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HomeMy WebLinkAboutBCOI-23-1702 2025 The Commonwealth of Massachusetts tk Town of ogY94i,‘,\:i.V YARMOUTH g ;►r,4' '� . - y A PORATEOj 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: Pier 7 Condominium Trade Name: Pier 7 Condominium BCOI 23 1702 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 711 ROUTE 28 SOUTH YARMOUTH, MA 02664 June 20,2025 Use Group Classification(s) Floor Occupancy Use Group Other 01 st Floor 40 R-1 Hotels,motels, boarding houses, 40 Units Allowable Occupant Load etc. Game Room 40 Units 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 Name of Municipal Building Commissioner Mark Groh ate of Inspection / Signature of Municipal Fire Signature of Municipal Buildin Chief Commissioner a' Date of Issuance Z�� DATE(MWDDIYYYY) A�n, CERTIFICATE OF LIABILITY INSURANCE os/os/zozs 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 Erica H.O'Connor HART INSURANCE AGENCY,INC. NAME_- -__ PHONE - - FAX 243 MAIN STREET (AAJC No Extl: (A/c Nqi:EL PO BOX 700 ADMDRESS: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: AMTrust Ins Co 00005 INSURED Pier 7 Condominium Trust INSURER B: Associated Employers Ins Co. 11104 711 Route 28 INSURER C: South Yarmouth,MA 02664 - - 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. INSR 1ADDL SUBR' POLICY EFF I POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY)I LIMITS A I V/ COMMERCIAL GENERAL LIABILITY AES1242111 01 01/01/2025 01/01/2026 1 EACH OCCURRENCE $ 1,000,000 I :DAMAGE TO RENTED CLAIMS-MADE V t OCCUR I i PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: 'GENERAL AGGREGATE $ 2,000,000 ✓ POLICY PRO- . PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 i........._,7.OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) !ANY AUTO BODILY INJURY(Per person) $ .OWNED SCHEDULED ' !AUTOS ONLY AUTOS ;BODILY INJURY(Per accident) $ ;HIRED ,NON-OWNED iPROPERTYDAMAGE $ ? `'AUTOS ONLY __ AUTOS ONLY Oper accident) t UMBRELLA LIAB e*HOCCUR 1 EACH OCCURRENCE $ EXCESS LIAB J J.CLAIMS-MADE i AGGREGATE $ DED €.RETENTION$ I $ B WORKERS COMPENSATION WCC50050114672024A 11/06/2024 11/06/2025 ,✓ STATUTE PER 'OTH- AND EMPLOYERS'LIABILITY Y/N - ER------_-- _ - --- --- IANYPROPRIETOR/PARTNER/EXECUTIVE 1 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N N I A — ---- ------- --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below (E.L.DISEASE-POLICY LIMIT $ 500,000 1 ! DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)568-9234 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS, 1146 Route 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD