDED NIA � I (Mandaa>ry in NH) E L DISEASE-EA EMPLOYEE S describe ur4er DESCRIPTION OF OPERATIONS bebu' E L DISEASE-POLICY LIMIT $ I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule.if more space is required) Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above:Halloween Parade,10/31/2014 pMaattituck UyFSD,Mattituck Fire District,Town of Southold is included as an Additional Insured(s),but only with respect to General Liability arising out of the use of PROVISION OF THthe E Insured IC DO NOTPPLabove and not Y TO THE of the SALE SERVING OFA ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1129 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Southold New York 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (61988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD op F� High `9�0 School Ft y rQ y` e O !o F.D lY Mam Ck egfiha�R� N�gu{tol� * * * RECEIPT * * * Date: 09/25/14 Receipt#: 177886 Quantity Transactions Reference Subtotal 1 Clean-Up Deposit 10/31/14 $250.00 Total Paid: $250.00 Notes: Payment Type Amount Paid By CK# $250.00 Mattituck, Lions Club Name: Mattituck, Lions Club Po Box 595 Mattituck, NY 11952 Clerk ID: LYNDAR Internal ID: 10/31/14 Post Office Box 595 Mattituck, L.I., N.Y. 11952 631 -298-2222 RECEIVED www.mattitucklionsclub.org SEP 2 3 2014 Elizabeth A.Neville,MMC Town Clerk Southold Town Clerk Dear Mrs.Neville This is our annual Halloween Parade which we have been doing for many years. We are a non profit organization and we are asking the town to please waive the event fee. We as a group dedicate our time to help out the community, and the annual Halloween Parade is just another way we would like to give back to the community. We understand the rules&regulations regarding the permits needed which we have no problem obtaining. We also understand there is a clean up deposit that is mandatory which we have no problem paying.Again we are just asking that the event fee be waived. Thank you for your consideration in this matter Thank You g,-* i4x'- Anthony J Blados 3`d VP l MATTITUCK LIONS CLUB 3274 P.O.BOX 595 w MATTITUCK,NY 11952 `Rae 50-546-214 DATE �� ✓� / PAY TO THE ORDER OF DOLLARS l s- - 11F ,SUFFOLK COUNTY 11 NATIONAL SANK 5 �/F Mw:r�w rr ecnb.cn.new conn i Inas l ww, com FOR L�_. �r- =F-,_ ` ,��/.i �- rNP a■003 274n' 1:0 2 L4054641: 10L 0007/2 Rudder, Lynda From: Flatley, Martin Sent: Thursday, September 25, 2014 2:30 PM To: Rudder, Lynda; Kruszeski, Frank Subject: RE: Halloween Parade Attachments: CA Mattituck Halloween Parade.xls I have no objections to this event being held, my cost analysis is attached. Martin Flatley Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 -----Original Message----- From: Rudder, Lynda Sent: Thursday, September 25, 2014 8:55 AM To: Flatley, Martin; Kruszeski, Frank Subject: Halloween Parade Please provide approval/disapproval and cost analysis, thanks A ' Town of Southold Police Department Special Event Cost Analysis Event: Mattituck Lion's Club Halloween Parade Date(s): October 31, 2014 Location: Mattituck Village Patrol Allocation for Event Reg Hours OT Hrs Hrly Wage Total Comments Police Officers PO Simmons 1 $57.76 $57.76 Special Patrol Reg Hours OT Hrs Hrly Wage Total Comments CRU Bicycle Patrol K-9 Unit Highway Patrol Marine Units Traffic Control Reg Hours OT Hrs Hrly Wage Total Comments 7- Officer Officer C, Officer r Equipment Costs Total Department Cost for Event = $ $57.76 Prepared by Chief M. Flatley 9/25/2014 Page 1 o�oS�FFo��-�o ELIZABETH A.NEVILLE,MMC ��► G.j, Town Hall,53095 Main Road TOWN CLERK o P.O. Box 1179 y = Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ' .jC Fax(631)765-6145 MARRIAGE OFFICERTelephone y� RECORDS MANAGEMENT OFFICER �,� .�`�� FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov 765-1800 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 12, 2014 Mr. Anthony Blados 225 Pine Street Mattituck,NY 11952 Dear Mr. Blados: This office is in receipt of your request for the 2014 Halloween parade. Due to new procedures the Town now requires an application to be submitted along with the proper fees. I have enclosed the application as well as the rules and regulations regarding Special Permits in the Town of Southold. You may request that the Town Board consider waiving the fees for this event, however the clean-up deposit is mandatory and will be refunded upon inspect after the event. Thank you for your cooperation. If you have any further questions please contact me at the Town Clerk's office. Very truly yours, r Lynda M Rudder Deputy Town Clerk Enc. Mau-a"�ion&T" P.O. Box 595 Mattituck N.Y. 11952 www.manitucklionsdub.org 531-298-2222 RECEIVED SEN 3 2014 Elizabeth Neville Town Clerk of Southold Southold Town Clerk P.O. Box 1179 Southold,NY 11971 RE: Mattituck Lions Club Annual Halloween Parade August 21, 2014 Dear Mrs.Neville: The Mattituck Lions Club is scheduling its annual Halloween Parade for Friday October 31",2014 at approximately 6:00 p.m. Could you please prepare a resolution to the Town Board to acquire permission to use the same town roads used in past parades? We have received a certificate of insurance naming the town as additional insured and have attached with this letter. Please address correspondence regarding this project to my office below. Thank you for your assistance in this endeavor. Sincerely yours (� �� Anthony J Blados, 3rd Vice president Mattituck Lions Club Anthony J Blados 225 Pine St Mattituck,NY 11952 Cell: 631-335-2168 ,a►coR a CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) 08/27/2014 'PHIS 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 is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: John Adams Willis of Illinois, Inc. PHONENo.Fid, 14800-316-6705 1 FAttcc.No): 14888-467-2378 ADDRESS: IionscIubs&Willis.com 425 N. Martingale Road, Suite 1100 Schaumburg, IL 60173 INSURER(S)AIWORDM COVERAGE `NAIC0 INSURER A: ACE American Insurance Company 22667 INSURED INSURER 8: Mattituck Lions Club INSURER C Mattituck New York INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ILTR TYPE OF INSURANCE Im L SUOR POLICY NUMBER M� Y EFF MPWDD/YW LIMITS A GENERAL LIABILITY EACH OCCURRENCE S 1,00,000 X COMMERCIAL GENERAL LIABILITY HDOG27336395 09/01/2014 09/01/2015 PREMISES Ea occurrence S 1,000,000 CLAIPAS MADE OCCUR MED EXP 1 one t 5 1.000 AN.Per Named Insured I PERSONAL&ADV INJURY S 1,000,000 is$2.000,000 _.--- i GENERAL AGGREGATE S 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPtOP AGG S 2,000,000 xX POLICY PRO LOC S A AUTOMOBILE LIABILITY COMBIjEa NED SINGLE LIMIT S 1,000,000 ANY AUTO ISAH08827552 09/01/2014 09/01/2015 BODILY INJURY(Per person) S ALL OWNED SCHEDULED I AUTOS AUTOS BODILY INJURY(Per accWent) S NON-OWNED PROPERTY DAMAGE _. HIRED AUTOS AUTOS Per acctoenf S S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLA1MSS-fAADE i ( AGGREGATE S DED RETENTION S S WORKERS COMPENSATION I WG STA TU- 0TH• AND EMPLOYERS'LIABILITY ZYyyU Y/N ANY PROPRIETOR/PARTNEWEXECUTIVE OFF CER'MEMBER EXCLUDED N t A E L EACH ACCIDENT S 'rMy�O�Iain N i urXIef E L DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S i I DESCRIPTION OF OPERATIONS;LOCATIONS t VEHICLES (Attach ACORD 101,Additional Remarks Schedule.if more space is re"ited) Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above:Halloween Parade,10/31/2014 Mattituck UFSD,Mattituck Fire District,Town of Southold is included as an Additional Insured(s),but only with respect to General Liability arising out of the use of premises by the Insured shown above and not out of the sole negligence of said additional insured. PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1129 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold New York 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Vendor No. Check No. Town of Southold, New York - Payment Voucher Check}Made Payable To: I Mail check to(mailing address): Entered by " ►0.'��'T V C��- L-t o Yl S c I uic d ' i..7 O X 595✓ Audit Date ContactTelephone Number Co 31 -rQC_>< Y ��j Town Clerk Contact Name 1 Invoice Invoice Invoice Net Purchase Order Number Date Total i Discount Amount Claimed Number Description of Goods or Services General Ledger Fund and Account Number Special Event can-up 250.00 j 250.00 Deposit Refund T1.030 II i i Total j 250.00 Payee Certification Department Certification The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved. Signa ur Titlei! � CLij Signature, Company Name Date 1 Tit Date tt ? Southold Town Board - Letter Board Meeting of November 5, 2014 gpFF°(K�3 RESOLUTION 2014-888 Item # 5.31 ADOPTED DOC ID: 10222 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-888 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 5, 2014: WHEREAS the Mattituck Lions Club has supplied the Town of Southold with a Clean-up Deposit fee in the amount of$250.00 for their annual Halloween Parade and WHEREAS the Southold Town Police Chief, Martin Flatley, has informed the Town Clerk's office that this fee may be refunded, now therefor be it RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in the amount of$250.00 to the Mattituck Lions Club, PO Box 595, Mattituck, NY 11952. �2 ` Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Jill Doherty, Councilwoman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell Generated November 7, 2014 Page 42