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HomeMy WebLinkAboutUniversal Television LLC Southold Town Board - Letter Board Meeting of November 22, 2016 RESOLUTION 2016-1023 Item# 5.11 °�f 7tla� ADOPTED DOC ID: 12442 �c F r THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-1023 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 22,2016: WHEREAS the following groups have supplied the Town of Southold with a Clean-up Deposit for their events 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 to the following: Name Date Received Amount Universal Television LLC 10/14/16 $250.00 Kaufman Astoria Studios 34-12 36th Street, Ste 301 Astoria,NY 11106 Southold Athletic Association 10/3/16 $250.00 Southold Elementary School 420 Oaklawn Avenue Southold,NY 11971 Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated November 28, 2016 Page 21 Vendor No. •Check 340: . Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Eftteied by. '1 e _,4'vwon C 3�ua'105 Audix7�ate. ' Veendor Telphotn�e Number r l I 1 l D Co - 35H1 3L l- T� e� �U i �3�' Tovm Clerk.. Vendor Contact Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Genexal i-edger Fund and Account Number Special Event Clean-up 250.00 250.00 Deposit Refund �.U ¢ Total 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 om which the Town is exempt are excluded. or discrepancies noted,and payme tis approved Signat r itl ftt � Signature Company Name Date � -Z5'D— 1(p Title Date t1-so - 16 Southold Town Board - Letter Board Meeting of November 22, 2016 �ro`9 RESOLUTION 2016-1023 Item# 5.11 ADOPTED DOC ID: 12442 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-1023 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 22, 2016: WHEREAS the following groups have supplied the Town of Southold with a Clean-up Deposit for their events 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 to the following: Name Date Received Amount Universal Television LLC 10/14/16 $250.00 Kaufinan Astoria Studios 34-12 36`h Street, Ste 301 Astoria,NY 11106 Southold Athletic Association 10/3/16 $250.00 Southold Elementary School 420 Oaklawn Avenue Southold,NY 11971 Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated November 28, 2016 Page 21 Town of Southold P.O Box 1179 Southold, NY 11971 (631) 765-1800 RECEIPT #047b 11/07/20116 Universal, Television Llc Kaufman Astoria Studios 34-12 36th St, Ste 301 Astoria, NY 11106 Received $ 250.00 for Clean-up Deposit, on 10/14/2016. Thank you for stopping by the Town Clerk's Office. As always, it is our pleasure to serve you. Elizabeth A. Neville Southold Town Clerk * * * RECEIPT * * * Date: 11/17/16 Receipt#: 214448 Quantity Transactions Reference Subtotal 1 Traffic Control Fee 047-C $900.00 Total Paid: $900.00 Notes: Payment Type Amount Paid By CK#1204112927 $900.00 Universal, Television Llc Southold Town Clerk's Office 53095 Main Road, PO Box.1179 Southold, NY 11971 Name: Universal, Television Lic Kaufman Astoria Studios 34-12 36th St, Ste 301 Astoria, NY 11106 Clerk ID: LYNDAR Internal ID•047-C Gmail-Re:Universal Television LLC'The Path"-Southold Police Department 10/20/16,2:37 PM hannah caggiano <�ia.iinalicaggiano@cit-nall.com> Re: Universal Television LLC "The Path" - Southold Police Department I message Leila Nurse <leilarnurse@gmail.com> Thu, Oct 20, 2016 at 10:44 AM To: "Flatley, Martin" <mflatley@town.southold.ny.us> Cc: "Rudder, Lynda" <lynda.rudder@town.southold.ny.us>, "Blasko, Regina" <rblasko@town.southold.ny.us>, Hannah Caggiano <hannahcaggiano@gmail.com> Got it! Thank you! Leila Nurse Sent from my iPhone On Oct 20, 2016, at 10:37 AM, Flatley, Martin <mflatley@town.southold.ny.us>wrote: Hi Leila, Please see the below with regards to the cost for the participation of our department in the shooting of this film on Monday, October 17, 2016: P.O. Onufrak 0830-1530 hrs assigned to detail/7 hours@ $75/hour=$525.00 P.O. Lyburt: 0830-1330 hrs assigned to detail/5 hours at$75/ hour= $375.00 Total cost: $900.00 Martin Flatley, Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 <image001.jpg> hftps://mail.google.com/ma[Vu/0/7ui=2&ik=aea7bd9b01&view=pt&search=inbox&th=157e28d0027d5c3f&siml=157e28d0027d5c3f Page 1 of 2 Gmall-Re:Universal Television LLC"The Path"-Southold Police Department 10/20/16,2:37 PM From: Leila Nurse [mailto:lei larnurse@gmail.com] Sent:Thursday, October 13, 2016 1:40 PM To: Flatley, Martin <mflatley@town.southold.ny.us> Subject: Universal Television LLC "The Path" -Southold Police Department Hi Chief Flatley, Thanks for speaking to me earlier!After filming is done, you can email me the invoice here! Thanks for working with us! Leila Leila Nurse Assistant Location Manager "The Path" Kaufman Astoria Studios 34-12 36th St. Ste.301 Astoria,NY 111o6 646.509 7294 cell https:#mall.google.com/mail/u/0/?ui=2&lk=aea7bdgb0l&view=pt&search=inbox&th=157e28d0027d5c3f&sim1=157e28d0027d5c3f Page 2 of 2 UNIVERSAL TELEVISION LLC 100 UNIVERSAL CITY PLAZA VENDOR _ 'CHECK DATE CHECK NUMBER UNIVERSAL CITY, CA 91608_ 00084(080 10 ,31 2016 TOWN 'OF SOUTHOL'D 12 0 4112 9 2 7� INVOICE INVOICE NUMBER n DESCRIPTION GROSS DISCOUNT NET DATE 10 26 2016 CRTOSIO2616 10/ 7 POLICE ASSISTANCE-CANADIAN BEACH 900.00 Total: 900.0 -) i .J I . Amount sub ect to Tax 0.00 Check,No: 1209112927 Rudder, Lynda From: Rudder, Lynda Sent: Monday, November 07, 2016 3:06 PM To: leilarnurse@gmail.com Cc: Flatley, Martin Subject: The Path Importance: High On 10/20/16,the Chief sent you and email with a balance due for the participation of Police Officers during the shoot. It was a total of$900.00. Please forward a check in this amount, payable to the "Southold Town Clerk". Once this has been received the$250.00 clean-up deposit will be returned to you. If you have any questions please don't hesitate to contact me. o*az //Y/. � Lynda M Rudder Deputy Town Clerk Principal Account Clerk Southold Town Clerk's Office 53095 Main Road,PO Box 1179 Southold,NY 11971 631/765-1800 ext 210 631/765-6145 1 Town of Southold P.O Box 1179 Southold, NY 11971 (631) 765-1800 RECEIPT #047a 11/07/2016 Universal, Television Llc Kaufman Astoria Studios 34-12 36th St, Ste 301 Astoria, NY 11106 Received $ 100.00 for Daily Filming Permit, on 10/14/2016. Thank you for stopping by the Town Clerk's Office. As always, it is our pleasure to serve you. Elizabeth A. Neville Southold Town Clerk Rudder, Lynda From: Flatley, Martin Sent: Thursday, October 20, 2016 10:38 AM To: Leila Nurse Cc: Rudder, Lynda; Blasko, Regina Subject: RE: Universal Television LLC "The Path" - Southold Police Department Hi Leila, Please see the below with regards to the cost for the participation of our department in the shooting of this film on Monday,October 17, 2016: P.O. Onufrak 0830-1530 hrs assigned to detail/7 hours@ $75/hour=$525.00 P.O. Lyburt: 0830-1330 hrs assigned to detail/5 hours at$75/hour=$375.00 Total cost: $900.00 Martin Flatley,Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 From: Leila Nurse [mailto:leilarnurse@gmail.com] Sent:Thursday, October 13, 2016 1:40 PM To: Flatley, Martin <mflatlev@town.southold.ny.us> Subject: Universal Television LLC"The Path" -Southold Police Department Hi Chief Flatley, Thanks for speaking to me earlier! After filming is done, you can email me the invoice here! Thanks for working with us! Leila Leila Nurse Assistant Location Manager "The Path" Kaufman Astoria Studios 34-12 36th St. Ste. 301 Astoria, NY 11106 i FOL�cD ELIZABETH A.NEVILLE,MMC �.Z® ' �/.y Town Hall,53095 Main Road TOWN CLERKo � P.O.Box 1179 COD Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER �� . aQ�` Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT Issued to: Leila Nurse/Universal Television LLC/"The Path" Date(s), Time(s) and Location: Monday, October 17, 2016 6:00 a.m. — 11:00 a.m. Rocky Point Road, Greenport, New York Permit No. 047 Issue Date: 10/13/16 ***NOTE: Per application: Request for Engineer inspection of stairs is denied. No alterations shall be made to Town Property. P Elizabeth A.Neville Southold Town Clerk (Town Seal) TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NOTE: All payments must be cash or certified check r1, I ApQlicant: � 1 n'%N e rsc ( ooen l54cn LrL C— Date Received: 10 - 5 - IG Completed application $100 nonrefundable application fee Certificate of insurance that evidences a public liability insurance policy covering the town as an additional insured in the amount of$1,000,000 (one million dollars)per occurrence for the duration of the filming or still photography. Indemnification agreement stating the applicant agrees to assume all liability for and will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of said filming or still photography. 10 fo Forward completed application to Chief of Police for approval or disapproval,and determination if Traffic Control Fee is required ✓✓ Approved Disapproved ✓ No Fee Required Fee in the amount of$ required I0 Forward certificate of insurance and indemnification agreement to Town Attorney for pproval Approved Disapproved COLLECT FEES AS FOLLOWS: Permit Fees (Prior to issuance of permit): Film Fee - $100 per day of each day covered by the permit Cleanup deposit: Separate certified check for$250 for each day covered by the permit. Traffic control fee - $1000 for each day covered by the permit if required by the Chief of Police. NOTE: Additional funds may be required by Police if it is determined that$1000 per day fee will be expended prior to the termination of the permit period. p\(�� Beach Parking fee - $10 per vehicle, per day between May 1 and September 30. ISSUED PERMIT V/ Countersign application Issue permit with name of applicant, locations(s), date(s), and time(s) NOTIFICATION of ISSUED PERMIT Chief of Police Chief Building Inspector V/" Fire Marshal Code Enforcement Officer �✓ Superintendent of Highways Superintendent of Parks and Recreation REQUEST FOR EXTENSION OF PERMIT Forward extension permit request to Chief of Police If granted, collect additional $100 per day filming fee Amend permit to indicate granted extension period COMPLETION OF PERMIT PERIOD Chief of Police to provide applicant with statement of cost for providing Traffic Control and police coverage. (Refund overpayment or collect for additional costs within 30 days of termination of permit) Superintendent of Highways inspections locations listed on permit and determine if cleanup efforts by town personnel is required. *If cleanup is required, Superintendent will provide Town Clerk with a statement of actual costs. (Refund overpayment or collect for additional costs within 30 days of termination of permit) - *If not cleanup is required, Superintendent of Highways will notify Town Clerk and Town Clerk will remit the $250 certified check to applicant. RECEIVED OCT m 5 206 Southold Town Clerk APPLICATION FOR FILMING/STILL PHOTOGRAPHY PERMIT NO: ®qj Please Print or Type APPLICATION DATE: October 5, 2016 NAME OF APPLICANT: Leila Nurse/Universal Television LLC/"The Path" MAILING ADDRESS: Kaufman Astoria Studios 34-12 36th St, Ste. 301 Astoria,NY 11106 PHONE: BUSINESS: 718.706.3544 HOME: 646.509.7294 NAME OF ORGANIZATION/COMPANY: Universal Television LLC/"The Path" MAILING ADDRESS: SAME AS ABOVE PHONE: 646.509.7294 FAX: 718.706.3637 DESCRIBE TYPE OF ACTIVITY(e.g. Motion Picture, Commercial, Television. Catalog,Magazine, etc.): Television Show/Universal Television LLC—"The Path"—Season 2 DATE(S) AND TIMES) OF PROPOSED FILMING/PHOTOGRAPHY: Monday, October 17. 2016—Approx. 6:00am until 11:00am PROPOSED LOCATION(S) OF FILMING/PHOTOGRAPHY: (attach additional sheet, if necessary) Southold Town Beach—Rocky Point Rocky Point Rd at Aquaview Ave East Marion,NY 11939 NAME OF PERSON IN CHARGE AT SITE: Leila Nurse NUMBER OF PERSONS AT LOCATION(cast&crew included): 40 NUMBER AND TYPE OF VECHILES AT LOCATION: (4) 26 ft box trucks, (1) 28 ft prop truck to be parked on the Dead End of Rocky Point Rd at Aquaview Ave TYPE OF SPECIAL EQUIPMENT: Hand Held camera, camera monitor. ANY SPECIAL REQUIREMENTS: Request to gat an engineer to inspect the stairs entering Rocky Point Beach at Rocky Point Rd. Signature Return to: Southold Town Clerk Southold Town Hall 53095 Main Road P.O. Box 1179 1,1�. - Southold,NY 11971 INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits, claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection with the performance of filming or still photography by the Applicant,his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition, the Applicant will name the Town as an additional insured on any applicable policies. � 121� Signature Date Printed name ro c�csu- Title INDEMNIFICATION AGREEMENT TOWN OF SOUTHOLD FILMING/STILL PHOTOGRAPHY PERMIT The Applicant shall indemnify and hold harmless the Town from and against all suits, claims, demands or actions for any damage and/or injury sustained or alleged to be sustained by any party or parties in connection with the performance of filming or still photography by the Applicant,his employees or agents or any subcontractor and in case of any such action brought against the Town,the applicant shall immediately take charge of and defend the same at his own cost and expense. In addition, the Applicant will name the Town as an additional insured on any applicable policies. 1. 6 Signature Date Leila Nurse Printed name Assistant Location Manager Title ® CERTIFICATE OF LIABILITY INSURANCE D /DD/YYYY) A, �R0 10/055/2016/2016 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(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 Marsh USA Inc NAME. N 1717 Arch Street A/C N Exit: FAX No Philadelphia,PA 19103-2797 E-MAIL Attn.NBCU.Certrequest@marsh.com Fax 212-948-5143 ADDRESS. INSURER(S)AFFORDING COVERAGE NAIC k 298523-NBCU-CAS-15-16 INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:Indemnity Ins Co Of North America 43575 NBCUnwersal Media,LLC a fully owned subsidiary of Comcast Coraoration INSURER c:ACE Property And Casualty Ins Co 20699 INSURER D.ACE Fire Underwriters Co 20702 30 Rockefeller Plaza New York,NY 10112 INSURER E•Agri General Insurance Company 142757 INSURER F: COVERAGES 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MWDD/VYYY OLICY EFF MM/DD�YY XP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY XSL G2739856A 12/01/2015 12/0112016 EACH OCCURRENCE $ 4,900,000 DAMAGE TO 111111 CLAIMS-MADE M OCCUR —PREMISES Ea occurrence $ 4,900,000 X SIR.$100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 4,900,000 M'OTHER L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 25,000,000 POLICY[:]PRO ❑JECT LOC PRODUCTS-COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY ISA H08860099 12/01/2015 12/01/2016 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS $ X1NON-OWNED PeOr a c TY DAMAGE HIRED AUTOS AUTOS D X UMBRELLA LIAB X OCCUR X00 G27924840 001 12/01/2015 12/01/2016 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I I RETENTION$ $ IPER _T7 AND EMPLOYERS'LIABILITY B WORKERS COMPENSATION WLR 048591231(AOS) 12/01/2015 12/01/2016 X STATUTE OT ETH A ANY PROPRIETOR/PARTNER/EXECUTIVE YNN N/A WLR C48591243(CA,MA) 12/01/2015 12/01/2016 EL EACH ACCIDENT $ 2,000,000 D OFFICER/MEMBER EXCLUDED? ❑ WI26 SCF 0485917 (Mandatory in NH) (WI) 12/0112015 12101/2016 EL DISEASE-EA EMPLOYEE $ 2,000,000 E If yes,describe under WLRC48591279(TN) 12/01/2015 12/01/2016 E L DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below A Excess Workers Compensation CUC48591280(WA) 12/01/2015 12/01/2016 Ea Acc/Dis Employee/Dis Policy 2,000,000 SIR 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Show Name. The Path Production Entity Universal Television LLC Location/Description of Equipment FilmingLocation Subject to the terms and conditions,the General,Automobile,and Umbrella Liability Policies include the Certificate Holder as Additional Insured where required by written contract Please refer to page 2 for additional coveragecertificate holder information CERTIFICATE HOLDER CANCELLATION Town of Southold 53095 Main Rd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Southold,NY 11971 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ManashiMukhegee _ LoLus�iti 1�aE�—htJ ct- @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 298523 LOC#: Philadelphia ACC>R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc NBCUnlversal Media,LLC a fully owned subsidiary of Comcast Coroorahon POLICY NUMBER 30 Rockefeller Plaza New York,NY 10112 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance THE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICIES PROVIDE COVERAGE FOR THE USL&H AND JONES ACT COVERAGE AND"ALL STATES"ENDORSEMENT THE GENERAL LIABILITY POLICY PROVIDES COVERAGE FOR XCU,PRODUCTS/COMPLETED OPERATIONS HAZARD,BROAD FORM PROPERTY DAMAGE,BLANKET CONTRACTUAL,ADVERTISING LIABILITY,INDEPENDENT CONTRACTORS,SEPARATION OF INSUREDS,PERSONAL INJURY,PREMISES/ONGOING OPERATIONS AND BLANKET ADDITIONAL INSURED. THE GENERAL LIABILITY AND WORKERS COMPENSATION POLICIES INCLUDE A WAIVER OF SUBROGATION THAT APPLIES TO ANY PERSON OR ORGANIZATION WHERE REQUIRED BY CONTRACT WE ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS THIS INSURANCE WILL APPLY AS PRIMARY INSURANCE WHERE REQUIRED BY CONTRACT,AND ANY OTHER INSURANCE ISSUED TO SUCH ADDITIONAL INSURED SHALL APPLY AS EXCESS AND NONCONTRIBUTORY INSURANCE ADDITIONAL CERTIFICATE HOLDERS INCLUDE ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD * * * RECEIPT * * * Date: 10/06/16 Receipt#: 213745 Quantity Transactions Reference Subtotal 1 Application Fee- Non-Refund The Path $10000 Total Paid: $100.00 Notes: Payment Type Amount Paid By CK#82252 $100.00 Universal, Television Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Universal, Television Llc Kaufman Astoria Studios 34-12 36th St, Ste 301 Astoria, NY 11106 Clerk ID: LYNDAR Internal ID•The Path Rudder, Lynda From: Flatley, Martin Sent: Thursday, October 06, 2016 11:13 AM To: Rudder, Lynda Cc: Blasko, Regina; Kruszeski, Frank; Norklun, Stacey; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: Re: "The Path" filming permit I have no objection tho this permit being issued and it doesn't appear they need any of our assistance. Please have the vehicles display a placard for parking Sent from my Wad Chief Martin Flatley > On Oct 6, 2016, at 8:28 AM, Rudder, Lynda <Ivnda.rudder@town.southold.nv.us>wrote: > Please approve or disapprove the attached filming permit and provide >cost analysis if necessary<the path_20161006071105.pdf> 1 Rudder, Lynda From: Duffy, Bill Sent: Friday, October 07, 2016 1:35 PM To: Rudder, Lynda Subject: RE: "The Path" filming permit I actually have 2 concerns: 1. Once again a production assistant signed the indemnification. I would want it signed by an officer of the LLC who has authority to bind the company. 2. Under special requests it states that the y would like an engineer to inspect the stairs. Are they asking our engineer to inspect the stairs? If the want their own engineer I would have some issues. William M. Duffy, Esq. Town Attorney Town of Southold Southold Town Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, Nww York 11971-0959 Office: 631.765-1939 Fax: 631.765.6639 Email: bill.duffv@town.southold.nv.us ATTORNEY-CLIENT COMMUNICATION; ATTORNEY WORK PRODUCT; INTER/INTRA AGENCY COMMUNICATION; NOT SUBJECT TO FREEDOM OF INFORMATION LAW DISCLOSURE; DO NOT FORWARD WITHOUT PERMISSION Note: Service of legal documents is not permitted via electronic mail or fax. The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged, confidential and exempt from disclosure under applicable law. Unintended transmission shall not constitute a waiver of the attorney/client privilege or any other privilege. If the reader of this message is not the intended recipient,you are hereby notified that any review, retransmission, conversion to hard copy, copying, reproduction, circulation, publication, dissemination or other use of, or taking of any action, or,omission to take action, in reliance upon this communication by persons or entities other than the intended recipient is strictly prohibited. If you have received this communication in error, please (i) notify us immediately by telephone at 631.765.1939, (ii) return the original message and all copies to us at the address above via the U.S. Postal Service, and (iii) delete the message and any material attached thereto from any computer, disk drive, diskette, or other storage device or media. -----Original Message----- From: Rudder, Lynda Sent: Thursday, October 06, 2016 8:29 AM To: Blasko, Regina; Flatley, Martin; Kruszeski, Frank; Norklun, Stacey; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: "The Path"filming permit Importance: High Please approve or disapprove the attached filming permit and provide cost analysis if necessary 1 NsCuniversai Sr, Counsel,Legal Affairs 100 Universal City Plaza Bldg. 1440,Suite 1600 Universal City,California 91608 Phone: (818)777-2809 Fax: (818)866-2537 2 Rudder, Lynda From: Leila Nurse <leilarnurse@gmail.com> Sent: Wednesday, October 12, 2016 7:32 PM To: Rudder, Lynda Subject: Re:The Path Attachments: Town of Southold_Indemnification Agreement_Basecamp.pdf Hi Lynda, Per our legal, the production is allowed to sign on behalf of the LLC. I had our Producer sign the Indemnification (since she is the highest ranking member of production). Please see the attached. Let me know if you need anything else! Leila On Wed, Oct 12, 2016 at 12:14 PM, Rudder, Lynda<Lynda.rudder@town.southold.ny.us>wrote: The Town Attorney needs something official from the LLC stating that you have the authority to sign on behalf of them. 4orz % Reza Lynda M Rudder Deputy Town Clerk Principal Account Clerk Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold,NY 11971 631/765-1800 ext 210 631/765-6145 i Leila Nurse Assistant Location Manager "The Path" Kaufman Astoria Studios 34-12 36th St. Ste. 301 Astoria, NY 11106 646.509.7294 cell 2 Rudder, Lynda From: Duffy, Bill Sent: Thursday, October 13, 2016 4:39 PM To: Rudder, Lynda , Subject: FW:The Path -Authority to sign on behalf of Studio Okay to release permit. Not okay to work on our stairs. William M. Duffy, Esq. Town Attorney Town of Southold Southold Town Annex 54375 Route 25 (Main Road) P.O. Box 1179 Southold, Nww York 11971-0959 Office: 631.765-1939 Fax: 631.765.6639 Email: bill.duffv@town.southold.nv.us ATTORNEY-CLIENT COMMUNICATION;ATTORNEY WORK PRODUCT; INTER/INTRA AGENCY COMMUNICATION; NOT SUBJECT TO FREEDOM OF INFORMATION LAW DISCLOSURE; DO NOT FORWARD WITHOUT PERMISSION Note: Service of legal documents is not permitted via electronic mail or fax. The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain information that is privileged,confidential and exempt from disclosure under applicable law. Unintended transmission shall not constitute a waiver of the attorney/client privilege or any other privilege. 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From: Barron, Henkie (NBCUniversal) [mailto:Henkie.BarronCc�nbcuni.com] Sent: Thursday, October 13, 2016 4:13 PM To: Duffy, Bill Cc: Donovan, Pat (NBCUniversal) Subject: The Path -Authority to sign on behalf of Studio Bill, I'm confirming that our producer on The Path, Diana Schmidt, has authority to sign the indemnification agreement on behalf of Universal Television LLC. Please let me know if you have any questions. Best regards, 0Henkie Barron 1 Rudder, Lynda From: Leila Nurse <leilarnurse@gmail.com> Sent: Thursday, October 13, 2016 6:41 PM To: Rudder, Lynda Subject: Fwd: FW:The Path -Authority to sign on behalf of Studio Hi Lynda, This Sr. Counsel, Legal Affairs emailed Bill regarding the OK to sign on behalf of the LLC. Talk soon! Leila ---------- Forwarded message---------- From: Donovan,Pat (NBCUniversal) <Pat.Donovan@nbcuni.com> Date: Thu, Oct 13, 2016 at 6:36 PM Subject: FW: The Path- Authority to sign on behalf of Studio To: "Leila Nurse (leilarnurse@gmail.com)" <leilarnurse@gmail.com> Cc: "hannah caggiano (hannahcagg_iano@gmail.com)" <hannahcaggiano@gmail.com> Sorry meant to send this to you earlier. From: Barron,'Henkie (NBCUniversal) Sent: Thursday, October 13, 2016 1:13 PM To: Bill.Dufby@town.southold.nyus Cc: Donovan, Pat(NBCUniversal) <Pat.Donovan@nbcuni.com> Subject: The Path- Authority to sign on behalf of Studio Bill, I'm confirming that our producer on The Path, Diana Schmidt, has authority to sign the indemnification agreement on behalf of Universal Television LLC. Please let me know if you have any questions. Best regards, i 31Henkie Barron NBCUniversal Sr. Counsel,Legal Affairs 100 Universal City Plaza Bldg. 1440, Suite 1600 Universal City, California 91608 Phone: (818)777-2809 Fax: (818)866-2537 Leila Nurse Assistant Location Manager "The Path" Kaufman Astoria Studios 34-12 36th St. Ste. 301 Astoria, NY 111o6 646.509.7294 cell 2 ggF1 ' FILMING PERMIT NO 047 OF 2016 PARKING PERMIT DATE: OCTOBER 17, 2016 TIME: 6:00 AM to 11 :00 AM LOCATION: Road End Beach: Rocky Point Road, East Marion PLACE PLACARD ON THE PASSENGER SIDE OF THE FRONT DASHBOARD . PROP UP SO IT CAN EASILY BE SEEN.