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HomeMy WebLinkAboutBCOI-24-44 2026 The Commonwealth of Massachusetts Town of r'.g Y.q' 3 iii_ VitS T4' YARMOUTH ,c y, ---:Pp RATES`Sj"t 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: SPV Associates LP Trade Name: Swan Pond Village Administration Building BCOI 24-44 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 65 LONG POND DR April 16, 2026 SOUTH YARMOUTH, MA 02664 Use Group Classification(s) Floor Occupancy_ Use Group Other 01 st Floor 134 134 Fixed chairs or 67 moveable Allowable Occupant Load chairs 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 p Mark s , Date of Inspection S /013—Commissioner Signature of Municipal Fire Signature of Municipal Building ) Chief Commissioner p G Date of Issuance CI 2 �77ZS� .4 TOWN OF YARMOUTH Office of the Building Commis f : � 1146 Route 28, South Yarmouth, ��j 508-398-2231 ext. 1260 Fax 508- .-08� v15 � MATTAGHttlt~ K �1e era BUILD/ _ — "PORATC° By _ .i+'CrMENr APPLICATION FOR CERTIFICATE OF INSPECTION --- March 04. 2025 PAYABLE UPON RECEIPT (X ) Fee Required$100.00 ( ) 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: 4,, (6: A,40 Street and Number: , TA Name of Premises: 1 E / } I Tel ')( ' Purpose for which permit is used: if t 6_.C I'1 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to `}3V' kkSSL. .tt C- Tel: 'V' 1. I Address: V.3 L`Yl1�t" c,' k) c i,�k4'.' '-" t'V f.7:LG.C,. Owner of Record of Building 1,.,1 e.si 4 s cztj j t `-› Address C 7t i ^, _ CZ_ 1 l Present Holder of Certificate v 'C t L rte' St< Signature of person to whom Title Certificate is issued or his agent 1 Date ' Email Address: `J /JC.' (;` (.�Y� -i)( `.};Z �. (4, COI 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 ISSUE YOUR CERTIFICATE OF INSPECTION. Certificate of Inspection#BCOI-24-44 04/16/2025-04/16/2026 .�..•�.....,N CCARUSO ACOROY DATE(MM/DD/YYYY) �.� EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 3/18/2025 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),A{{ppUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. -PRODUCER NAME, i�/yC,Na;Eat):(207)774.6257 1 COMPANY NAME AND ADDRESS I NAIC NO: CONTACT PERSON AND ADDRESS L_ ---- Clark Insurance a Marsh&McLennan Agency,LLC company Westchester Surplus Lines Ins Co 1945 Congress Street,Bldg A 11575 Great Oaks Way PO Box 3543 Suite Portland,ME 04104-3543 hrarett Alpharetta,GA 30022 Contact name:Carolyn Caruso FAX No):(207)774-2994 VASS:lnfo@Clarkinsurance.com IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: POUCY TYPE T �� AGENrCi 0 .WESTASS-01 Business Property CUSTNAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER D42234862 007 Weston Associates Management Co.,Inc. 170 Newbury Street EFFECTIVE DATE EXPIRATION DATE Boston,MA 02116 7/1/2024 7/1/2025 ri CONTINUED UNTIL _..�.a_. I I TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION (ACORD 101 may be attached If more space is required) X BUILDING OR X BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION 1 Loc#23,Bldg#1,1100 Alewife Circle,South Yarmouth,MA 02264,Bldg 1 -19 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED f BASIC ! (BROAD X SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $5,000,000 DED:25,000 YES NO NIA X BUSINESS INCOME X RENTAL VALUE X If YES,LIMIT: Actual Loss Sustained;#of months:0 BLANKET COVERAGE X If YES,indicate value(s)reported on property identified above:$ TERRORISM COVERAGE X Attach Disclosure Notice/DEC _ IS THERE A TERRORISM-SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES,LIMIT: 50,000 DED: 25,000 FUNGUS EXCLUSION(If"YES",specify organization's form used) X REPLACEMENT COST X AGREED VALUE X COINSURANCE X If YES, % EQUIPMENT BREAKDOWN(If Applicable) X If YES,LIMIT: DED: ORDINANCE OR LAW-Coverage for loss to undamaged portion of bldg X If YES,LIMIT: 5,000,000 DED: 25,000 Demolition Costs X If YES,LIMIT; 2,000,000 DED: 25,000 -Incr.Cost of Construction X If YES,LIMIT: 2,000,000 DED: 25,000 EARTH MOVEMENT(If Applicable) X If YES,LIMIT: 5,000,000 DED: 100,000 FLOOD(If Applicable) X If YES,LIMIT: 5,000,000 DED: 100,000 WIND/HAIL INCL (x YES 0 NO Subject to Different Provisions: X If YES,LIMIT: 5,000,000 DED: 100,000 NAMED STORM INCL pX YES ❑NO Subject to Different Provisions: X If YES,LIMIT: 5,000,000 DED' 100,000 PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE X HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST CONTRACT OF SALE _ LENDER'S LOSS PAYABLE LOSS PAYEE 'LENDER SERVICING AGENT NAME AND ADDRESS MORTGAGEE NAME AND ADDRESS Town of Yarmouth _ __ __ 1146 Route 28 _,____- .-_�._.____ South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE„4 ici..-/: Mil H� ACORD 28(2016/03) ©2003-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:WESTASS-01 CCARUSO LOC#: ACORD ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY lark lark Insurance,a Marsh&McLennan Agency,LLC companyWeston Associates Management Co.,Inc. 9 Y+ _ 170 Newbury Street — _ POUCYNUMBeR � 'Boston,MA 02116 42234862 007 ' CARRIER RAW CODE ,'Westchester Surplus Lines Ins Co EFFECTIVE DATE:07/01/2 24 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 28 FORM TITLE: EVIDENCE OF COMMERCIAL PROPERTY INSURANCE Special Conditions: Per Schedule on file totaling$362,732,691 Total Building Limit: $320,826,287 Total Business Personal Property limit:$675,500 Total business income/rental income limit:$41,230,903 Property Tower as follows: 1st Tier Primary PROPERTY Limit of Coverage:$5,000,000 Per Occurrence Per Schedule. Policy#D42234862 007 Carrier: {Westchester Surplus Insurance Company(7/1/24-25) 2nd Tier Excess PROPERTY Limit of Coverage:$5M po$10M excess of$6m per Occurrence.Coverage is provided for covered property at the following location:As per schedule on file Policy#7EA7XP1003960-00.Carrier: MunichRe/Bridgeway(07/1/24-25) 3rd Tier Excess PROPERTY Limit of Coverage: $5M po$10M excess of$SM per occurrence,Coverage is provided for covered property at the following location:As per schedule on file Policy#CSP00150066P-00 .Carrier: Starstone Specialty Insurance Company 4th Tier PROPERTY Excess Limit of Coverager:$25M xs$15M per Occurrence Coverage is provided for covered property at the 'following location:As per schedule on file Policy#CRA0000091 .Carrier: Harleysville Insurance Company of New York 5th Tier PROPERTY Excess Limit of Coverage:$65M excess of$45m.Coverage Is provided for covered property at the following location:As per schedule on file.Policy#CPP 2619826 06.Carrier:Great American Fidelity Insurance Company Primary Terrorism and Sabotage Coverage is provided under policy#UTS2558442.24.Carrier: Lloyds of London.$100,000,000 Per Occurrence/$100,000,000 Aggregate.Total Insured Value:$362,732,691 Deductible:$10,000 Primary Boiler and Machinery coverage is provided by Federal Insurance Company. Limit Per Breakdown:$125,000,000.Subject to a $5,000 deductible.Policy Number 76441510 SFHA*Flood(Annual Aggregate Applies)$1,000,000*SFHA Zones being A.AO,AE,AH,A1-A30,A99,AR,V,VE,V1-30,B,X500,D, Shaded X. $100,000 Deductible Earthquake Limit:$10,000,000 Deductible$100,000. Non-Special flood hazard zone, Flood Limit: $10,000,000 Deductible$100,000 '90 days except 10 days for non-payment of premium or as required by the state of domicile. ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD