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Home My WebLink AboutBCOI-24-16 Restaurant 2024 The Commonwealth of Massachusetts Town of '4 IT YARMOUTH *i,,q. C7.00RATES�,i New and Renewal Certification of Inspection In accordance with the Massachusetts State Building Code, Section 110.7 Identify Name of Establishment Certificate No. Issued to Business Name: RJ Resorts Beach Resort Beverage LLC BCOI-24-16 Trade Name: Red Jacket Restaurant Identify property address including street number, name, city or town, and county Certificate Expiration Located at 28 SOUTH SHORE DR SOUTH YARMOUTH, MA 02664 November 30, 2024 Floor Occupancy_ Use Group Other Use Group Classification(s) 01st Floor 120 A-2 Restaurants, Night Clubs, or 18-Persons-bar similar uses 102-Persons-Dining room Allowable Occupant Load 01st Floor 225 A-2 Restaurants, Night Clubs,or 2nd Floor Meeting Room similar uses This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure, or portion thereof as herein specified has been inspected for general fire and line safety features. This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Chief Enrique rrascue Name of Municipal Building Mar k Its Date of::::hl 6 ?/2— ((Commissioner . � J Signature of Municipal Fire -, Signature of Municipal Building Date of Chief Commissioner 6/ /0/L r ,yLFF , '71.03‘ TOWN OF YARMOUTH M..,, BUILDING DEPARTMENT , �.,�,.,,,a f,� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION January 5,2024 PAYABLE UPON RECEIPT (X) Fee Required $150.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 28 South Shore Drive Name of Premises: Red Jacket Beach Motor Inn Tel: 508-398-6841 Purpose for which permit is used: Seasonal liquor license renewal License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency LICA-23-0025 Town of South Yarmouth / cry\(') Tel:l: 508-398-6841 RJ Resorts Beach Resort Beverage LLC Certificate to be issued to Address: 28 South Shore Drive, South Yarmouth,MA 02664 Owner of Record of Building RJ Resorts Beach Resort owner LLC V E Address 65 East 55th Street 33rd Floor New York,NY 10022 E �_ Pr sent Holder of Certificate RJ Resorts Beach Resort Beverage LLC • FEB 06 2024 Manager Bu,_.h iOtE ,r' T Sig tt e o rson to whom Title By v �+(—g Certificate is issued or his agent b.� '1 "wI fe 0 / Date " I Email Address: HHandrahan@redjacketresorts.com Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth,MA 02664 Return this application to: Building Inspector's Office Please note: Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. Application must be received before the certificate will be issued. The building official shall be notified within ten(10)days of any change in the above information. PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM WITH THIS APPLICATION OR WE CANNOT S YQUR CERTIFICATE OF INSPECTION. Certificate of Inspection# 8 CD� --/ (o 04/01/2024-11/3 0/2 024 (M AC' RL7 MIDD;YYYY) �O CERTIFICATE OF LIABILITY INSURANCE DATE ATE iM023 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(ies)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 MARSH USA,LLC. NAME: PHONE. FAX 1166 Avenue of the Americas IA/C,No,Eat): (A/C,No): New York,NY 10036 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 1# CN 133703919-ail-GAU-23-24 PISURER A:Everest Premier Insurance Company 16045 INSURED INSURER B:Everest Denali Insurance Company 16044 EQS Hospitality RJR MA Employee LLC 444 Madison Avenue I Floor 14 INSURER C;ACE Property and Casualty Insurance Company 20699 New York,NY 10022 INSURER D:Everest National Insurance Co INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011567320-02 REVISION NUMBER: 1 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. IN SR R TYPE OF INSURANCE ADDL SUER POLICY NUMBER (MM/DD/YYYY) (MM DDM(YY) UMITS LTR INSD YWD A X COMMERCIAL GENERAL UABILITY CC4GL00011-231 09/12/2023 091112/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE TED CLAIMS-MADE X OCCUR PREMISES'Lo occu ence) $ 1,000,000 MED EXP(Any one person) $ PERSONAL.&ADV INJURY $ 1,000,000 GEN I_AGGREGATE LIME/APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY PRO,i EarX LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER' B AUTOMOBILE LIABILITY CC4CA00014-231(ADS) 09/12/2023 09/12/2..024 .' Ea accidentt OmaRcie .D SINGLE LIMIT $ 2,000,000 T , D X ANY AUTO CC4CA00013-231(MA) 09/1212023 09/1212024 BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) S AU IOS ONLY AUTOS— HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) X Garage Keepers Garage Keepers $ 1,000.000 C X UMBRELLAUAB X O CUR G28970304001 09/12/2023 09/12/2024 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ Prod Completed $ 10,000,000 A WORKERS COMPENSATION CC4WC00014-231 09112/2023 09/1212024 x F.,'. oTHi- AND EMPLOYERS"LIABILITY A/UTE ER _.__ ANYPROPRIETOR/PARTNER/EXECUTIVE Y f N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE:-I/A EMPLOYEE $ 1,000,000 If yes,describe under 1,000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability CC4GL00011-231 09/12/2023 09/12/2024 General Aggregate 2,000,000 Retained Limit-$1,000 Each Occurrence Limit 2,000,000 DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Red Jacket Beach Resort SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 South Shore Drive THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Yarmouth,MA 02664 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2016 ACORD CORPORATION. Ail rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD -- AGENCY CUSTOMER ID: CN133703919 LOC#: New York AccoRcfr ADDITIONAL REMARKS SCHEDULE Page2of2 AGENCY NAMED INSURED MARSH USA,LLC. EOS Hospitality RJR MA Employee LLC 444 Madison Avenue I Floor 14 POLICY NUMBER New York,NY 10022 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Certificate of Liability Insurance Garage keepers Legal Liability Comprehensive $1,000,000 Limit $500 Deductible for Each Customer's Auto Loss $2,500 Maximum Deductible for Loss Caused by Theft or Mischief or Vandalism Colision $1.000,000 Limit $500 Deductible for Each Customer's Auto Loss Excess Liability: Insurer:Markel American Insurance Company Effective Dales:September 12,2023-September 12,2024 #DPHX002023 Limit:$15,000,000 excess of$10,000,000 • ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD