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HomeMy WebLinkAboutMagilla Entertainment EK202962378US�; APPLICATION FOR FILMING/STILL PHOTOGRAPHY ` PERMIT NO: (� Please Print or Type APPLICATION DATE: June 21St, 2018 NAME OF APPLICANT: Priscilla Rubio—* MAILING ADDRESS: 42 Broadyway 2nd floor,New York,New York, 10004 PHONE: BUSINESS: 646-432-1366 HOME: NAME OF ORGANIZATION/COMPANY: Magilla Entertainment MAILING ADDRESS: 42 Broadyway 2nd floor,New York,New York, 10004 PHONE: 646-432-1366 FAX: DESCRIBE TYPE OF ACTIVITY (e.g. Motion Picture, Commercial, Television. Catalog,Magazine, etc.): Television House Hunting Series "Beachfront Bargain Hunt" DATE(S) AND TIMES) OF PROPOSED FILMING/PHOTOGRAPHY: _June 29th- July 2nd 7am-7pm ISO PROPOSED LOCATION(S) OF FILMING/PHOTOGRAPHY: (attach additional sheet, if necessary) _1805 Parkway, Southold, NY 11971 75 Leon Rd Southold, NY 11971 Horton Lighthouse (we have been in contact with their facilities) Town Beach Address:53005 County Rd 48, Southold,NY 11971 Southold Town Beach-Rocky Point V/ Address:5799 Rocky Point Rd, East Marion, NY 11939, Cedar Beach County Park Address:Southold, NY 11971 Goldmith's Intet Park V/ Address: Soundview Ave, Southold, NY 11971 South old Park District Address:Terry Ln Hobart Rd,Southold, NY 11971 New Suffolk Beach Address:2650 Jackson St, New Suffolk, NY 11956 Public Beaches(some activities playing on the beach and b-roll) Public Parks(b-roll) Waterfront private restaurants NAME OF PERSON IN CHARGE AT SITE: Samantha Stubin NUMBER OF PERSONS AT LOCATION(cast& crew included): 7 Crew members: Producer Coordinator 2 Camera Operators Camera Assistant Production Assistant Audio 2 Family members and a baby Total=9 plus a baby NUMBER AND TYPE OF VEHICLES AT LOCATION: 2 Standard Size Minivans TYPE OF SPECIAL EQUIPMENT: None ANY SPECIAL REQUIREMENTS: None Signature Return to: Southold Town Clerk Southold Town Hall 53095 Main Road P.O. Box 1179 Southold,NY 11971 ACORDTM CERTIFICATE OF LIABILITY INSURANCEDate(MM/DD/YYYY) 06/22/18 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 have ADDITIONAL INSURED provisions or 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 Galanis Laura Comerford Aon/Albert G. Ruben Co.of NY, Inc. Phone. 212-463-5589 212-337-4354 171 Madison Avenue,Suite 401 New York, NY 10016 Insurer's Affording Coverage NAICft INSURED INSURER A Great Divide Insurance Company Magilla Entertainment, LLC INSURER B 42 Broadway Suite 227 INSURER C New York, NY 10004 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 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 LIMITS SHOWN ARE AS REQUESTED INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMIDDNYYY) (MMIDDNYYY) A GENERAL LIABILITY CNA7503824 06/01/18 05/01/19 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $1,000,000 (Ea occurrence) CLAIMS MADE ❑X OCCUR X PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS—COMP/OP AGG $1,000,000 GEN'L AGGREGATELIMIT APPLIES PER POLICY X PROJECT LOC MEDICAL EXPENSE Excluded A AUTO LIABILITY CNA7503824 06/01/16 05/01/19 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) s OWNED AUTOS SCHEDULED X ONLY AUTOS 'AUTO PHYSICAL BODILY INJURY(Per accident) X HIRED AUTOS X NON-OWNED DAMAGE PROPERTY DAMAGE ONLY AUTOS ONLY DEDUCTIBLE $2,500 (Per accident) X AUTO PHVS DAM•• AUTO PHYSICAL DAMAGE $1,000,000 X Umbrella Liab X OCCUR CUA7503825 06/01/18 05/01/19 EACH OCCURRENCE $5,000,000 Excess Liab CLAIMS-MADE X AGGREGATE $5,000,000 A DEDUCTIBLE WORKERS COMPENSATION AND WC Statutory Other EMPLOYERS'LIABILITY Limits ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NOT COVERED EL Each Accident 's OFFICER/MEMBER EXCLUDED? HEREUNDER (Mandatory in NH) NIA E L Disease—EA Employee s If yes,describe under DESCRIPTION OF OPERATIONS below E L Disease—Policy Limit AlWORLDWIDE PRODUCTION PACKAGE CNA7503824 06/01/18 05/01/19 LIMIT DEDUCTIBLE MISCELLANEOUS EQUIPMENT* $5,000,000 $2,500 PROPERTY OF OTHERS $5,000,000 $1,500 PROPS,SETS&WARDROBE $5,000,000 $1,500 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Discovery,Inc/Scripps Networks—Home&Garden Television-Beachfront Bargain Hunt 2100-2200 Certificate Holder Is Additional Insured(by"Blanket"Endorsement)under General/Auto Liability but only with regard to claims arising from the negligence of Named Insured and as required by written contract. Certificate Holder Is Loss Payee with regard to Production Package.All coverage Is subject to terms and conditions of policies of Insurance.This Certificate does not amend,extend or alter the coverage afforded by the policies above. CERTIFICATE HOLDER Cancellation Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Hall DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 PO Box 1 179 AUTHORIZED REPRESENTATIVE Southold,NY 11971 Aon/Albert G.Ruben Insurance Services,Inc. ACORD 25(2016/03) 1988—2016©ACORD CORPORATION All rights reserved. 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. 6/22/18 Signature Date Priscilla Rubio Printed name Associate Producer Title Rudder, Lynda From: Flatley, Martin Sent: Friday,June 22, 2018 2:27 PM To: Rudder, Lynda; Blasko, Regina; Doroski, Melanie; Foote, Nancy; Kruszeski, Frank; Norklun, Stacey; Sepenoski, John; Spiro, Melissa; Standish, Jeff, Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: RE:filming permit revised I have no objections to this permit being approved. If approved, please have vehicles in shoot display a special parking permit placard issued by the Town. Martin Flatley,Chief of Police Southold Town Police Department 41405 State Route 25 Peconic, New York 11958 631-765-3115 From: Rudder, Lynda Sent: Friday,June 22, 2018 1:05 PM To: Blasko, Regina <rblasko@town.southold.nv.us>; Doroski, Melanie<Melanie.Doroski town.southold.ny.us>; Flatley, Martin <mflatlev@town.southold.nv.us>; Foote, Nancy<nancv.foote@town.southold.nv.us>; Kruszeski, Frank <fkruszeski@town.southoId.nv.us>; Norklun, Stacey<Stacey.Norklun @town.southold.nv.us>;Sepenoski,John <iohnsep town.southold.nv.us>; Spiro, Melissa <Melissa.Spiro@town.southold.nv.us>; Standish,Jeff <ieffs town.southold.nv.us>; Duffy, Bill<billd@southoldtownny.go_v>; Hagan, Damon <damonh@southoldtownnv.gov>;Silleck, Mary<marvs@southoldtownnv.gov> Subject:filming permit revised r' From: Qrubio magilla.ty [mailto:prubio@magilla.ty] Sent: Friday,June 22, 2018 12:46 PM To: Rudder, Lynda Subject: RE: filming permit Please see COI attached as well as a revised application with specific beaches and addresses. Best Regards, Priscilla Rubio Associate Producer Beachfront Bargain Hunt I Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 i - Original Message --------- Subject: RE: filming permit From: "Rudder, Lynda" <Lynda.ruddergtown.southold.n�us> Date: 6/22/18 12:35 pm ' To: "'prubio@magilla.ty"' <prubio(a��ma ilg la.ty> Also will need specific locations "public beach" is too vague From: prubio@magilla.ty [mailto:prubioCa)magilla.ty] Sent: Friday, June 22, 2018 12:12 PM To: Rudder, Lynda Subject: RE: filming permit Lynda, Thank you for taking the time to speak with me. Attached you will find the forms needed for the application process. Please let me know if you have any questions or need anything in addition. Best Regards, Priscilla Rubio Associate Producer Beachfront Bargain Hunt Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 2 a E --------- Original Message --------- Subject: filming permit J g From: "Rudder, Lynda" <Lynda.ruddergtown.southold.ny.us> Date: 6/18/18 1:04 pm To: "'prubio@magilla.ty"' <prubio oma ilg la.ty> Attached please find the documents you requested Lynda M Rudder 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 3 TOWN CLERK'S CHECKLIST FOR FILMING PERMIT NOTE: All payments must be cash or certified check Applicant: Date Received: 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$1,000,000 (one million dollars)per occurrence for the duration of the filming or still photography. Indemnification agreement stating the applicant agrees to assume all liability for and will indemnify and hold the town harmless of and free from any and all damages that occur to persons or property by reason of �id filming or still photography. Forward complete application to Chief of Police for approval or disapproval a determination if Traffic Control Fee is required Approved Disapproved No Fee Required Fee in the amount of$ required /Forward ; �approval rtate of insurance and indemnification agreement to Town Attorney Approved Disapproved COLLECT FEES AS FOLLOWS: Permit Fees (Prior to issuance of permit): ¢ L� C7 Film Fee - $100 per day of each day covered by the permit C 00 Cleanup deposit: Separate certified check for $250 for each day covered `1 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. O\1 f�z 460 Beach Parking fee - $10 per vehicle, per day between May 1 and September 30. Lf 1® ISSUED PERMIT 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 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 pen-nit) *If not cleanup is required, Superintendent of Highways will notify Town Clerk and Town Clerk will remit the $250 certified check to applicant. OFFOL,��, ELIZABETH A.NEVILLE,MMC ®lj� Town 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, ®� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD INVOICE Magilla Entertainment c/o Priscilla Rubio 42 Broadway, 2nd floor New York,NY 10004 Pricing for filming on June 29th thru July 2, 2018 in Various Town locations $ 100.00 Filming Permit Application(non-refundable) 400.00 Filming Fee ($100 per day) 1,000.00 Clean-up Fee($250 per day) 80.00 Parking Permit(2 vehicles @ $10.00 ea/day for 4 days) $ 1580.00 TOTAL DUE (before permit can be issued) Rudder, Lynda From: Duffy, Bill Sent: Tuesday,June 26, 2018 3:26 PM To: Rudder, Lynda Subject: RE:filming permit revised 2nd request No objection 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. From: Rudder, Lynda Sent: Tuesday, June 26, 2018 10:45 AM To: Blasko, Regina; Doroski, Melanie; Flatley, Martin; Foote, Nancy; Kruszeski, Frank; Norklun, Stacey; Sepenoski, John; Spiro, Melissa; Standish, Jeff; Duffy, Bill; Hagan, Damon; Silleck, Mary Cc: Neville, Elizabeth Subject: RE: filming permit revised 2nd request Importance: High From: Rudder, Lynda Sent: Friday, June 22, 2018 1:05 PM To: Blasko, Regina; Doroski, Melanie; Flatley, Martin; Foote, Nancy; Kruszeski, Frank; Norklun, Stacey; Sepenoski, John; Spiro, Melissa; Standish, Jeff; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: filming permit revised i From: prubio@magilla.ty [mailto:prubio(a)magilla.ty] Sent: Friday, June 22, 2018 12:46 PM To: Rudder, Lynda Subject: RE: filming permit Please see COI attached as well as a revised application with specific beaches and addresses. Best Regards, Priscilla Rubio Associate Producer Beachfront Bargain Hunt I Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 --------- Original Message --------- Subject: RE: filming permit From: "Rudder, Lynda" <Lynda.rudder@town.southold.U.us> Date: 6/22/18 12:35 pm To: "'prubio@magilla.ty"' <prubio o,mailg la.ty> Also will need specific locations"public beach" is too vague From: ,prubio(�bmagilla.ty [mailto:prubio@magilla.ty] Sent: Friday, June 22, 2018 12:12-PM To: Rudder, Lynda ',' Subject: RE: filming permit Lynda, i Thank you for taking the time to speak with me. Attached you will find the forms needed for the application process. Please let me know if you have any questions or need anything in addition. 2 Best Regards, 3 Priscilla Rubio Associate Producer , t Beachfront Bargain Hunt Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 s A 4 ti 5t I G �t --------- Original Message --------- l Subject: filming permit it From: "Rudder, Lynda" <lynda.rudder@town.southold.n -us> Date: 6/18/18 1:04 pm To: "'prubio@magilla.ty"' <prubio@ma ilg la.ty> Attached please find the documents you requested v; ` Lynda M Rudder Principal Account Clerk �k Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold,NY 11971 631/765-1800 ext 210 �s a 1' 631/765-6145 3 � FFL,� ® ELIZABETH A. NEVILLE,MMC �� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER ,� ®�. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD INVOICE Magilla Entertainment c/o Priscilla Rubio 42 Broadway, 2nd floor New York,NY 10004 Pricing for filming on June 291h thru July 2, 2018 in Various Town locations $ 100.00 Filming Permit Application(non-refundable) 400.00 Filming Fee ($100 per day) 1,000.00 Clean-up Fee ($250 per day) 80.00 r Parking Permit(2 vehicles @ $10.00 ea/day for 4 days) $ 1580.00 TOTAL DUE (before permit can be issued) S11FFOL,� ELIZABETH A.NEVILLE,MMC ® ® Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 CA REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER �, ®� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 1 of 2 MAGILLA ENTERTAINMENT DATE: June 30, 2018 TIME: 7:00 AM — 7:00 PM LOCATION: Southold Town ,Beach, Rte 48, Southold Rocky Point Road Beach, East Marion Goldsmith's Inlet Beach, Peconic New Suffolk Beach, New Suffolk Filming/Still Photography Permit # 056 Place this Permit on the Dashboard, Passenger side of Vehicle Issue Date: June 27, 2018 FFOL� ELIZABETH A.NEVILLE,MMC ® ® Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER '�® �,� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD PARKING PERMIT 1 2 of 2 MAGILLA ENTERTAINMENT DATE: June 30, 2018 TIME: 7:00 AM — 7:00 PM LOCATION: Southold Town Beach, Rte 48, Southold Rocky Point Road Beach, East Marion Goldsmith's Inlet Beach, Peconic New Suffolk Beach, New Suffolk Filming/Still Photography Permit # 056 Place this Permit,on the Dashboard, Passenger side of Vehicle Issue Date: June 27, 2018 s�fFocx ELIZABETH A.NEVILLE,MMC O� C® Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS coo Fax(631)765-6145 MARRIAGE OFFICER ,� 0�. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �Ol �,`, www.southoldtdwnny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD INVOICE Magilla Entertainment c/o Priscilla Rubio 42 Broadway, 2nd floor New York,NY 10004 Pricing for filming on June 291h thru July 2, 2018 in Various Town locations $ 100.00 Filming Permit Application (non-refundable) 400.00 1 0 0 Filming Fee ($100 per day) 1,000.00 Clean-up Fee ($250 per day) 80.00 10 Parking Permit(2 vehicles @ $10.00 ea/day for 4 days) $ 1580.00 460 TOTAL DUE (before permit can be issued) # q10 0 Ll O FILMING/STILL PHOTOGRAPHY PERMIT Issued to: Maxilla Entertainment Date(s),Time(s) and Location: June 30, 2018 7:00 am—7:00 pm Southold Town Beach,Route 48, Southold Rocky Point Road Beach, East Marion Goldsmith's Inlet Beach, Peconic New Suffolk Beach,New Suffolk Permit No. 56 Issue Date: 6/27/18 Elizabeth A. Neville Southold Town Clerk (Town Seal) Rudder, Lynda From: Duffy, Bill Sent: Tuesday,June 26, 2018 3:26 PM To: Rudder, Lynda Subject: RE:filming permit revised 2nd request No objection 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. From: Rudder, Lynda Sent: Tuesday, June 26, 2018 10:45 AM To: Blasko, Regina; Doroski, Melanie; Flatley, Martin; Foote, Nancy; Kruszeski, Frank; Norklun, Stacey; Sepenoski, John; Spiro, Melissa; Standish, Jeff; Duffy, Bill; Hagan, Damon; Silleck, Mary Cc: Neville, Elizabeth Subject: RE: filming permit revised 2nd request Importance: High From: Rudder, Lynda Sent: Friday, June 22, 2018 1:05 PM To: Blasko, Regina; Doroski, Melanie; Flatley, Martin; Foote, Nancy; Kruszeski, Frank; Norklun, Stacey; Sepenoski, John; Spiro, Melissa; Standish, Jeff; Duffy, Bill; Hagan, Damon; Silleck, Mary Subject: filming permit revised 1 From: prubio@magilla.ty [mailto:prubio@magilia. ty] Sent: Friday, June 22, 2018 12:46 PM To: Rudder, Lynda Subject: RE: filming permit Please see COI attached as well as a revised application with specific beaches and addresses. Best Regards, Priscilla Rubio Associate Producer Beachfront Bargain Hunt I Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 --------- Original Message --------- Subject: RE: filming permit From: "Rudder, Lynda" <Lynda.ruddergtown.southold.n�us> Date: 6/22/18 12:35 pm To: "'prubio@magilla.ty"' <prubio@mailg, la.ty> Also will need specific locations"public beach" is too vague From: prubio@maailla.ty [mailto:prubio@magilla.ty] Sent: Friday, June 22, 2018 12:12 PM To: Rudder, Lynda Subject: RE: filming permit Lynda, Thank you for taking the time to speak with me. Attached you will find the forms needed for the application process. Please let me know if you have any questions or need anything in addition. 2 0 Best Regards, Priscilla Rubio Associate Producer Beachfront Bargain Hunt Lakefront Bargain Hunt O: 646-432-1366 C: 646-462-0586 a s --------- Original Message --------- Subject: filming permit From: "Rudder, Lynda" <lynda.rudderktown.southold.U.us> Date: 6/18/18 1:04 pm To: "'prubio@magilla.ty"' <prubio ,mailg la.tv_> Attached please find the documents you requested g Lynda M Rudder Principal Account Clerk N Southold Town Clerk's Office 53095 Main Road, PO Box 1179 a Southold,NY 11971 631/765-1800 ext 210 631/765-6145 3 Vendor No. Check No.; Town of Southold, New York - Payment Voucher Vendor Name Vendor Address Entered byMa.�J\\o' CIO _ AU\0.1c) _ Audit bate.. Vendor Tele ne Number � I Town Clerk Y O Q -,7 Contact Y i i Q L J bie w 000q 1,*.... Invoice Invoice Invoice Net Purchase Order Number Date Total Discount Amount Claimed Number Description of Goods or Services Genera(Ledger Fund and Accpunf Number• Sfeeia t Clean-up 250.00 250.00 Deposit Refund •TI:030• 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 ment is approved 1An Si rV► Title _ Si 'ature V`� V 2 Company Name Date — Tal Date 7—3 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/27/18 Receipt#: 243776 Quantity Transactions Reference Subtotal 1 Application Fee- Non-Refund 56 $100.00 1 Clean-Up Deposit 56a $250.00 1 Daily Filming Permit 56b $100.00 2 Beach Permits 56c $20.00 Total Paid: $470.00 Notes: Payment Type Amount Paid By Credit Card-Ref# $470.00 Magilla, Entertainment Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Magilla, Entertainment C/o Priscilla Rubio 42 Broadway, 2nd Floor New York, NY 10004 Clerk ID: LYNDAR Internal ID 56 Southold Town Board - Letter Board Meeting of July 17, 2018 RESOLUTION 2018-670 Item # 5.6 ADOPTED DOC ID: 14327 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2018-670 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 17, 2018: WHEREAS the following groups have supplied the Town of Southold with a refundable Clean- up Deposit fee, 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 the amount of the deposit made to the following Name Date Received Amount of Deposit Oysterponds Historical Society 6/12/18 $250.00 PO Box 70 Orient,NY 11957 Southold Village Merchants 3/2/18 $250.00 PO Box 1177 Southold, NY 11971 New Suffolk Civic Assoc., Inc 5/24/18 $250.00 PO Box 642 New Suffolk,NY 11956 Magilla Entertainment 6/27/18 $250.00 c/o Priscilla Rubio 42 Broadway, 2nd floor New York,NY 10004 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 July 18, 2018 Page 15 i