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Home My WebLink About2014 gUFFO(,�c ELIZABETH A. NEVILLE, MMC �y� �Gy Town Hall,53095 Main Road TOWN CLERK o P.O. Box 1179 cn Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O • �C Fax(631)765-6145 MARRIAGE OFFICER 'j'� Det` Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l `1►� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PERMIT For PUBLIC DISPLAY OF FIREWORKS I, ELIZABETH A. NEVILLE,Town Clerk of the Town of Southold,Suffolk County, New York, being an officer duly designated by the Town Board of the Town of Southold for this purpose,do hereby GRANT TO: Peconic Landing at Southold, Inc. 1500 Brecknock Road,Greenport, New York 11944 A PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York at 9:OOPM,Sunday, August 31 2014 at Peconic Landing Property located at 1500 Brecknock Road,Greenport, New York 11944• RAINDATE•9.00PM Monday,September 1,2014 ON CONDITION THAT the bond(indemnity insurance)required shall continue in full force and effect in favor of the Town of Southold, and PROVIDED that the actual point at which the fireworks are to be fired shall be at least two hundred feet from the nearest building, public highway or railroad, or other means of travel, and at least fifty feel from the nearest above ground telephone or telegraph line, trees or other overhead obstruction; that the audience at such display shall be restrained behind lines at least hundred and fifty feet from the point at which the fireworks are discharged and only persons in active charge of the display shall be allowed inside these lines;that all fireworks that fire a projectile shall be so set up that the projectile will go in the air as nearby as possible in a vertical direction, unless such fireworks are to be fired from the shore or a lake or other large body of water,then they may be directed in such manner that the falling residue from the deflagration will fall in to such lake or body of water;that any fireworks that remain unfired after the display is conducted shall be immediately disposed of in a way safe for the particular type of fireworks remaining; that no fireworks display shall be held during any wind storm in which the wind reaches a velocity of more than thirty miles per hour;that all persons in actual charge of firing the fireworks shall be over the age of eighteen years, competent and physically fit for the task, that there shall be at least two such operators constantly on duty during the discharge and that at least two soda acid or other approved type fire extinguishers of at least two and one-half gallons capacity each shall be kept at such widely separated points as possible within the actual area of the display. aeNeville, Zt(Town Seal) ElizabSouthold Town Clerk Suffolk County, New York Date:8/27/2014 THIS PERMIT IS NOT TRANSFERABLE F�"` RESOLUTION 2014-705 � � ADOPTED DOC ID: 10045 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-705 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 26, 2014: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Peconic Landing @ Southold, for a fireworks display on August 31, 2014 at 9:OOPM (Rain Date: September 1, 2014 at 9:00 PM), on the Peconic Landing's property at 1500 Brecknock Road, Greenport,New York, upon the payment of a single fee of$100 and subject to the applicant's compliance with the requirements of the Town's policy regarding the issuance of fireworks permits. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday, August 26, 2014 10:51 PM To: 'dragdigan@peconiclanding.com' Cc: Rudder, Lynda Subject: Emailing: Peconic Landing Resoluti_20140826213925 Attachments: Peconic Landing Resoluti_20140826213925.pdf Importance: High Hi Diane, As promised here is the Town Board Resolution approving the Fireworks together with the Fireworks Permit. Betty Neville Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Peconic Landing Resoluti_20140826213925 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 Rudder, Lynda From: Neville, Elizabeth Sent: Tuesday, August 26, 2014 9:00 PM To: 'Diane Radigan' Cc: Rudder, Lynda Subject: RE: Peconic Landing fireworks event I just this moment came out of the 7:30PM Town Board meeting. I have to adopt the entire agenda first,then I will be e- mailing you a resolution this evening. Betty Neville Elizabeth A. Neville;, MMC SOLlthold Town Clerk PO Box 1 179 Southold,NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 From: Diane Radigan [mailto:dradigan@peconicianding.org] Sent: Tuesday, August 26, 2014 4:09 PM To: Neville, Elizabeth Subject: RE: Peconic Landing fireworks event Hi Elizabeth, Just confirming approval of our fireworks permit at today's meeting. It is my understanding that it was on the agenda. The event is on Sunday. Thanks, Diane From: Neville, Elizabeth [maiIto:E.Nevi IleCc�town.southold.ny.us] Sent: Wednesday, July 16, 2014 2:15 PM To: Diane Radigan Subject: RE: Peconic Landing fireworks event The subsequent Town Board meeting dates are as follows: July 29, 2014 August 6, 2014 August 12, 2014 Elizabeth A. Neville, MMC SOLlthold Town Clerk PO Box 1 179 Southold, NY 11971 Tel, 631 765-1800, Ext. 228 Fax 631 765-6145 1 Cell 631 466-6064 From: Diane Radigan [mailto:dradi an peconiclanding.orq] Sent: Wednesday, July 16, 2014 12:04 PM To: Neville, Elizabeth Subject: RE: Peconic Landing fireworks event Thanks Elizabeth—what is the date of the August town board? From: Neville, Elizabeth [ma iIto:E.NevilleC&town.southold.ny.us] Sent: Wednesday, July 16, 2014 9:50 AM To: Diane Radigan Subject: RE: Peconic Landing fireworks event The sooner you get the completed application together with all of the pertinent documentation and information, the better. Once I have it, I have to refer it to several other town agencies and the local fire department within the jurisdiction of the location of the event for approval before placing it on the Town Board agenda. Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1 179 Southold,NY 11971 Tel. 631 765-1800, Ext. 228 Fax 631 765-6145 Cell 631 466-6064 From: Diane Radigan [mailto:dradigan(d)peconiclanding.org] Sent: Wednesday, July 16, 2014 9:30 AM To: Neville, Elizabeth Subject: Peconic Landing fireworks event Good morning Elizabeth, Peconic Landing is planning another annual fireworks event on Sunday, August 31"(with a Sept 1 rain date.) Our fireworks company is preparing the paperwork for the permit but I am reaching out today to enlist your assistance to get on the town board agenda in a timely fashion to ensure the permit is granted in sufficient time. As I recall, we just made the time window in the past two years and I want to avoid missing any deadlines...! Hopefully I will have received all pertinent info from them by the end of this week then will come by to deliver the application, check, etc. Many thanks. Regards, Diane Radigan DIANE RADIGAN Director of Resident Services 1500 Brecknock Road Greenport, NY 11944 Tel: (631)477-3800 x373 Fax: (631)477-3900 www.peconiclanding.org 2 This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. 3 Neville, Elizabeth From: Neville, Elizabeth Sent: Tuesday, August 26, 2014 10:51 PM To: 'dragdigan@peconiclanding.com' Cc: Rudder, Lynda Subject: Emailing: Peconic Landing Resoluti_20140826213925 Attachments: Peconic Landing Resoluti_20140826213925.pdf Importance: High Hi Diane, As promised here is the Town Board Resolution approving the Fireworks together with the Fireworks Permit. Betty Neville Elizabeth A. Neville, MMC Southold Town Clerk PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: Peconic Landing Resoluti_20140826213925 Note:To protect against computer viruses,e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. I RESOLUTION 2014-705 °+ a ADOPTED DOC ID: 10045 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-705 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON AUGUST 26, 2014: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Peconic Landing @ Southold, for a fireworks display on August 31, 2014 at 9:OOPM (Rain Date: September 1, 2014 at 9:00 PM), on the Peconic Landing's property at 1500 Brecknock Road, Greenport,New York, upon the payment of a single fee of$100 and subject to the applicant's compliance with the requirements of the Town's policy regarding the issuance of fireworks permits. 6�41*7-2?� Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell o�q,11fFOL�-�,o ELIZABETH A.NEVILLE,MMC �� iy lbwn Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � Fax(631)765-6145 MARRIAGE OFFICER �'f'� Q�' Telephone(631)76145 RECORDS OF MANAGEMENT'OFFICER �! `�►a southol one(6 1)76 o 5-1800 FREEDOM OF INFOILMATION OFFICER fttEIVED OFFICE OF THE TOWN CLERK JUL 1 8 2014 TOWN OF SOUTHOLD APPLICATION PERMIT TO DISPLAY FIREWORKS Southold Town Clerk APPLICATION IS HEREBY MADE, pursuant to the provisi6ns of Section 405.00 of the Penal Law of the State of New York,for a permit to display fireworks as hereinafter specified: DISPLAY IS TO BE SPONSORED BY Peconic Landing @ Southold Inc. PRINCIPAL OFFICE AT 1500 Brecknock Rd. Greenport, NY 11944 DATE&TIME OF DISPLAY August 31, 2014 time: 9:00 pm _ EXACT LOCATION'OF DISPLAY Peconic Landing property SUFFOLK COUNTY TAX MAP NUMBER FOR SITE_/OZ90-- RAIN DATE& TIME 9/1/14 9 Dm _ The following persons are to be in charge of the actual shooting of the fireworks: Name Age Experience Physical Condition Edward Metz (NYS DOL attached) 10 years Health: Excellent (Additional names and information may be submitted on an attached sheet Number and type of fireworks is as follows: 1.3G fireworks 2.5 inch max-680. Cakes=20. Manner and place of storage of fireworks prior to display: Delivery will be day of display Attached hereto and made a part of hereof is a diagram of the grounds on which the display is to be held. Also attached is a certificate or policy of insurance coverage, NOTICE: Written permission,with signature of the Property Owner,must be submitted with the Application. Peconic Landing @ Southold Inc. FEE: $100 Name of Organizatio See policy for additional information 2 �y SifidatuleofA t ..� Date of Application CHIEF HARRY BREESE (631)477-9801 STATION 1 1ST ASST.CHIEF WAYNE MILLER (631)477-8261 STATION 2 2ND ASST CHIEFJEFFREY L.WEINGART (631)477-1943-CHIEFS OFFICE CHAPLAIN C. KUMJIAN (631)477-4012-FAX TREAS/SECRETARY J. KALIN THIRD STREET• P.O. BOX 58 GREENPORT, NY 11944 Email:gfdfire@optonline.net www.greenportfd.org Organized 1845 RECEIVED August 6, 2014 AUG - 7 2014 Southold Town Clerk Elizabeth A. Neville Southold Town Clerk Southold Town Hall 53095 Main Road, PO Box 1179 Southold,New York 11971 To Whom It May Concern: Please be advised the Greenport Fire Department and Chief Harry R Breese II are aware of and have reviewed the application and have no objections to the fireworks display to be held at Peconic Landing located at 1500 Brecknock Rd, Greenport, NY on August 31, 2014. Regards, Harry Breese II Chief Engineer Ry-f— NAJ-5Aad � Hydell, Carol From: Fisher, Robert Sent: Tuesday,July 22, 2014 3:07 PM To: Hydell, Carol Subject: RE: I have no problem with this fireworks application. Robert Fisher Fire Marshall robert.fisher@town.southold.nv.us (631) 765-1802 office (631) 786-9180 cell CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s).Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication From: Hydell, Carol Sent: Friday, July 18, 2014 9:23 AM To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: Hello: Please approve/disapprove the attached. Thanks, Carol 1 Hydell, Carol From: Finnegan, Martin Sent: Friday,July 18, 201410:09 AM To: Hydell, Carol; Fisher, Robert; Flatley, Martin; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: RE: If, v` W o r � P Con Looks ok to me Carol. From: Hydell, Carol Sent: Friday, July 18, 2014 9:23 AM To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: Hello: Please approve/disapprove the attached. Thanks, Carol Neville, Elizabeth From: Flatley, Martin Sent: Friday,July 18, 2014 11:08 AM To: Hydell, Carol; Finnegan, Martin; Fisher;Robert; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: RE: I have no objections to this fireworks display taking place 2%"&a 5 &1*# Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Hydell, Carol Sent: Friday, July 18, 2014 9:23 AM To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: Hello: Please approve/disapprove the attached. Thanks, Carol 1 Hydell, Carol From: Spiro, Melissa Sent: Monday,July 21, 2014 9:36 AM To: Hydell, Carol; Finnegan, Martin; Fisher, Robert; Flatley, Martin Cc: Neville, Elizabeth; Blasko, Regina Subject: RE: This is not preserved property. Therefore, I have no comment. Melissa From: Hydell, Carol Sent: Friday, July 18, 2014 9:23 AM To: Finnegan, Martin; Fisher, Robert; Flatley, Martin; Spiro, Melissa Cc: Neville, Elizabeth; Blasko, Regina Subject: Hello: Please approve/disapprove the attached. Thanks, Carol 1 � r NO ADmnTANCE ,�. IL J � 0 .0'""'4 RESOLUTION 2010-474 ADOPTED DOC ID: 6016 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2010-474 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 29,2010: RESOLVED that the Town Board of the Town of Southold hereby adopts the following POLICY regarding the issuance of fireworks permits: 1. The Town may grant a permit for the display of fireworks by municipalities,fair associations,amusement parks,persons or organizations of individuals. Penal Law Section 405.00(2). 2. An 'organization of individuals" is a religious, civic,or comparable organization. Op. Atty. Gen No. 2007-3. 3. Fireworks permits shall indicate that the display must be concluded by 10:00 p.m.if held Sunday-Thursday, 11:00 p.m. if held Friday or Saturday,and there shall be no time restriction if held on July 4. 4. No person shall engage in or allow the manufacture,assembly, storage or display of any fireworks or pyrotechnics display without first obtaining a permit.issued by the Town Clerk. A completed application for display of fireworks must be received by the Town Clerk a minimum of 30 days prior to the date of display. The permit application for any fireworks or pyrotechnics display shall be accompanied by the following: Xa copy of a valid certificate of competency as a pyrotechnician for the individual supervising the firing of the display; Certificate of Insurance naming the Town of Southold as additional insured with coverage limits of$2,000,000 for public liability and$2,000,000 for property damage; Detailed diagram showing location of fireworks discharge and minimum separation distances in accordance with the applicable requirements of Penal Law Section 405(2); A copy of the contract with fireworks display company; and (e) All applications shall require the approval of the Fire Chief of the District in which the display will take place and the Fire Marshal before being presented for approval by the Town Board. Resolution 2010-474 Board Meeting of June 29,2010 5. All applications for a fireworks permit shall be subject to an application fee in an amount of$100.00,together with a processing fee in an amount to be determined by the Town Board to cover the Town's costs for monitoring and enforcing compliance with the Penal Law. Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Albert Krupski Jr., Councilman SECONDER:Vincent Orlando, Councilman AYES: Ruland,Orlando,Talbot,Krupski Jr.,Russell ABSENT: Louisa P. Evans Updated: 6/30/2010 10:43 AM by Lynda Rudder Page 2 ` STATE OF NEW YORK-DEPARTMENT OF LABOR PYROTECHNICiAN CERTIFICATE OF CO-VPE7'EN ` * ED`IA�A ,F �.`" ADISPLAY CARP M I CARRIED . .TECHNICS EXPIRES 0314: NYC&NYS CERTIFICATIONS REQUIRED IN NYC A�o® CERTIFICATE OF LIABILITY INSURANCE DATE/03/2014 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. 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 andorsemen s. PRODUCER CONTA.TAllied SpecatyInsurance,Inc. NAME: 10451 Gulf Boulevard PHONE Fax Treasure Island,FL 33706-4814 ADDRESS: 1-800-237-3355 _ INSURER(S)AFFORDING COVERAGE NAIC k _ ._.__ INSURER A:T.H.E.lnsuranpgCompany 12866 INSURED Pyro Engineering,Inc. INSURERS: dba: Bay Fireworks INSURERC: 999 South Oyster Bay Rd.,Suite 111 INSURERD: Bethpage, NY 11714INSURER 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 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. INSR POLICY EFF POLICY EXP r `-- - --—--.----- TR TYPE OF INSURANCE POLICY NUMBER MID z LIMITS A GENERAL LIABILITY i P P12 -04 05/14/201405/14/2015 OOO EACH OCCURRENCE $1,000, X COMMERCIAL GENERAL LIABILITY I 0,000 PREMISES( ocarrrencal_j_100,000 CLAIMS-MADE �x OCCUR MED EXP(Any one person LPERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE :g GEN'LAGGREGATELIMITAPPLIESPER: I PRODUCTS-COMPIOPAGG 62,000,000 POLICY PRO- LOC i _--_.s. .. $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1'900'0 00 CPP0101284-04 0511412014 05114/2015 Ea aaaldent _ 3 -- _ ;ANY AUTO __... BODILY INJURY(Par person) 1$ ALL OWNED _. SCHEDULED AUTOS AUTOS BODILY INJURY Par accident) K- HIREDAUTOS �x{A oOWNED _OPETYDAMAGE S---------- fe _ - A UMBRELLA LIAR 'X :OCCUR I IOCCURRENCE $4,000,000 �( ExcEasLlAe ELP0010292-04(VL) 05/14/2014 05/14/2015 . Ts 4,0 . ._..-,__..�....iCLAIMs-MADE ;AGGREGATE 54_,000,000 DED RETENTIONS I +g WORKERS COMPENSATION j WC STAT OTH-' A AND EMPLOYERS'LIABILITY YIN( '_. ER, - ANY PROPRIETORIPARTNER(EXECUTIVE WC144166 05/14/2014 05114!2015 OFFICER/MEMBEREXCLUDED? �INIA .E.L.FACHACCIDENT i$1,000r000 ---- --- (Mandatory in NH) E.L.DISEASE-EA EMPLOY $1 000,000 DEWdescIIbs ONunder�ERATKMJ3 allow h - — E.L.DISEASE-POLICY LMR S 1,000,000 A EXCESS LIABILITY/OCCUR ELP0010296-04(GL) 05114/2014 05/1412015 EACH OCCURRENCE$9,000,000 AGGREGATE$9,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space In rpuirad) Display Date: 08/3112014 Rain Date:09/01/2014 Location: Peconic Landing @ Southold Inc.,Greenport,NY RE:General Liability,the following are named as additional insured in respects to the operations of the named insured only:Town of Southold,NY; Peconic Landing @ Southold Inc.;Peconic Landing Housing Association Cooperative,Inc.;Becknock Hall Foundation,Inc, CERTIFICATE HOLDER CANCELLATION Peconic Landing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1500 Brecknock Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Greenport,NY 11944 ACCORDANCE WITH THE POLICY PROVISIONS. RUTH D flPRESFMATJV� Cert#1641 � / ®1988-2010 ACOA CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Eastern Service Center 1701 Columbia Ave. U.S.Department Operations Support Group College Park,GA 30337 of'rmnsportation AJV-E2 February 27,2014 Pyro Engineering, We received your letter regarding your proposed fireworks display for: I.Cellini Lodge 2014. 2.Peeonic Landing 2014,3.Port Jefferson Greek,4.Sag Harbor Carnival 2014, 5.Huntington manor FD 2014,6. Village of Mineola 2014,7.Riverhead Raceway,8.Valley Stream 2014,9. Riverhead 2014, 10.Lomangino Party 2014. Date:As per Fireworks Display Request Form Physical Location: As per Fireworks Display Request Form POC at ATC Facility: Steps to be taken by Firework Company: + Fireworks staff should remain vigilant to ensure that no aireraft are hi the area prior to beginning the fireworks display. Our office has no objection to this event provided all the above notifications and precautions are met. This letter disposes of the Federal Aviation Administration's interest in this matter but should not be construed as superseding or invalidating any existing rules or regulations promulgated by any other federal,state,county,or municipal government,which may be required for this display. Please be sure to include on all future display request accurate locations or longitude and latitudes for display. If you have any questions concerning this event,please contact David Phillips at(404)305-5574. Sinc ly� tchael Vermuth Manager Tactical Operations Team Eastern Service Area Air Traffic Organization America's World Class Fireworks Leader Display Date:August 31, 2014 FIREWORKS DISPLAY AGREEMENT AGREEMENT made January 30, 2014 by and between Pyro Engineering, Inc., whose address is 999 South Oyster Bay Road, Suite Ill, Bethpage, NY 11714 (hereinafter "PEI'); and Peconic Landing, 1500 Brecknock Road, Greenport, NY 11944 (hereinafter"SPONSOR"). WHEREAS,PEI designs,produces,and conducts fireworks displays;and WHEREAS,SPONSOR wishes to engage PEI to design,produce and perform a fireworks display on the terms and conditions hereinafter set forth; NOW,THEREFORE,in consideration of the terms,conditions and covenants hereinafter set forth,the parties hereto do mutually agree as follows: 1.FIREWORKS DISPLAY.• On, August 31,2014 (hereinafter"the Display Date',PEI shall provide the fireworks and equipment for the display at the Fireworks Display location.The display will be under the supervision of a PEI trained technician.It is agreed that PEI shall be the sole fireworks supplier and producer for the event contracted for herein. (Note: The actual start and stop time of the display will be determined by the governmental authorities having jurisdiction over the display). ALTERNATE DATE. September 1, 2014 2. COSTAND PAYMENTS. FIREWORKS DISPLAY PRICE: The total(Fireworks Display Price plus all other applicable charges)sum of shall be due and payable as follows: a.The sum of:$�111 within Thirty(30)days of receipt of th s contract. b.The Balance of 40� (which Includes any taxes that may be applied to this sale) shall be paid by Official Check made payable to Pyro Engineering,Inc.not later than fifteen(15)days 12d r to the Display Date Please Nota: SPONSOR is responsible for the payment of all governmental fees and taxes, including,but not limited to, sales, use,excise,license,permit,entertainment,or other fees,taxes or surcharges imposed or otherwise applied to this exhibition. Also, please see Section 16(c)below. 3. POSTPONEMENT/RESCHEDULING.If the display of the fireworks Is postponedfrescheduled by reason of inclement weather or by determination by the governmental authority having jurisdiction,or for any other reason beyond the control of PEI,same shall be re- scheduled to the Altemate Date set forth above. In the event a postponement/rescheduling is necessary due to inclement weather or by determination by the governmental authority having jurisdiction,or for any other reason beyond the control of PEI a postponement/rescheduling fee will be based on the table below. Descxi %of Fireworks Display Price Additional Costs If notified by 12:01 AM on 08/30114 5% An 3Pa Vendor Expenses If notified after 12:01 AM on 08/31/14 15% ny V Party Vendor Expenses Once Spy Fireworks Techs Arrive on Site 20% An 3 Party Vendor Expeases Any request made by SPONSOR for reschaduling/canceling shall be directed to help@bayfireworks.com or by phone(516)233- 4132, It is understood and agreed that PEI shell have no obligation to reschedule a display except as required by inclement weather or reasons beyond the control of PEI. 4.SPONSORT AGENT., Ms.Diane Radigan CELL PHONE: shall be designated as SPONSOR'S agent to whom all questions and Inquiries shall be relayed. Sponsors agent shall be the only agent of SPONSOR authorized to make decisions on behalf of SPONSOR or to request rescheduling of the fireworks display on the part of SPONSOR. Plow wtW aKh pegs. L� Ir"here; � - b.COAST GUARD PERMITS(where required): 1. If the fireworks are to be displayed on or near the water,the following may be required: (Requests for permits must be filed at least 60 days prior to the Display Date(135 days prior for 4th of July events). 2. Coast Guard Application and Permit to Handle Hazardous Materials. 3. Coast Guard Marine Event Permit. c.SPONSOR RESPONSIBILITIES AND EXPENSES(The following services need to be Provided and Paid for by the SPONSOR in addition to the Fireworks Display Price. 1) SECURITY: MUST BE PROVIDED FOR FIREWORKS EQUIPMENT AND TO MAINTAIN THE FIRE SAFETY ZONE AT STAGING AREA FROM FIREWORKS TRUCK(S)ARRIVAL, UNTIL COMPLETION AND CLEAN-UP OF DISPLAY AREA AND TRUCK DEPARTURE. 2) Sand: Please provide_0_yards of sand. 3) Laborer(s):_0_laborers to arrive at fireworks site on (They will not handle fireworks). 4) Hotel Room(s): 0 hotel rooms. 5) Vehicle(s): Four-wheel drive vehicle for movement on sand:Yes No XX 6) If you have ordered a set piece(s),you are responsible for erecting the scaffolding and it must be ready when the crew arrives d.RADIO SIMULCAST EXPENSES(if awlicable): 1) Set up and staff a fireworks simulcast command center on site by 1:00 PM on the display date. 2) Provide broadcast relay to PEI Firing Center. Call our office for details. 3) Speaker system for VIP viewing stands. e.INSURANCE: Please list below the additional insured,as they should appear on the insurance certificate: 1. 3. 2. 14. Name of S n r Date p ro En ineerin na ure Date B : Si ned on b of Sponsor(Signature) Print Name / Title of--ithnrlzecr representative of Sp or Title C8 ) ........................................................................................... State of Countyof On the-.1111ay of yr in the year Zbt�before me,the undersigned,a Notary Public in and for said State,personally appeared —I'D ,St s1�thewithin personal) known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are)subscri tol3t4' instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by 'Jature /the' ignature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. and Office of ind idual acknowledgment [seal] JODI MUNAFO Notary Public,State of New York No.01 MU6/90724 Q4alifled in S4ffAlk Cow— Please initial each page. My COMMISsion Expires Initial here: Sponsor PEI Town of Southold vendor code 000041 Invoice Number Description Date Arnourit D s c►u't Withheld Net Amount Permit Fireworks permit for 8/31/14 06/27/2014 100.00 0.00 0.00 100.00 Check Dote: 07/02/2014 Check#: 0000074063 Totals:, 100.00 0.00 0.00 100.00 Tips for Preventing Check Fraud No service or feature can entirely eliminate check fraud. However, measures can be taken to greatly reduce the risk of check tampering or duplication. Following are suggestions for preventing check fraud. 1. Avoid leaving large blank spaces in the convenience dollar amount or legal dollar amount lines on the checks you write. Additionally, avoid leaving large blank spaces on the "Pay to the Order of" line. 2. Immediately report to your bank if checks payable to you are stolen. 3. Protect your account records and any documents containing personal identification information. 4. Close unnecessary accounts and destroy any checks for closed accounts. 5. Inform your bank about the status of your accounts. 6. Store your unused checks in a secure area. 7. Security features contained in this laser check stock deter counterfeiters and forgers. Bridgehampton National Bank 218 Front Street Greenport, NY 11944 PECONIC Peconic Landingat Southold Inc. "\�*DING 0000074063 ; DA 1500 Brecknock Road o Greenport, NY 11944 TM o July 02, 2014 Pay to the order of `*"One hundred and 00/100 dollars. . . . . . . . . . . . . . . .:: 00.00 m . . . ... . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Void After 90 Days. TWO SIGNATURES REQUIRED OVER$35,000.00. y Town of Southold m P.O.Box 1179 Southold, NY 11971 AUTHORI D SIGNATURE 11100000 7406 Pis 1:0 2 140666 71: 08000094 1 711' * * * RECEIPT * * * Date: 07/18/14 Receipt#: 175086 Quantity Transactions Reference Subtotal 1 Fireworks 8/31/2014 $100.00 Total Paid: $100.00 Notes: Payment Type Amount Paid By CK#74063 $100.00 Peconic, Landing At Southold Name: Peconic, Landing At Southold 1500 Brecknock Road Greenport, NY 11944 Clerk ID: CAROLH Internal ID:8/31/2014 3 Neville, Elizabeth From: Diane Radigan <dradigan@peconiclanding.org> Sent: Wednesday,July 16, 2014 2:34 PM To: Neville, Elizabeth Subject: RE: Peconic Landing fireworks event Thanks. From: Neville, Elizabeth [mailto:E.Neville@town.southold.ny.us] Sent: Wednesday, July 16, 2014 2:15 PM To: Diane Radigan Subject: RE: Peconic Landing fireworks event The subsequent Town Board meeting dates are as follows: July 29, 2014 August 6, 2014 August 12, 2014 Elizabeth A. Neville, MMC Southold Town.Clerk PO Box 1179 Southold.NY 11971 Tel. 631 765-1800.:Ext. 228 Fax 631 765-6145 Cell 631 466-6064 From: Diane Radigan [mai Ito:drad igan 0 pecon icland ing.org] Sent: Wednesday, July 16, 2014 12:04 PM To: Neville, Elizabeth Subject: RE: Peconic Landing fireworks event Thanks Elizabeth—what is the date of the August town board? From: Neville, Elizabeth [mailto:E.Neville0town.southold.ny.us] Sent: Wednesday, July 16, 2014 9:50 AM To: Diane Radigan Subject: RE: Peconic Landing fireworks event The sooner you get the completed application together with all of the pertinent documentation and information,the better. Once I have it, I have to refer it to several other town agencies and the local fire department within the jurisdiction of the location of the event for approval before placing it on the Town Board agenda. Elizabeth A. Neville, MMC Southold"Town Clerk PO Box 1179 Southold.NY 11971 Tel. 631 765-1800, Fxt. 228 Fax 631. 765-6145 Cell 631466-6064 1 ........_.._............____...... From: Diane Radigan [mailto•dradigan peconiclandi ngorg] Sent: Wednesday, July 16, 2014 9:30 AM To: Neville, Elizabeth Subject: Peconic Landing fireworks event Good morning Elizabeth, Peconic Landing is planning another annual fireworks event on Sunday,August 31s'(with a Sept 1 rain date.) Our fireworks company is preparing the paperwork for the permit but I am reaching out today to enlist your assistance to get on the town board agenda in a timely fashion to ensure the permit is granted in sufficient time. As I recall,we just made the time window in the past two years and I want to avoid missing any deadlines...! Hopefully I will have received all pertinent info from them by the end of this week then will come by to deliver the application, check,etc. Many thanks. Regards, Diane Radigan DIANE RADIGAN Director of Resident Services 1500 Brecknock Road Greenport, NY 11944 Tel:(631)477-3800 x373 Fax:(631)477-3900 www.peconiclanding.org This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. This message is confidential and the property of Peconic Landing. It may also be privileged and otherwise protected by work product immunity or other legal rules. If you have received it by mistake please let us know by reply and then delete it from your system. You should not copy the message or disclose its contents to anyone. 2 RESOLUTION 2013-568 ADOPTED DOC ID: 8981 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2013-568 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 30, 2013: RESOLVED that the Town Board of the Town of Southold hereby approves the issuance of a fireworks permit by the Town Clerk to Peconic Landing @ Southold, for a fireworks display on August 31, 2013 (rain date September 1), on the Peconic Landing's property at 1500 Brecknock Road, Greenport, New York, to celebrate its 11th Anniversary, upon the payment of a single fee of$100 and subject to the applicant's compliance with the requirements of the Town's policy regarding the issuance of fireworks permits. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Christopher Talbot, Councilman AYES: Dinizio Jr, Ruland, Doherty, Talbot, Evans, Russell Ic Q�ggFFOI,��O ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road P.O.Box 1179 TOWN CLERK Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p . Fax(631)766-6 MARRIAGE OFFICER Telephone(631)7656-1-1 800 RECORDS MANAGEMENT OFFICER �l ► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 8,2014 Chief Peggy Killian Southold Fire Department 55135 Main Road Post Office Box 1469 Southold,New York 11971 Dear Chief Killian; The Southold Town Board adopted Resolution 2014-584 on July 1,2014 approving the issuance of a fireworks permit to Bill Tyres,for a fireworks displays on Saturday,July 19,2014 at Osprey's Dominion Vineyard,Peconic, New York. The issuance of a Fireworks Permit is subject to the approval of the Fire Chief of the District in which the display will take place. All other approvals from the Town Fire Marshall,Chief of Police,Town Attorney have been received. I have enclosed a complete copy of the file for your review. Please send me your written recommendation at your earliest convenience. Thank you. Very truly yours, 0. Elizabeth A.Neville Southold Town Clerk Enclosures(17)