HomeMy WebLinkAboutApplications and WC G��is'�'���DD
a � TOWN OF YARMOUTH BOARD OF HEALTH �'�T � $ 2Ui5
�� APPLICATION FOR LICENSE/PERNIIT-2015 HEALTH DEPT.
` * Please complete form and attach all necessary documents by December
Failure to do so will result in the retum of your applicat�on pac c'�—
ES'('ABLISHMEN'r'NAME: Speetlway#2445 '�',4}��•
LOCATION ADDRESS: �353 Route 28, W. Yarmouth, MA 02673-8107 TEL.#: 508398-2159
MAILING ADDRESS:Speedway LLC Attn: Licensing Dept. P.O. Box 1580 Springfield, OH 45501
E-MAIL ADDRESS:0002445@Stores.Speedway.com; ssowry@speedway.com ' , ' S
OWNERNAME: Speedway , LLC � ' �;jL'�'� ��
CORPORATION NAME (IF APPLICABLE): '"�—` F ���
MANAGER'S NAME: Nataliia Lassor TEL.#: �32�Z5-8985 ��••
MAILING ADDRESS:1353 Route 28, W. Yarmouth, MA 02673-8107 Q��L'
�--
POOL CERTIFICATIONS:
The pool supervisor must be certified as a Pool Operator,as required by State law. Please list the designated
Pool Operator(s) and attach a copy of the certification to this form.
1.NA 2.
Pool operators must list a minimum of two employees currently certified in basic water safety, standard First Aid
and Community Cardiopulmonary Resuscitation (CPR), having one certified employee on premises at all times.
Please list the employees below and attach copies oftheir certifications to this form.The Health Department will
not use past years' records. You must provide new copies and maintain a file at your place of business.
],Natalia N. Lassor z
3. 4.
FOOD PROTECTION MANAGERS -CERTIFICATIONS:
All food service establishments are required to have at least one full-time employee who is certified as a Food
Protection Manager, as defined in the State Sanitary Code for Food Service Establishments, 105 CMR 590.000.
Please attach copies of certification to this application. The Health Department will not use past years' records.
You must provide new copies and maintain a file at your establishmeut.
j,Natalia N. Lassor Z
PERSON IN CHARGE:
Each food establislunent must have at least one Person In Charge(PIC)on site during hours of operation.
],Natalia N. Lassor 2
ALLERGEN CERTIFICATIONS:
All food service establishments are required to have at least one full-time employee who has Allergen certification,
as defined in the State Sanitary Code for Food Service Establishments, 105 CMR 590.009(G)(3)(a). Please attach
copies of certification to this application. The Health DepaMment will not use past years' records. You must
provide new copies and maintain a file at your establishment.
1,Natalia N. Lassor 2
HEIMLICH CERTIFICATIONS:
All food service establishments with 25 seats or more must have at least one employee trained in the Heimlich
Maneuver on the premises at all times. Please list your employees trained in anti-choking procedures below and
attach copies of employee certifications to this fornt. The Health Department will not use past years' records.
You must provide new copies and maintain a file at your place of business.
1.NA 2.
3. 4.
RESTAURANT SEATING: TOTAL# NA
OFFICE USE ONLY
LODGING:
LICENSE REQUIRED FEE PERMI'I'# LICENSE REQUIRED FEE PERMIT# LICENSE REQUIRED FEE PERMIT#
B&B $55 CABIN $55 MOTEL $I10
INN $55 —CAMP $55 SWIMMINGPOOL$IlOea.
_LODGE $55 �I"RAILERPARK $]OS WHIRLpOOL $110ea.
FOOD SERVICE:
LICENSE REQUIRED FEE PERMIT# LICENSE REQUIRED FEE PERMIT# LICENSE REQUIl2ED FEE PERMIT#
0-IOOSEATS $125 _CON'I'INENTAL $35 NON-PROFIT $30
>100 SEATS $200 _COMMON VIC. $60 WHOLESALE S80
RETAIL SERVICE:
—RESID.ffiTCHEN $80
LICENSE REQUIRED FEE PERMIT# LICENSE REQUIRED FEE PERM[T# LICENSE REQUIRED FEE PERMIT#
<50 sq.8. $50 >25,000 sq.R $285 VENDING-FOOD $25
�<25,OOOsq.ft. $150 j�7 =FROZENDESSERT $40 �COBACCO $110 ��O
NAME CHANGE: $15 AMOLINT DUE _ $260.00
*****PLEASE TURN OVER AND COMPLETE OTHER SIDE OF FORM*•***
ADMINISTRATION
Under Chapter I 52, Section 25C,Subsection 6,the Town of Yarmouth is now required to hold issuance or renewal
of any license or permit to operate a business if a person or company does not have a Certificate of Worker's
Compensation Insurance. THE ATTACHED STATE WORKER'S COMPENSATION INSURANCE
AFFIDAVIT MUST BE COMPLETED AND SIGNED,OR
CERT. OF INSURANCE ATTACHE.D X
OR
WORKER'S COMP. AFFIDAVIT SIGNED AND ATTACHEDX
Town of Yarmouth taxes and liens must be paid prior to renewal or issuance of your permits. PLEASE CHECK
APPROPRIATELY IF PAID:
YES X NO
MOTELS AND OTHER LODGING ESTABLISHMENTS
TRANSIENT OCCUPANCY: For purposes of the limitations of Motel or Hotel use,Transient occupancy shaA be
limited to the temporary and short term occupancy,ordinarily and customarily associated with motel and hotel use.
Transient occupants must have and be able to demonstrate that they maintain a principal place of residence
elsewhere.Transient occupancy shall generally refer to continuous occupancy ofnot more than thirty(30)days,and
an aggregate of no[more than ninety(90)days within any six(6)month period. Use of a guest unit as a residence or
dwelling unit shall not be considered transient. Occupancy that is subject to the collection of Room Occupancy
Excise, as defined in M.G.L. c. 64G or 830 CMR 64G, as amended, shall generally be considered Transient.
POOLS
POOL OPENING:All swimming,wading and whirlpools which have been closed for the season must be inspected
by the Health Department prior to opening. Contact the Health Depariment to schedule the inspection three(3)
days prior to opening. PLEASE NOTE: People are NOT allowed to sit in the pool area until the pool has been
inspected and opened.
POOL WATER TESTING: The water must be tested for pseudomonas,total coliform and standard plate count
by a State certified lab, and submitted to the Health Department three (3) days prior to opening, and quarterly
thereafter.
POOL CLOSING:Every outdoor in ground swimming pool must be drained or covered within seven(7)days of
closing.
FOOD SERVICE
SEASONAL EOOD SERVICE OPENING:
All food service establishments must be inspected by the Health Department prior to opening. Please contact the
Health Deparhnent to schedule the inspection three(3) days prior to opening.
CATERING POLICY:
Anyone who caters within the Town of Yarmouth must notify the Yannouth Hea(th Department by filing the
requ�red Temporary Food Service Application form 72 hours prior to the catered event. These forms can be
obtained at the Health Department,or from the Town's website at www.yarmouth.ma.us under.Health Deparhnent,
Downloadable Fonns.
FROZEN DESSERTS:
Frozen desserts must be tested by a State certified lab prior to opening and monthly thereafter,with sample results
submitted to the Health Department. Failure to do so will result in the suspension ar revocation of your Frozen
Dessert Permit until the above terms have been met.
ODTSIDE CAFES:
Outside cafes(i.e.,outdoor seating with waiter/waitress service),must have prior approval from the Boazd ofHealth.
OUTDOOR COOKING:
Outdoor cooking,preparation,or display of any food product by a retail or food service establishment is prohibited.
NOTICE:Permits run annually from January 1 to December 31. 1T IS YOUR RESPONSIBILITY TO RETURN
THE COMPLETED RENEWAL APPLICATION(S)AND REQUIRED FEE(S) BY DECEMBER t5, 2014.
ALL RENOVATIONS TO ANY FOOD ESTABLISHMENT, MOTEL OR POOL (i.e., PAINTING, NEW
EQU[PMENT, ETC.), MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR
TO COMMENCEMENT. RENOVATIONS MAY RE �JIRE A SIT PLAN.
DATE: l� �) /IS SIGNATURE: �{4�/'�
PRINT NAME &TITLE:.lason etel by Power of Attorney
Rev. I1I03114
� The Cnmmonwealth ofMassachusetts
Deparlment oflndustrial Accidents
O�ce oflnvestigations
600 Washington Street
Boston,MA 027I1
www.moss.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant InformaHon Please Print Le¢iblv
Business/Organization Name: speedway, ��c{��'►�e}
AddiesS;Sneedwav LLC Attn• Licensing Dept P.0 Box 1580 Springfield OH 45501
City/State/Zip:Sprinafield, OH 45501 Phone#:937-863-6870
Are yon an employer?Check t6e appropriate box: Business Type(requ'ved):
1.Q 1 am a employer with 5-10 employees(fuil and/ 5. ❑ Retail
or part-time).• 6. ❑ RestauranUBar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no
employees working for me in any capacity. �• ❑ O�ce and/or Sales(incl. real estate,auto,etc.)
[No workers' comp. insurance requiredJ $. ❑Non•profit
3.❑ We are a corporation and its officers have exercised 9. ❑ Eatertainment
their right of exemption per c. 152, §1(4),and we have �0.❑ Manufacturing
no employees. [No workers' comp, insurance requiredJ•
4.❑ We are a non-profit organization,staffed by volunteers, ��•❑ Health Care
with no employees. [No workers' comp. insurance req.] 12.0 Other Conveniece Store/Gas Station
�Any applicent that checks box N!mus[also fill ouL the section below showing�heir workers'compensetion poticy infmma(ion,
If H�e wrporate o�cers have exempted lhemselves,but tFe coryoration has olhtt employees,a workers'compenaat�on po���y is roy����d such an
organiza[ion should chock bpx HI,
1 am an emp/oyer tkai u provrdmg workers'compeesaUon insurance jor my empinyees. Below fs the policy lnjormation.
Insurance Company Name: Old Republic Insurance Company
Insurer's Address: 'M5 S Moorland Rd, SuRe 300
City/State/Zip: Brookfield, WI 53005
Policy#or Self-ins. Lic.# MWC30512700 Expiration Date: ����16
Attach a copy of the workers' compensation policy declaration page(s6owing the policy namber and ezpiraHon date).
Pailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penelties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to[he Office of
tnvestigations of the D1A for insurance coverage verification
I du hereby cerafy, u t �ns and pena/ttes ofper�ury that the�nformatlon provided above is true and correct
Si n re: Date: -�'
Pho e#: 937-863- �r � �CSnt Y�W�S �'1�
O�cia(use only. Do not wrUe tn this aren,to be compleled by city or town ojjiclaG
City or Town: Permit/License�!
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4.Licensirtg Board 5. Selectmen's Office
6. Other
Contact Person: P6one#:
� . � . . � . www.mass.gov/dia . .
, acoRo� CERTIFICATE OF LIABILITY INSURANCE °"'�,"�'°°'""""`
:� 6/22/2015
' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
j CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. TFIIS CERTIFICATE OF INSURANCE DOES NOT CONSTiTUTE A CONTRACT BETWEEN THE IS3UING INSURER�3�, AUTHORIZED
I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
� IMPORTANT: If the certifieate holtler is an ADDITIONAL INSURED,She policy(ies)must be endorsed. It SUBROGATION IS WAIVED,subject to
��. the tertns and conditions of the policy,certain policies may require an endorsemant A sWtement on this certificate dces not confer rights to the
��, certiflcate boltler in lieu of such endorsemen s.
� PRODUCER /
NAME:
� Hylant Group-Cleveland PHONE . FA%
���. 60D0 Freedom Sq Dr, Ste 400 - ^� N�:
, Independence OH 44131 ADDRE �
�, INSURER S APFORDING COVERAGE NpIC p
� INSURER A.
: INSURED MARAT-3 INSURER B:
��� Speedway LLC wsursenc:
' S00 Speedway Dnve INSURERD: �
: Enon,OH 45323
'�. INSURER E:
''�. INSURER F:
�'� COVERAGES CERTIFICATE NUMBER:376100608 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
�; CERTIPICATE MAV 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 SH04N1 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�. �NTR TYPEOFINSURANCE N R WVD POLICVNUMBER MMNDY� MMND Y� LIMRS
GENEML LIABNIY
EACH OCCURRBJCE S
I COMMERCWLGENERFLLIA&LIN D R
PREM E Eeocartrence 8
. �I CLAIMSMADE �OCCUR MEDEXP(Myoneperson E
PERSONALBADVINJURV E
� � GENERALAGGREGAIE E
, GEN'LAGGREGATELIMITAPPLIESPER: PftODUClS-COMP/OPAGG E
,, POUCV PRa LOC §
�� AUTOMOBILELIAeILITY
�. Ea ac6tlern
. '� ANVAlfrO BODILVIWURY�Perpenon) E
� ALLONNED SCHEDUIED
AUTOS AUTOS BODILYINJURY(Porectlde� E
� HIREDAlfr05 AON�ED PROPFJ2TYDAMAGE E
�, PeracvGant
E
. UMBRELLALIAB ppCUR EACHOCCURRENCE S
� E%CESS W1B CL41M5-MADE AGGREGAIE f
�i DED REfENTONE $
q WORKERSCOMPENSAnON MWC30512700 7/12015 7/7/2076 X �STATU- OTH-
' FNDEMPLOYERS'LIABILITY ��N -
� ANYPROPRIETORIPARTNERIE%ECU'fIVE
' OFFICERMIFMBEREXCLUDEDT � N/A E.LEACHACCDEM 55,000000
�Mantlalory In NX) FA EMPLOYE E5,000,000
� Hyes,tlesal�eurcbr E.LDISEASE-
DESCRIPTION OF OPERATIONS Eebw E.L DISEASE-POLICV LIMR $5,000,000
i
�� DESCRIPTIONOFOVERATON51LOLqT10N5IVEHICLES (AtlachACORD101,qtltlilionalRemarWSchetlule,XmorespaceisreqWmO)
'�, CERTIPICATE HOLDER CANCELLATION
', SHOULD ANV OF THE ABOVE DESCRIBEO POLICIES BE CANCEILED BEFORE
� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
�, Evidence of Insurance-Speedway ACGORDANCE WITM THE POLICV PROVISIONS. �
A}l�IT�1p0R/IZED REVRESENTATNE
!/Kr�C��
' � �798&2010 ACORD CORPORATION. All rights reserved.
� ACORD 25(2010/05) The ACORD name antl logo are registered marks of qCORD � .
��"�-Y �s�2sr
. TOWN OF YARMOUTH BOARD OF HEALTH l�' '' [ `� �.'-_...__ .. . . - -.���- --�.
APPLICATION FOR LICENSE/PERMTT-2015 ��.
*Please complete fom�and a[tach alI cecessary documents byDecember IS 1074. � ���!�;j � `� �+f}�� ��
Failure to do so will result in the renvn of your applicauon pac'�cet.y— �
� ESTABLISHMENI'NAME: SpeeewaYi2445 . _ : . . . .. ... .. '��
LOCATION ADDRESS: 1353 Main Street S Yarmouth MA 02664 . : (508)39&21 � � � � � �� -� ��
� MAILING ADDRESS:ATTM Licensilg-P O Box 1580 Sorinvfield Ohio 45501
F.-MAIL ADDRESS:
� OWNERNAME: HessRetailOoerations LLC
CORPORATION NAME(IF APPLICABI.E):
MANAGER'S NAME:Kyk Rowe �I„*; 1�3zl+zs-asss
MAILING ADDRESS:A�N'LiCensina-P O Box 1580 SOnnafieltl Ohi 455p7
POOL CERTIFICATIONS:
The pool supervisor must be ceriified as a Pool Opentor,ac required by 5tate law. Please list the designated
Pool Operatoc(s)and attach a copy of the certificatio�to tlils fovn.
1. 2.
Pool opera[ors must tist a m'vtimum of two employees cumntly cer[ified in basic wazer safery,standard Fust Aid
� and Couununity Cazdiopidmonary Resuscitation(CPR),having one cer[ified employee on premises a[etl times. �
Please list the employees belo�v and aUach copies oftheir cenificutiuu5 W dus form.The Hcakh Depnrtmenf will
.. not use past years'records. You must provide new copies and mainhin a file at your place of 6usiness.
1. 2.
3. 4.
FOOD PAOTECTTON MANAGERS-CERTTFICATIONS:
All food service establishments aze required to have at least one full-fime employee who is certi5ed as a Food
Protection Maoager,as defined in the State Sanitary Code for Food Service Establishmenu, 105 CMR 590.000.
Please attach copies of ceRification to this applicafion. The Health Department will not use past years'records.
You must pruvide new copies and maintain a file at your establis6ment
i. 2.
PERSON IN CHARGE:
P,ach food establishment must have az least one Person In Ck�srge(PIC)on siu during hours of operation.
1. 2.
ALLERGLTvr CERTIFICATIONS:
All food service establis6ments are required to have at least one fiill-time employee who has Allergen certification,
as defined in the State Sanitaz;�Code for Food Service Establishments,105 CMR 590.009(G)(3)(a}. Please attach
copies of certification to ihis application. The Health Department will not use past years'recards. You must
provide new copies aud maintain a file at your establishment.
I. z.
HEIMLICH CERTIFICATIONS:
All food service establishments�vith 25 seau or more must have at least one employee tmined in the Heimlich
Maneuver oa tkte premises at all times. Please list yow enployees trained in antichokmg procedures below aod
attach copies of employee certifications to this form. T6e Health Department will not uae past years'records.
You must provide new copies and maintain a file at your piace of bosiness.
1. 2.
3. 4.
RESTAURAN'C SEATING: TOTAL#
OFF[CE USE ONLY
wocmc:
LICENSEREU�IRED FEE PERMIT# LICENSEREQUIRED rEE PERMITk LICCNSEREQUIRED FY.E PERMITC
H&H SSS CA61N S53 MOTEL S170
—mN S55 CAMP E55 SWIMMINCPOOLbIlOea
�,OIX'iE S53 �IRAILERPARK SI05 _WH[RLPOOL S110ea
FOOD SERVICE:
LICENSGREpUIRED FEE PERMITF LICENSERF.QOIRED FEE PERMITM LICENSEREo UIRED FEE PERMRM
0.100SEATS f125 _CONTINENTAL S35 NON-PROfIT 530 ____
—>l00 SEATS 5200 COMMON VIC. E� �'HOLESALE S80
' — — -- —RES[D.K77'CHtiN SSD
RETAIL 5¢RVICE:
LICENSsEqREQUIRGL> FEE PERMITit WCBNSEREsqQUIRED FEE PERMIT� L7CENSEftEQUIftED FEE PERMITB
�QSAOO�sq.ft. 5150 �3 �RD''l,ENDESSERTfy40 �TOBACCO f�D3110 ��?�
�y NAMECHANGE: SIS A1�IOUNTDUE _ $ I5.00
i���
••"•PL6ASE TURN OVER AND COMPLRTE OTHER SIDE OF FORM•"•"
ADMINISTRATION
Under Chapter 152,Section 25C,Subsecfion 6,the Town of Yarmouth is now required to hold issuance or renewal
of any license or pernut to opeiate a business if a person or company does not kiave a Certificate of Worker's
Compensation Insurance. THE A1"CACAED STATE WORKER'S COMPENSATION INSURANCE
AFFIDAVIT MUST BE COMPLETED AND SIGNED,OR
CERT.OF INSURANCE ATTACHED_
OR
WORKER'S COMP.AFFIDAVIT SIGNED AND ATTACHED
Town of Yarmouth ta�ces and liens must be paid prior to renewal or issuance of your permiu. PLEASE CHECK
. APPROPRIATELY IF PAID:
YES NO
MOTELS AND O'THER LODGING ESTABLLSHMENTS
TRANSIENT OCCiJPANCl': For purposes of the limitations ofMotel or Hotel use,Transient occupancy shall be
limited to[tte temporary and short term occupancy,ordinarily and customarily associated with motel and hotel use.
Transient occnpanis must have and be able to demonstrate that they maintain a principal place of residence
elsewhere.Tzansient occupancy shall generally refer to continuous occupancy ofnot more than thidy(30)days,and
� an aggregate of not more then ninety(90)days wit6in any six(6)monffi period. Use of a gues[unit as aresidence or
dwelling unit shall not be considered transient. Occupancy that is subject to the collection of Room Occupancy.
F�cise,as defined in M.G.L.a 64G or 830 CMR 64G,as amended,shall gene=aily be considered Trausient
POOLS
� POOLOPENING:Allswimming,Wadingandwhirlpoolswhichhavebeenclosedfortheseasonmustbeinspected
� by the Health Department prior to opening. Contac[the Health Department to ac6edule the inspection three(3)
days prior to opening.PLEASE N01'E:People are NOT allowed to sit in the pool area until the pool has been
' inspected and opened.
POOL WA1'ER TES7'ING: The water must be tes[ed for pseudomonas,total coliforcn and standazd plate count
by a State certified lab,and submitted to the Health Depazlment tliree(3)days prior to opening,and quarterly
thereaf�er.
� POOL CLOSING:Every outdoor in ground swi*�*�ing pool mus[be drained or covered within seven('n days of
closing.
FOODSERVICE
� SEASONAL FOOD SERVICE OPENRYG:
All food service establishments must be inspected by the Health Depaz[ment prior to openiug. Please contact the
Health Department to schedule ihe inspection three(3)days prior to opemng. -
CA,TERING POLICY:
Anyone who caters within[he Town of Yazmouth mus[notify the Yarmouth Heal[h Depar�ent by filing the
. required Tempo Food Service Application form 72 hours prior to the cazered event T'hese foims can be
obtained at the H�th Department,or from the Town's website at www.varmouth.maus under Heal[h Depattment,
Downloadable Forms.
FROZEN DESSERTS:
Frozen desserts must be tested by a State certified lab prior to opening and moathly thereafter,with sample results
submitted to the Health Depar[ment Failure to do so will result in the suspension or revocalion of your Fmzen
Dessert Permit until the above terms have been me[.
OUTSIDE CAFFS:
Outside cafes(i.e.,outdoor seating with waiter/waitress service),must have prior approval from the Board of Heal[h.
OUTDOOR COOHING:
Outdoor cooking preparation,or display of any food product by a retail or food service establishmen[is prohibited.
NOTICE:Permits nm annually from January 1 to Deceinber 31. TT IS YOUR RESPONSIBILII'Y TO RETIJRN
THE COMPLET'ED RENEWAL APPLICATION(S)AND REQUIItED FEE(S)BY DECEMBER 15,2014.
ALL RENOVATIONS TO ANY FOOD ESTABLISFIMENT, M01'EL OR POOL (i.e., PAINTING, NEW
EQUIPMENT,ETC.),MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR
TO COIvIIv1ENCEMENT. RENOVATIONS Y A PLAN.
��DAT'E: �'ZY—I� SI TURE: � J
PRIN'I'N &TITLE: Jo H s Power TAnome
ae..urosna�