HomeMy WebLinkAboutCaffe Gelato Bertini` The Commonwealth of Massachusetts Fee:
Town of Yarmouth $50.00
Farmers' Market Food Permit
Number: 22-014 BRFM Issue Date: 7/15/2022
Mailing Address: Location Address:
CAFFE GELATO BERTINI 311 OLD MAIN STREET
46 SOUTH STREET SOUTH YARMOUTH, MA 02664
SOUTH YARMOUTH, MA 02664
IS HEREBY GRANTED A PERMIT
TO OPERATE:
MARKET DATES: Thursdays, June 16 to September 8, 2022
Saturdays, June 18 to September 10, 2022
This permit is granted in conformity with the statutes and ordinances relating thereto,
and expires September 11, 2022 unless sooner suspended or revoked and is not
transferable.
Conditions
Gelato and Caramel
Board Hillard Boskey, M.D., Chairman
Mary Craig, Vice Chairman
of Charles T. Holway, Clerk
Debra Bruinooge
Health Eric Weston /
Bruce G. Murphy, MPH,R.S. C /James G. Gardiner
Health Director/Assistant Health Director
X-'''' '°f TOWN OF YARMOUTH Board of
• �' - Health
=il 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-2445 Health
YA1'TACHEESE
Telephone(508)398-2231,ext. 1241
Division
- A it Fax(508) 760-3472
FEE: $50.00
*NO FEE FOR VEGETABLESAND FRUIT9NLY
.. ._.. _: J 7 D
YARMOUTH BOARD OF HEALTH
Farmers Markets Potentially Hazardous Foods (PHF) " "-. 5 2022
DATE: (0(2-1 / 20G-2— _ ,,_TN DEPT. _
NAME OF BUSINESS: --€-- c---Je4e4` -v •1"u
OWNER OF BUSINESS: P''`' ‘ C.t v. t"'64t-V S
ADDRESS: c--(-(P So`A S_ 1` co„ - Ve.-A( "10� -
PHONE NUMBER: Sok- 33a ('c'2_ -f CELL PHONE NUMBER:
E-MAIL ADDRESS: �(a 6e1 r'`t C� ►' lcu ( �^'l
0 JUL ; 5 2022
NAME(S) OF DESIGNATED PERSON(S) IN CHARGE SELLING AT MARKS
(Person in charge is responsible for all operations and must be on site during all hours of the event. . HEALTH DEPT.
Vrtek-r(U ck
' il, ...tRS PHONE# S° %- . .3 2_ (o�ZLf
Yi�4� rl L--0 .'"--q S PHONE# S.-d '3 3 Z 2(SS-
FOOD ITEMS BEING SERVED/SOLD:
(List all. Use separate page if needed. Packaged food items must have ingredients listed. Labels must have vendor's
name and address.) `ct n C(ArC^ 6
SAMPLES PROVIDED? (Explain method of serving samples; sizes,covered, iced.)
c.,. ? 1" C4S 504. SOACt.l( Sa pf(S On sc)WO'
WHERE WILL THE FOOD BE PREPARED?
kc Ca-4 c GyIcc4—° +lam .
1. No cooking of food without prior approval of Health Department.
2. Attach copy of most recent inspection report of facility where food is prepared (if not from Yarmouth).
3. Attach ServSafe Certificate.
4. If applicable,attach State Shellfish Certificate.
5. Complete and attach Worker's Compensation Affidavit.
Any additional food items must be approved by the Health Director prior to being sold at the
Farmers Market.
Date: 47 `�22 Signature: \
Rev.03/20/15
2022 Vendor Application
Bass River Farm Market
(Processed & Potentially Hazardous Foods) GiLiAFdGD
311 Old Main Street, Bass River, Massachusetts JUN 2 12022
www.bassriverfarmersmarket.org
2022 Market Dates: Thursdays, June 16 - September 8 9 AM-1:30 PM Ra►I R S T.
Saturdays, June 18 - September 10 9 AM-1:30 PM Rain or Shine
Name: 7A-4v C�i Gc ' Pet'A -7-1, 0vvt.43
FarmNendor Name: C. --- c—1 k± -.f" 1 n
farm/BusinessAddress: Lf ( S �° `•. okcncloU
Farm/Business Website: Ca ev--- oJe,(ato - Co on
Email: Telephones°R- T A-OV f"4f Cell: 332 Z T S S
1 Best way to contact you: -CO 3 3 2- C�2c f
Names of Designated Person(s) in charge selling at the BRFM*
*Person in charge is responsible for all operations and must be set up and on site from 8:30 AM -
1:30 PM and be a liaison for all correspondence between town officials (health, police, fire) and the
Market Manager.
Phone 50 33Z
atk (,,�,N.�s Phone SOcC 33 Z Z ( SS
Produce/Product you will be selling:
(List all. Use separate page if needed. Packaged food items must have potential allergens listed as well
as ingredients.) Labels should have vendors name and address.
C ( / _am.( ( Metz p a -f �
Samples Provided? (Explain methods of serving samples: sizes, covered, iced?)
s►,na..(( o►,S a f s &' -p(e..s S v tie�{ ;A S
s .
Where will food be prepared?
w(-I( h re_r,A-4€ a -- r@ Lf 6 so 0-it,
_I .k)f-L-
Check the following that apply and attach copies with application:
Product Liability Insurance
,aServSafe Certification (if providing samples)
El G.A.P. Training Certificate (required as of 2011)
,Food Allergy Awareness Training Certificate
111 Attach State Shellfish Certificate, if applicable
Any additional items must be approved by the Health Director prior to being sold at the
BRFM. Please notify Market Manager at least one week in advance or by 10 AM on Monday
preceeding the Thursday Market and she will get clearance for you.
Full Season Fees: Thursdays: $270. Saturdays: $275. Both Days:$520.
A$25 non-refundable deposit is due by April 10, 2022. Final payment is due by June 16, 2022
Check days attending:
ursday )Saturday
All full-season vendors are expected to attend weekly. If a seasonal vendor does not show up at a
Market and has not given notice to the Market Manager, that vendor will receive notice from the Market
Manager that his/her space is forfeited for the remaining season. There are no refunds.
NON-PROFIT and EDUCATIONAL GROUPS: Educators, Master Gardeners, Authors and Sustainable
Living Advocates are invited to share and display their knowledge and work. Must be approved by the
Market Manager. No Charge.
1. Please make your check payable to the Bass River Farmers Market
2. Your 50% deposit + Board of Health Fee of$50.00* must be received by April 10, 2022 to reserve
your space.
* Separate check made out to the Yarmouth Board of Health.
3. All full season vendors must be paid in full be June 16, 2022
By signing this form the vendor acknowledges that he/she has read and will comply with the
guidelines for the 2022 Bass River Farm Market which are available on our website:
www.bassriverfarmersmarket.org (Hard copies on request)
Applicants Signature: Date: -D6 ( Z�22
Return completed application with payment payable to: Bass River Farm Market
Mail to: Bass River Farm Market, P.O. Box 1374, South Yarmouth, MA 02664
Market Manager: Carlene Veara • Phone: 774-217-1067 • Email: rjvcbv@aol.com
2022 Vendor Guidelines
Bass River Farm Market
311 Old Main Street, Bass River, Massachusetts
www.bassriverfarmersmarket.org
The Bass River Farm Market will be held rain or shine.
Market dates are Thursdays,June 16 through September 8, and Saturdays,June 18 through September 10
1. Vendors may not smoke on the grounds of the Market. All vendors must supply their own
canopies, tents or umbrellas unless the market supplies them for them. These must be sturdy and
contribute to a clean and attractive Market appearance. The Market Manager will approve vendors'
tents/canopies/umbrellas prior to the first market. Each vendor with a tent or canopy must have a
Certificate of Flame Spread. The Certificate of Flame Spread should be bundled with the canopy. If
not, the vendors need to contact the manufacturer.
2. Farmers with produce grown on Cape Cod, as well as vendors with processed food produced on
Cape Cod or secondarily in Massachusetts are welcome to participate; Yarmouth farms and pro-
cessed food vendors are given space priority.
3. Vendors with Potentially Hazardous Foods, (PHF), processed and specialty farm products
(jams, breads, cider, meats, cheeses, seafood, etc.) can be sold with prior approval of the
Market Manager and receiving a permit from the Yarmouth Board of Health. A vendor must
provide a copy of their Board of Health certificate prior to participating in the Bass River
Farmers Market and a visible *Allergen posting: "Before placing your order, please inform
vendor if a person in your party has a food allergy" must be posted on site.
4. With prior approval of the Market Manager, farmers can make cooperative selling arrangements
with neighbors or other farmers and growers provided their produce is grown on Cape Cod or sec-
ondarily in Massachusetts.
5. Items offered for sale will be clearly marked with price and origin.
6. Prepared food samples may only be provided in individual plastic or paper cups and sip spoons.
7. Organic practices are encouraged, and certified organic producers should mark their products as
such. All farmers are encouraged to discuss their farming practices with customers.
8. The Bass River Market is open for set-up from 7:30 am. Once unloaded, vendors will park in
the lot behind the Library. Vendors are required to occupy their spaces by 8:30 am, to remain
until 1 :30 pm, and to clean their areas prior to leaving. Failure shall be grounds for removal from
the Market, There are no refunds.
9. Vendors selling produce by weight must have a scale. Scales used at the Market must carry a
current seal from the local weights and measures department or if selling pre-packed produce,
indicate approximate weight.
10. Vendors who are WIC program participants must display WIC signage. Vendors who wish to ob-
tain WIC certification should contact David Webber at 617-626-1754 of david.webber@state,ma.us
11. All farm vendors shall receive G.A.P. certification within one year of participation, PHF vendors
shall have a current ServSafe certificate.
12. The Bass River Farmers Market will carry liability insurance through the Mass. Association of
Farmers Markets, though vendors are encouraged to have their own policies as well. Depending on
the products sold, it may be mandatory for a verdor to have an individual product liability policy.
This requirement will be addressed on a case-by-case basis.
2022 Bass River Farmers Market Guidelines
13. The Market Manager can ask that products be removed from stalls by the vendors if products
detract from the overall quality of the market and thereby affect other vendor's sales. The Bass River
Farmers Market dose not accept craft items to be sold at the market unless they are plant based
items such as soaps/lotions and sachets. Other craft items are strictly forbidden unless the item is
made primarily from Cape or Massachusetts indigenous products.
14. The Bass River Farmers Market will ensure that representation at the market is fair for all involved.
The BRFM retains the right to limit the types of produce and/or vendors at the market to avoid over-
representation in any one particular area.
15. Hand washing stations are to be provided by the BRFM. They will include water, hand sanitizer, paper
towels and a trash barrel.
16. Vendors wishing to apply for specific weeks or days during the 2021 season can list the dates
on their application. They will be confirmed by the Market Manager. If a weekly vendor does not show
up after making a reservation and being accepted, that vendor will not be allowed to participate for the
rest of the season. Payments for weekly space must be received prior to setting up.
17. Standards of Conduct: Vendors and employees representing vendors must
be courteous, professional and presentable at all times. Drinking,
yelling, swearing, name-calling, slanderous remarks and other rude
behavior will not be tolerated.
18. The Market Manager is responsible for assuring safety at the BRFM and enforcing the Market
guidelines. The Manager's decisions are final on the day of the Market. Questions or disputes relating
to the Market Manager decisions may be brought to the attention of the Farmers Market Board of
Directors. Their decision shall be final.
19. Suspension or removal from the market: A producer (vendor) may be suspended or removed from
the BRFM or have selling privileges in the market conditioned, modified or limited by the Market
Manager for any of the following reasons:
- Failure to obey and conform to state, local government or market rules and regulations.
- Causing or maintaining an unsafe or unsanitary condition at the market.
- Unreasonable or outrageous conduct considered detrimental to the purpose of the BRFM.
- Behavior that obstructs any other vendor's commerce or ability to transact business at the
BRFM.
20. The Yarmouth Agricultural Commission shall be the overseeing agency for the Town of Yarmouth
regarding the Bass River Farm Market and all future Yarmouth Farmers markets.
21. All fees received by the Bass River Farmers Market shall be made out to the Bass River Farmers
Market and deposited into a non-profit account that shall offset the cost of insurance,advertising,
signage and any costs for meeting Town regulations and reasonable expenses of the Bass River
Farmers Market as approved by the BRFM Board of Directors.
These rules and guidelines must be agreed upon by all vendors
in order to participate in the Bass River Farmers Market.
GOM
CCFM Vendor Etiquette Rules
Certified
farwers Market At the market,we ask that you adhere to the following CCFM etiquette reminders:
1. Be Courteous. Be respectful to everyone during the market hours.Tempers can
flare during stressful busy times; avoid yelling or screaming at anyone. Conduct
yourself in a professional manner and ask your helpers to do the same.
2. Don't stand in front of other vendor's booths to hold conversations with each
other or the public.Think of the booth as their storefront.They need the public to
view their merchandise as they stroll by and they can't do that if you're standing in
front of it. Do the right thing and make yourself scarce.
3. Arrive on time; don't be late. It is rude, creates chaos and is disruptive to the
other market vendors and the shopping public when you are setting up late.
4. Keep your space clean and uncluttered by putting your empty boxes or other
packaging out of sight. Leave your space clean and remove everything you brought
with you upon departure. If necessary,bring a broom to leave your space clean.We
must leave the streets clean or the Market will be fined by the city. If you create a lot
of garbage as a result of the type of business you have, bring your own trash
receptacles (it's the rule). Don't fill those receptacles provided for the public.
5. If you must bring your children,they are your responsibility. Keep them from
running through the streets and booths. Accidents do happen. Please be aware,we
don't allow silly string or pop caps or firecrackers. Children must not climb on
things, run through booths or ride skateboards or bicycles on the streets or
sidewalks in the market area. If they become obnoxious or rude the Market Manager
will ask you to keep them at your booth. We do encourage the youth to participate
in the market events and activities; we want everyone to have a good time.
6. Fragrances matter. Do not wear heavy perfumes.They can be hazardous to the
general public health. Many people have respiratory issues and heavy perfume
fragrances may cause breathing problems, even seizures. No one wants that to
happen. Refrain from perfumes on market days (if you must,go lightly).
7.Tables and Chairs must be cleared with the Market Manager prior to set up.You
need to stay mindful of others' traffic areas,allow walking corridors and don't
encroach on another vendor's space. You're only allowed the space you pay for.
8.Pets-please leave them at home,unless your pet is a qualified service dog
allowed by law. Furthermore, CA State regulations say they are not allowed within
20 feet of food or agriculture booths. Sometimes the crowds are large and it can be
very hot on the pavement.They might get stepped on and are better off left at home.
9. Do NOT Poach,or try to persuade other vendor's customers to visit your booth
until they have completely finished their business with your neighbors. It's just
rude and will potentially caus . agreements. Be respectful to fellow vendors.
Owner/Contact Signature: Date: I S 27---
CCFM Application Packet/Vendor Etiquette Rules(12.1.14)
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Arbella Protection Insurance Company, Inc.
1100 Crown Colony Drive, Quincy, MA 02269-9174 ,PSuRANCL, GROUP
BUSINESSOWNERS POLICY DECLARATIONS
Transaction i Effective
7520114980 01 ENDORSEMENT 02/03/2022 I Direct Bill
Transaction Description
UPDATE MAIL ADDRESS& UPDATE CONTACT INFO
Named insured and Mailing 28-37
FOX DEN COFFEE LLC BENSON YOUNG& DOWNS INS AGCY LLC
DBA CAFFE GELATO BERTINI P.O. BOX 158
14 TERN RD HARWICH PORT, MA 02646
SOUTH YARMOUTH, MA 02664
Phone#508-432-1256
"Politer term t 1 t11,**„ nda t Address of Named red
FROM: 02/03/2022 TO: 02/03/2023
Business Description€a . .,
Limited Liability Company Counter service restaurant selling homemade gelato,
coffee drinks and handmade sodas.
IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TOS ALL THE TERMS OF THIS POLICY,
WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
1 150
� rtit c�l� m $0
We will not pay more than the applicable limit of liability represented. All limits displayed represent total coverage limits
and are not increased or supplemented by any other form.
Countersigned by Date
28AP1001 12 12 02/09/2022 Page 1
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
P..!111,011, ••.-Transaction
7520114980 01 ENDORSEMENT 02/03/2022
DESCRIPTION OF INSURED PREMISES
Loc, Bldg, Location
No.,* No. Street City State Zip
1 1 46 SOUTH ST SOUTH YARMOUTH MA 02664
MORTGAGEHOLDERS/LOSS PAYEES
Loc Bldg,. :,,Category , Loan Name and Malhng IiIjiIiw
1 1
Loss Payee PAUL K COOK&SUSAN M COOK
25 WORONOCO RD, WEYMOUTH, MA 02191
28AP1001 12 12 02/09/2022 Page 2
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
: t Effective Date
• 7520114980 01 I ENDORSEMENT 02/0312022
SECTION I —PROPERTY
Property Coverage Limits of Insurance
Loc. Bldg, Type of Property Limit of Deductible ° Valuation Automatic Premium :y a
No. No Insurance (ACV/ Increase Bldg.
RC) Limit
,:Percentage
1 1 Business Personal $60,000 $500 RC $420
Property
Optional Coverages: n
Loc. Bldg. Coverage Limit of Insurance/Deductible Premium
No. No
All All Special Coverages For Restaurant Owners -- $90
All All Cyber Coverage See form 31AP1201 $84
1 1 Food Contamination See Endorsement $35
28AP1001 12 12 02/09/2022 Page 3
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
'-P011cy Number Transaction Effective Date
• 7520114980 01 ENDORSEMENT 02/03/2022
SECTION II — LIABILITY AND MEDICAL EXPENSES
Each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual
period. Please refer to Section II—Liability in the Businessowners Coverage Form and any attached endorsements.
Limits of Insurance --
�: Limit of
Insurance
Liability and Medical Expenses $1,000,000 Per Occurrence
Medical Expenses $10,000 Per Person
Damage to Premises Rented to You $500,000 Any One Premises
Other Than Products/Completed Operations Aggregate $2,000,000
Products/Completed Operations Aggregate $2,000,000
Loc, Bldg, Class Class Description; Exp. Exposures Premium
No, No. Code base
1 1 09171 Restaurants -Limited Cooking- Ice Cream and Yogurt Sales' $70.000 $199
Stores
*Policy exposures may be subject to Annual Audit
Qp onai Coverages
Bldg Coverage Limit of Insurance Premium
All All Employment Practices Liability See Endorsement $67
All All Damage to Premises Rented To You -- $173
28AP1001 12 12 02/09/2022 Page 4
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
r Transaction Effective Date
^
-- '----
�� -'
SCHEDULE OFFORMS AND ENDORSEMENTS
Endorsement Edition Endorsement Title
Form ~~~~ ~~Date,
28AP1274 12/20 Policyholder Disclosure 2Notice of Terrorism Insurance Coverage
30AP1017 10/14 Safe Harbor Plus
30AP1067 12V12 Special Coverages for Restaurant Owners
30AP1075 12/12 Equipment Breakdown Endorsement
|
31 /4P1088 12Y12 Asbestos Exclusion
31AP1141 01/10 Employment Practices Liability Insurance Coverage Endorsement Supplemental
Declarations
31AP1145 01/10 Employment Practices Liability Insurance Coverage Endorsement
31AP1201 12/17 Cybar Coverage Insurance
31AP1203 12Y17 Cyber Coverage Insurance CyberSooutServices
31AP1226 12/17 yNaooanhuoettaChmngeo-CyberCovoxega
8PUO03 01/10 BumineamownensCnvonage Form
8PD1 08 03/11 Massachusetts Changes |
8P01 44 01/21 KXeoaouhumettuChangao- |nVondone| Loss Exclusion
BPO417 01/10 Employment- Related Practices Exclusion
BP041Q 01/0G Amendment Liqu�r/Li Liability Exclusion�ExuepdonF�rScheduled A�i Activities
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BP0431 01/10 Food Contamination
BPO4Q2 07/02 Total Pollution Exclusion
8P0517 01/06 Exclusion-Silica Or Silica-Related Dust
BP8523 01/15 Cap On Losses From Certified Acts CfTerrorism
BP0538 01/15 Exclusion of Other Acts Of Terrorism Committed Outside The United States; Cap on Losses
from Certified Acts ofTerrorism
8PD542 01/15 Exclusion Of Punitive Damages Related ToA Certified Act DfTerrorism .
BP06Q8 01/10 Massachusetts' Fungi, Wet Rot Or Dry Rot Exclusion And Limitations |
BP12O3 01/10 Loss Payable Clauses
28AP1001 1212
02m9/2022 Page