Preview
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
EXHIBIT X
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
FOUR TOWNS TRAINING CENTER
P. 0. BOX 448, MERRICK, N.Y. 11566
APPLICATION FOR USE OF THE GROUNDS
INSTRUCTIONS: PRINT OR TYPE ALL INFORMATION. APPLICATION MUST BE SUBMITTED
PERSONALLY TO THE FOUR TOWNS TRAINING COMMITTEE AT LEAST 60 DAYS PRIOR TO THE DATE
REQUEST .
NAME A A
DEPARTMENT
DATE OF AFFAIR
TYPE OF AFFAIR
AFFAIR WILL START AM AFFAIR WILL END AM
NUMBER OF PEOPLE
YOU NEED TO SUPPLY YOUR OWN TABLES.
NAME OF CATERER
ADDRESS
PHONE NUMBER
YOU ARE RESPONSIBLE FOR ANY AND ALL INPSECTIONS BY THE TOH, BOARD OF HEALTH OR ANY
OTHER AGENCY.
77
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
THE USER AGREES TO:
1. INDEMNIFY AND HOLD HARMLESS THE FOUR TOWNS TRAINING CENTER FROM ANVAND ALL
LIABILITY FOR THE PERSONAL INJURY OR DEATH OF ANYONE USING SAID PREMISES UNDER THE
AUSPICES OR AT THE INVITATION OF THE SAID USER WHETHER OCCASIONED BY OR INCIDENTAL
TO THE USE OF SAID PREMISES FROM ANY CAUSE WHATSOEVER, INCLUDING ANY ACTS OF
ALLEGED NEGLIGENCE BY THE AGENTS, SERVANTS AND/OR EMPLOYEES OF THE FOUR TOWNS
FIREMEN'S TRAINING CENTER. A CERTIFICATE OF INSURANCE IS REQUIRED IN THE AMOUNT OF
THREE MILLION DOLLARS($3,000,000.00).
2. THE APPLICANT IS HELD RESPONSIBLE FOR THE PRESERVATION OF ORDER, CLEANLINESS AND
COMPLIANCE WITH REGULATIONS.
3. ORGANIZATIONS USING THE FOUR TOWNS TRAINING CENTER ARE FINANCIALLY RESPONSIBLE
FOR ANY DAMAGE TO THE BUILDING OR EQUIPMENT AND REMOVAL OF TRAINING CENTER
PROPERTY, A ONE THOUSAND DOLLAR ($1,000.00) NON-REFUNDABLE FEE IS REQUIRED. FAILURE
TO PROPERLY CLEAN THE COURSE AFTER USING IT WILL RESULT IN AN ADDITIONAL FIVE-
HUNDRED CLEAN UP FEE.
4. THERE IS A ONE HUNDRED AND FIFTY DOLLAR ($150.00) NON-REFUNDABLE FEE FOR OUR
PUMP OPERATOR TO BE AT THE SITE FOR THE DAY. (NO-EXCEPTIONS)
4 (s) THERE IS ALSO A ONE-HUNDRED AND FIFTY DOLLAR ($150.00) NON-REFUNDABLE
INSPECTION FEE. (NO EXCEPTIONS)
5. CLEAN UP IS THE DIRECT RESPONSIBILITY OF THE ORGANIZATION UTILIZING THE FOUR TOWNS
TRAINING CENTER AND MUST BE COMPLETED BY THE NEXT DAY.
LIST THE NAMES A TING IN THE CLEAN UP OF SAID PREMISE:
NAME PHONE
NUMBER
NAME PHONE
NUMBER
78
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
KITCHEN: CLEAN AND CHECK STOVE, SINK, FLOOR AMD COUNTER TOPS.
GARAGE: MUST BE LEFT NEAT, CLEAN AND ORDERLY. ALL TABLES AND CHAIRS MUST BE PUT
AWAY, FLOORS SWEPT AND RETURNED TO A CLEAN CONDITION.
MENS & LADIES ROOMS: RETURNED TO A CLEAN CONDITION.
TRASH REMOVAL: NO CANS, BOXES, CONTAINERS ETC., WILL BE LEFT IN THE KITCHEN & GARAGE.
ALL GARBAGE WILL BE PLACED IN THE PROPER RECEPTACLES AND REMOVED FROM THE FIELD.
REQUIRED DOCUMENTATION:
1. A COMPLETED APPLICATION RETURNED TO THE COMMITTEE.
2. THE LIMITS OF LIABILITY WILL BE A MINIMUM OF 3 MILLION DOLLARS ($3,000,000.00)
COMBINED SINGLE LIMIT.
3. A COPY OF YOUR LICENSE FOR THE SALE OF ALCOHOLIC BEVERAGES.
4. CERTIFICATE OF INSURANCE NAMING: THE FOUR TOWNS, MERRICK FIRE PROTECTION DISTRICT
(Merrick Hook 8 Ladder, Friendship Eng & Hose, Empire Hose Co#3), NORTH MERRICK FIRE DISTRICT,
BELLMORE FIRE DISTRICT, NORTH BELLMORE FIRE DISTRICT AND THE TOWN OF HEMPSTEAD AS
AN ADDITIONAL INSURED IN THE FOLLOWING COVERAGES:
A. PUBLIC LIABILITY
B. VEHICLE LIABILITY
C. COVERAGE FOR NON-OWNED VEHICLES
D. LlQUOR LAW LEGAL LIABILITY COVERAGE
E. VOLUNTEER FIREMAN BENEFITS LAW
F. WORKERS COMPENSATION
79
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
HOURS OF OPERATION
1. THE TRAINING FACILITY MAY BE OPERATED BETWEEN THE HOURS OF 7:00 A.M. AND 10:00
P.M.
A. THE HOST DEPARTMENT MAY ENTER THE TRAINING FAClLITY AT 7:00 A.M. FOR
SETUP.
B. DRILL TEAMS MAY ENTER THE TRAINING FACILITY AT 8:00 A.M. FOR SETUP.
C. NO MOTORIZED MOTORS MAY BE STARTED BEFORE 9:00 A.M.
D. THE DRILL MAY BEGIN ANY TIME AFTER 9:00 A.M.
I UNDERSTAND THE RULES AND REGULATIONS PERTAINING TO THE USE OF THE FOUR TOWNS
TRAINING CENTER, AND I WILL BE RESPONSIBLE FOR THE SAFE USE AND CLEAN-UP OF THE
AREA. I ALSO UNDERSTAND THAT FAILURE TO COMPLY WITH THESE RULES AND REGULATIONS
MAY RESULT IN CHARGES AGAINST ME BOTH LEGALLY AND MONETARY BY THE FOUR TOWNS
COMMITTEE.
SIGNED DATE
APPLICATION A ROVED BY THE CHIEF=S OFFICE
SIGNED DATE
APPLIC ON APPROVED BY THE FOUR TOWNS TRAINING COMMITTEE
80
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
SIGNED DATE
FOUR TOWNS TRAINING CENTER
RULES AND REGULATIONS FOR USE OF TRAINING GROUNDS
1. MUFFLERS MUST BE ON ALL TRUCKS.
2. THE COURSE MUST BE KEPT CLEAN AT ALL TIMES AND THE DEPARTMENT HAVING USE
OF THE COURSE ON ASSIGNED NIGHTS IS RESPONSIBLE FOR LEAVING IT CLEAN.
3. THERE IS A 10:00 P.M. CURFEW AND MOTORIZED EVENTS MAY RUN FROM 6:00 P.M. TO
9:00 P.M., MONDAY THRU THURSDAY ONLY.
4. A. THERE WILL BE MOTORIZED PRACTICE PERMITTED ON FRIDAY NIGHTS, SATURDAYS
OR SUNDAYS.
B. FIREMATIC PRACTICE IS PERMITTED ON SATURDAY ON SPECIAL
OCCASIONS FROM 10:00 A.M. TO 2:00 P.M.
1ST SUNDAY-
5. SUNDAY TRAINING: BELLMORE
2" SUNDAY- MERRICK
3" SUNDAY- NORTH BELLMORE
4TH SUNDAY-
NORTH MERRICK
5" SUNDAY- OPEN
" If the course is being used on your Sunday, you lose that day. You may not
interfere with another department while they use the course.
6. THE CHAIRMAN WILL SEE TO IT THAT THE HOST DRILL COMMITTEE WILL MARK THE
COURSE.
7. IF THERE IS ANY CHANGES IN DATES, YOU MUST MAKE SURE THE CHAIRMAN OF THE
COMMITTEE OR DEPARTMENT REPRESENTATIVE IS NOTIFIED.
81
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
8. THE CHIEFS AND TEAM CAPTAINS WILL WORK OUT AND ARRANGE WHEN TWO OR
MORE TEAMS OR DEPARTMENTS ARE THERE ON THE SAME NIGHT TO TRAIN.
9. ALL PREMISES ARE TO BE SECURED AFTER USE INCLUDING THE DOORS ON THE
TOWER, GARAGE, PUMP HOUSE, SMOKE HOUSE AND GATES ON THE WAY OUT.
10. ANY VIOLATIONS OF THE RULES AND REGULATIONS WILL BE SUBJECT TO A
SUSPENSION AND HEARING BEFORE THE ENTlRE FOUR TOWNS COMMITTEE. ANY
MEMBER OF THE FOUR TOWNS COMMITTEE WILL HAVE THE RIGHT TO RECOMMEND
SUSPENSION FOR ANY VIOLATION OF THE RULES AND REGULATIONS.
11. SMOKE BOMBS ARE NOT PERMITTED ANYWHERE ON THE GROUNDS OF THE FOUR
TOWNS. THE USE OF SMOKE MACHINES IS PERMITTED. THERE IS TO BE NO FLOWING OF
WATER IN THE TOWER OR THE SCBA TRAILER.
12. ALL BUILDINGS ARE TO BE KEPT IN A NEAT AND CLEAN CONDITION.
13. NO LADDERS ARE TO BE USED ON THE NORTH SIDE OF THE ARCH AT ANYTIME.
14. ALL TRASH MUST BE PUT IN THE CONTAINERS AT THE END OF THE COURSE. YOU ARE
RESPONSIBLE FOR REMOVING THE TRASH FROM THE TRAINING CENTER IF THE
CONTAINERS ARE FULL. THE PLACING OF GARBAGE BAGS AROUND THE CONTAINERS IS
NOT ACCEPTABLE.
15. THERE IS TO BE NO CONSUMPTION OF ANY ALCOHOLIC BEVERAGES OR THE USE OF
ANY CONTROLLED SUBSTANCES ON THE GROUNDS OF THE TRAINING CENTER.
16. THE USE OF SIRENS AND AIR HORNS IS PROHIBITED AT ANYTIME ON THE GROUNDS
OF THE TRAINING CENTER.
17. THERE IS NO PARKING ON THE COURSE AT ANYTIME.
18. ALL DAMAGE IS TO BE REPORTED TO YOUR DEPARTMENT REPRESENTATIVE
IMMEDIATELY.
19. THERE WILL BE NO STORING OF APPARATUS OR DRILL TEAM CARTS IN THE GARAGE
WITHOUT PERMISSION. THIS WILL BE DONE ON AN EMERGENCY SITUATION ONLY.
82
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
20. NO ONE IS ALLOWED ON THE ROOFS OF ANY BUILDING ON THE GROUNDS OF THE
TRAINING CENTER.
21. THERE ARE NO BACK TO BACK MOTORIZED EVENTS.
83
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022
NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024
°^""""'°°'""'
ACOR CERTIFICATE OF LIABILITY INSURANCE 05/17/2021
ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
THIS CERT F CATE IS
ALTER THE COVERAGE AFFORDED BY THE POLICIES
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR
INSURANCE DOES NOT CONSTITU1E A CONTRACT BETWEEN THE ISSUlNG INSURER(S), AUTHORIZED
BELOW. THIS CERTIFICATE OF
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
must have ADDITIONAL INSURED provislOne or be endorsed.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)
subject to the terms and conditions of the policy, certain policles may require an endorsement. A staternent on
If SUBROGATION IS WAlVED,
of such endorsement(sh
this certificate does not confer rights to the certificate holder In IIou LE^°'
PRODUCER Romanne CapuanO
PH NNE 7g6-1330 A , Not (616)796-6101
Hubbinette Cowell AssociateS Inc.
rosanne@hubbinette.cowell.com
1003 Park Blvd, Ste 3 No^ ss
AFFQRDINGCoVERAGE NAICf
Massapequa Park, NY 11762 INSURER(s)
INSURER A : NAUoNALUNloN.DBE.INS.fA.QERII.TSeyRQM,28 19-445
InsuReRa : FIRE DISTRICIS_Of-tiY MUTURINS 37400
INSURED
NORTH MERRICK FIRE DISTRICT iNsuRERc:
2095 Camp Avenue INSURER D:
North Merrick, NY 11566 NsuRERE
IN1URER F:
NUMBER: o0000490-304670 REVISION NUMBER: 13
COVERAGES CERTIFICATE
INSURANCELISTED BELOWHAVE BEENISSUEDTO THE INSUREDNAMEDABOVEFORTHE POLICYPERIOD
THIS IS TO CERTIFYTHAT THE POLICIESOF CONTRACTOR OTHERDOCUMENTWITH RESPECTTO WHICHTHIS
INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERMOR CONDITIONOF ANY
MAY THE INSURANCE AFFORDED BY THE POLICIESDESCRIBEDHEREINIS SUBJECTTO ALL THETERMS,
CERTIFICATEMAYBE ISSUEDOR PERTAIN,
CONDITIONS OF SUCH POLICIES.LIMITS SHOWNMAYHAVE BEEN REDUCEDBY PAID CLAIMS
EXCLUSIONSAND
- TS
TYPEOFINSURANCE POUCY NUMeER____
. .. _ 01/o1/2022 EACHOCCURRENCE s 1,000,000
OENERAL UABILITY VFNUTR0000385-01 01/01 2021
A X COMMERCIAL Y DANIA TÓRENTED
E
PREMISES(Esoccunence) 5
CLAIMS-MADEX OCCUR 10,000
MEDEXP(Anyoneperson) 5
6 ADVINJURY 5
PERSONAL 1,000,000
AGGREGATE S
GENERAL 10,000,000
PER
UMITAPPLIES
GEN'LAGGREGATE
- COMP/OP
PRODUCTS AGG s 10,000,000
POuCY LOC
01/01/2021 01/01/2022 p. 1,000 00
AUTOMB EUABluTY Y VFNUTR0000385-01 |!EDO
A 80D1LY INJURY (Perperson) S
ANYAUTO
OULED BODILY INJURY (Peracadent)$
X °OmY X 5 PROPERTY DAMAGE
HIRED NON NNED (Paraccident)
X AvTOSONLY X Avios oNLY 5
01/01/2022 EACHOCCURRENCE s 10,000,000
uAB
uMaRELLA VFNUTR0000385-01 01/o1/2021
A X OCouR Y 20,000,000
AGGREGATE s
X UAB
EXCESS MADE
CLAIMS
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DESCRIPTION (ACORD
I VEHICLES Remarks
101,Additional maybealtechedIfmorespaceInrequired)
Schedule,
PARADE AND/OR DRILL TO BE HELD ON JULY 10, 2021. NORTH BELLMORE FIRE DISTRICT ,
PROOF OF INSURANCE FOR
BELLMORE FD, & THE FOUR TOWNS TRAINING CENTER ARE NAMED AS ADDITIONAL
MERRICK FIRE DEPARTMENT,
INSUREDS AS PER FORM #VGL101.
CANCELLATION
CERTIFICATE HOLDER
CANCELLEDBEFORE
SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBE
CENTER THE EXPIRATIONDATETHEREOF,NOTICEWILL BE DELIVEREDIN
FOUR TOWNS TRAINING ACCORDANCEWrfH THE POLICYPROVlSIONS.
PA BOX M
MERRICK, NY 11566 REPRESENTATIVE
AUTHORIZED
' (RMC)
© 198B-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 25 (2016/03) Printed by RMC On May t 7, 2021 at 01:58PM
84
Preview
FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 EXHIBIT X FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 FOUR TOWNS TRAINING CENTER P. 0. BOX 448, MERRICK, N.Y. 11566 APPLICATION FOR USE OF THE GROUNDS INSTRUCTIONS: PRINT OR TYPE ALL INFORMATION. APPLICATION MUST BE SUBMITTED PERSONALLY TO THE FOUR TOWNS TRAINING COMMITTEE AT LEAST 60 DAYS PRIOR TO THE DATE REQUEST . NAME A A DEPARTMENT DATE OF AFFAIR TYPE OF AFFAIR AFFAIR WILL START AM AFFAIR WILL END AM NUMBER OF PEOPLE YOU NEED TO SUPPLY YOUR OWN TABLES. NAME OF CATERER ADDRESS PHONE NUMBER YOU ARE RESPONSIBLE FOR ANY AND ALL INPSECTIONS BY THE TOH, BOARD OF HEALTH OR ANY OTHER AGENCY. 77 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 THE USER AGREES TO: 1. INDEMNIFY AND HOLD HARMLESS THE FOUR TOWNS TRAINING CENTER FROM ANVAND ALL LIABILITY FOR THE PERSONAL INJURY OR DEATH OF ANYONE USING SAID PREMISES UNDER THE AUSPICES OR AT THE INVITATION OF THE SAID USER WHETHER OCCASIONED BY OR INCIDENTAL TO THE USE OF SAID PREMISES FROM ANY CAUSE WHATSOEVER, INCLUDING ANY ACTS OF ALLEGED NEGLIGENCE BY THE AGENTS, SERVANTS AND/OR EMPLOYEES OF THE FOUR TOWNS FIREMEN'S TRAINING CENTER. A CERTIFICATE OF INSURANCE IS REQUIRED IN THE AMOUNT OF THREE MILLION DOLLARS($3,000,000.00). 2. THE APPLICANT IS HELD RESPONSIBLE FOR THE PRESERVATION OF ORDER, CLEANLINESS AND COMPLIANCE WITH REGULATIONS. 3. ORGANIZATIONS USING THE FOUR TOWNS TRAINING CENTER ARE FINANCIALLY RESPONSIBLE FOR ANY DAMAGE TO THE BUILDING OR EQUIPMENT AND REMOVAL OF TRAINING CENTER PROPERTY, A ONE THOUSAND DOLLAR ($1,000.00) NON-REFUNDABLE FEE IS REQUIRED. FAILURE TO PROPERLY CLEAN THE COURSE AFTER USING IT WILL RESULT IN AN ADDITIONAL FIVE- HUNDRED CLEAN UP FEE. 4. THERE IS A ONE HUNDRED AND FIFTY DOLLAR ($150.00) NON-REFUNDABLE FEE FOR OUR PUMP OPERATOR TO BE AT THE SITE FOR THE DAY. (NO-EXCEPTIONS) 4 (s) THERE IS ALSO A ONE-HUNDRED AND FIFTY DOLLAR ($150.00) NON-REFUNDABLE INSPECTION FEE. (NO EXCEPTIONS) 5. CLEAN UP IS THE DIRECT RESPONSIBILITY OF THE ORGANIZATION UTILIZING THE FOUR TOWNS TRAINING CENTER AND MUST BE COMPLETED BY THE NEXT DAY. LIST THE NAMES A TING IN THE CLEAN UP OF SAID PREMISE: NAME PHONE NUMBER NAME PHONE NUMBER 78 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 KITCHEN: CLEAN AND CHECK STOVE, SINK, FLOOR AMD COUNTER TOPS. GARAGE: MUST BE LEFT NEAT, CLEAN AND ORDERLY. ALL TABLES AND CHAIRS MUST BE PUT AWAY, FLOORS SWEPT AND RETURNED TO A CLEAN CONDITION. MENS & LADIES ROOMS: RETURNED TO A CLEAN CONDITION. TRASH REMOVAL: NO CANS, BOXES, CONTAINERS ETC., WILL BE LEFT IN THE KITCHEN & GARAGE. ALL GARBAGE WILL BE PLACED IN THE PROPER RECEPTACLES AND REMOVED FROM THE FIELD. REQUIRED DOCUMENTATION: 1. A COMPLETED APPLICATION RETURNED TO THE COMMITTEE. 2. THE LIMITS OF LIABILITY WILL BE A MINIMUM OF 3 MILLION DOLLARS ($3,000,000.00) COMBINED SINGLE LIMIT. 3. A COPY OF YOUR LICENSE FOR THE SALE OF ALCOHOLIC BEVERAGES. 4. CERTIFICATE OF INSURANCE NAMING: THE FOUR TOWNS, MERRICK FIRE PROTECTION DISTRICT (Merrick Hook 8 Ladder, Friendship Eng & Hose, Empire Hose Co#3), NORTH MERRICK FIRE DISTRICT, BELLMORE FIRE DISTRICT, NORTH BELLMORE FIRE DISTRICT AND THE TOWN OF HEMPSTEAD AS AN ADDITIONAL INSURED IN THE FOLLOWING COVERAGES: A. PUBLIC LIABILITY B. VEHICLE LIABILITY C. COVERAGE FOR NON-OWNED VEHICLES D. LlQUOR LAW LEGAL LIABILITY COVERAGE E. VOLUNTEER FIREMAN BENEFITS LAW F. WORKERS COMPENSATION 79 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 HOURS OF OPERATION 1. THE TRAINING FACILITY MAY BE OPERATED BETWEEN THE HOURS OF 7:00 A.M. AND 10:00 P.M. A. THE HOST DEPARTMENT MAY ENTER THE TRAINING FAClLITY AT 7:00 A.M. FOR SETUP. B. DRILL TEAMS MAY ENTER THE TRAINING FACILITY AT 8:00 A.M. FOR SETUP. C. NO MOTORIZED MOTORS MAY BE STARTED BEFORE 9:00 A.M. D. THE DRILL MAY BEGIN ANY TIME AFTER 9:00 A.M. I UNDERSTAND THE RULES AND REGULATIONS PERTAINING TO THE USE OF THE FOUR TOWNS TRAINING CENTER, AND I WILL BE RESPONSIBLE FOR THE SAFE USE AND CLEAN-UP OF THE AREA. I ALSO UNDERSTAND THAT FAILURE TO COMPLY WITH THESE RULES AND REGULATIONS MAY RESULT IN CHARGES AGAINST ME BOTH LEGALLY AND MONETARY BY THE FOUR TOWNS COMMITTEE. SIGNED DATE APPLICATION A ROVED BY THE CHIEF=S OFFICE SIGNED DATE APPLIC ON APPROVED BY THE FOUR TOWNS TRAINING COMMITTEE 80 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 SIGNED DATE FOUR TOWNS TRAINING CENTER RULES AND REGULATIONS FOR USE OF TRAINING GROUNDS 1. MUFFLERS MUST BE ON ALL TRUCKS. 2. THE COURSE MUST BE KEPT CLEAN AT ALL TIMES AND THE DEPARTMENT HAVING USE OF THE COURSE ON ASSIGNED NIGHTS IS RESPONSIBLE FOR LEAVING IT CLEAN. 3. THERE IS A 10:00 P.M. CURFEW AND MOTORIZED EVENTS MAY RUN FROM 6:00 P.M. TO 9:00 P.M., MONDAY THRU THURSDAY ONLY. 4. A. THERE WILL BE MOTORIZED PRACTICE PERMITTED ON FRIDAY NIGHTS, SATURDAYS OR SUNDAYS. B. FIREMATIC PRACTICE IS PERMITTED ON SATURDAY ON SPECIAL OCCASIONS FROM 10:00 A.M. TO 2:00 P.M. 1ST SUNDAY- 5. SUNDAY TRAINING: BELLMORE 2" SUNDAY- MERRICK 3" SUNDAY- NORTH BELLMORE 4TH SUNDAY- NORTH MERRICK 5" SUNDAY- OPEN " If the course is being used on your Sunday, you lose that day. You may not interfere with another department while they use the course. 6. THE CHAIRMAN WILL SEE TO IT THAT THE HOST DRILL COMMITTEE WILL MARK THE COURSE. 7. IF THERE IS ANY CHANGES IN DATES, YOU MUST MAKE SURE THE CHAIRMAN OF THE COMMITTEE OR DEPARTMENT REPRESENTATIVE IS NOTIFIED. 81 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 8. THE CHIEFS AND TEAM CAPTAINS WILL WORK OUT AND ARRANGE WHEN TWO OR MORE TEAMS OR DEPARTMENTS ARE THERE ON THE SAME NIGHT TO TRAIN. 9. ALL PREMISES ARE TO BE SECURED AFTER USE INCLUDING THE DOORS ON THE TOWER, GARAGE, PUMP HOUSE, SMOKE HOUSE AND GATES ON THE WAY OUT. 10. ANY VIOLATIONS OF THE RULES AND REGULATIONS WILL BE SUBJECT TO A SUSPENSION AND HEARING BEFORE THE ENTlRE FOUR TOWNS COMMITTEE. ANY MEMBER OF THE FOUR TOWNS COMMITTEE WILL HAVE THE RIGHT TO RECOMMEND SUSPENSION FOR ANY VIOLATION OF THE RULES AND REGULATIONS. 11. SMOKE BOMBS ARE NOT PERMITTED ANYWHERE ON THE GROUNDS OF THE FOUR TOWNS. THE USE OF SMOKE MACHINES IS PERMITTED. THERE IS TO BE NO FLOWING OF WATER IN THE TOWER OR THE SCBA TRAILER. 12. ALL BUILDINGS ARE TO BE KEPT IN A NEAT AND CLEAN CONDITION. 13. NO LADDERS ARE TO BE USED ON THE NORTH SIDE OF THE ARCH AT ANYTIME. 14. ALL TRASH MUST BE PUT IN THE CONTAINERS AT THE END OF THE COURSE. YOU ARE RESPONSIBLE FOR REMOVING THE TRASH FROM THE TRAINING CENTER IF THE CONTAINERS ARE FULL. THE PLACING OF GARBAGE BAGS AROUND THE CONTAINERS IS NOT ACCEPTABLE. 15. THERE IS TO BE NO CONSUMPTION OF ANY ALCOHOLIC BEVERAGES OR THE USE OF ANY CONTROLLED SUBSTANCES ON THE GROUNDS OF THE TRAINING CENTER. 16. THE USE OF SIRENS AND AIR HORNS IS PROHIBITED AT ANYTIME ON THE GROUNDS OF THE TRAINING CENTER. 17. THERE IS NO PARKING ON THE COURSE AT ANYTIME. 18. ALL DAMAGE IS TO BE REPORTED TO YOUR DEPARTMENT REPRESENTATIVE IMMEDIATELY. 19. THERE WILL BE NO STORING OF APPARATUS OR DRILL TEAM CARTS IN THE GARAGE WITHOUT PERMISSION. THIS WILL BE DONE ON AN EMERGENCY SITUATION ONLY. 82 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 20. NO ONE IS ALLOWED ON THE ROOFS OF ANY BUILDING ON THE GROUNDS OF THE TRAINING CENTER. 21. THERE ARE NO BACK TO BACK MOTORIZED EVENTS. 83 FILED: NASSAU COUNTY CLERK 05/02/2024 03:13 PM INDEX NO. 607514/2022 NYSCEF DOC. NO. 107 RECEIVED NYSCEF: 05/02/2024 °^""""'°°'""' ACOR CERTIFICATE OF LIABILITY INSURANCE 05/17/2021 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERT F CATE IS ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR INSURANCE DOES NOT CONSTITU1E A CONTRACT BETWEEN THE ISSUlNG INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. must have ADDITIONAL INSURED provislOne or be endorsed. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) subject to the terms and conditions of the policy, certain policles may require an endorsement. A staternent on If SUBROGATION IS WAlVED, of such endorsement(sh this certificate does not confer rights to the certificate holder In IIou LE^°' PRODUCER Romanne CapuanO PH NNE 7g6-1330 A , Not (616)796-6101 Hubbinette Cowell AssociateS Inc. rosanne@hubbinette.cowell.com 1003 Park Blvd, Ste 3 No^ ss AFFQRDINGCoVERAGE NAICf Massapequa Park, NY 11762 INSURER(s) INSURER A : NAUoNALUNloN.DBE.INS.fA.QERII.TSeyRQM,28 19-445 InsuReRa : FIRE DISTRICIS_Of-tiY MUTURINS 37400 INSURED NORTH MERRICK FIRE DISTRICT iNsuRERc: 2095 Camp Avenue INSURER D: North Merrick, NY 11566 NsuRERE IN1URER F: NUMBER: o0000490-304670 REVISION NUMBER: 13 COVERAGES CERTIFICATE INSURANCELISTED BELOWHAVE BEENISSUEDTO THE INSUREDNAMEDABOVEFORTHE POLICYPERIOD THIS IS TO CERTIFYTHAT THE POLICIESOF CONTRACTOR OTHERDOCUMENTWITH RESPECTTO WHICHTHIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERMOR CONDITIONOF ANY MAY THE INSURANCE AFFORDED BY THE POLICIESDESCRIBEDHEREINIS SUBJECTTO ALL THETERMS, CERTIFICATEMAYBE ISSUEDOR PERTAIN, CONDITIONS OF SUCH POLICIES.LIMITS SHOWNMAYHAVE BEEN REDUCEDBY PAID CLAIMS EXCLUSIONSAND - TS TYPEOFINSURANCE POUCY NUMeER____ . .. _ 01/o1/2022 EACHOCCURRENCE s 1,000,000 OENERAL UABILITY VFNUTR0000385-01 01/01 2021 A X COMMERCIAL Y DANIA TÓRENTED E PREMISES(Esoccunence) 5 CLAIMS-MADEX OCCUR 10,000 MEDEXP(Anyoneperson) 5 6 ADVINJURY 5 PERSONAL 1,000,000 AGGREGATE S GENERAL 10,000,000 PER UMITAPPLIES GEN'LAGGREGATE - COMP/OP PRODUCTS AGG s 10,000,000 POuCY LOC 01/01/2021 01/01/2022 p. 1,000 00 AUTOMB EUABluTY Y VFNUTR0000385-01 |!EDO A 80D1LY INJURY (Perperson) S ANYAUTO OULED BODILY INJURY (Peracadent)$ X °OmY X 5 PROPERTY DAMAGE HIRED NON NNED (Paraccident) X AvTOSONLY X Avios oNLY 5 01/01/2022 EACHOCCURRENCE s 10,000,000 uAB uMaRELLA VFNUTR0000385-01 01/o1/2021 A X OCouR Y 20,000,000 AGGREGATE s X UAB EXCESS MADE CLAIMS $ DED RETENTION3 °o" N oCy°,"nPENSA 01FDMVF00358320 01/o1/2021 01/o1/2022 X MTUTE B L M $ O IC F LU N/ A - EAEMPLOYEE EL DISEASE $ InNH) (Mandatory - POLICY EL DISEASE UMIT $ RI O PERATIONS below / LOCATIONS OFOPERATIONS DESCRIPTION (ACORD I VEHICLES Remarks 101,Additional maybealtechedIfmorespaceInrequired) Schedule, PARADE AND/OR DRILL TO BE HELD ON JULY 10, 2021. NORTH BELLMORE FIRE DISTRICT , PROOF OF INSURANCE FOR BELLMORE FD, & THE FOUR TOWNS TRAINING CENTER ARE NAMED AS ADDITIONAL MERRICK FIRE DEPARTMENT, INSUREDS AS PER FORM #VGL101. CANCELLATION CERTIFICATE HOLDER CANCELLEDBEFORE SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBE CENTER THE EXPIRATIONDATETHEREOF,NOTICEWILL BE DELIVEREDIN FOUR TOWNS TRAINING ACCORDANCEWrfH THE POLICYPROVlSIONS. PA BOX M MERRICK, NY 11566 REPRESENTATIVE AUTHORIZED ' (RMC) © 198B-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03) Printed by RMC On May t 7, 2021 at 01:58PM 84