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HomeMy WebLinkAboutBCOI-24-37 courts 2026 The Commonwealth of Massachusetts A Town of ,�O Y. . c u YARMOUTH c :;40y Mc-RpoRg O`y9 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:The Cove at Yarmouth Trade Name:The Cove at Yarmouth-Tennis, Racquet&Squash Courts BCOI-24-37 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 183 ROUTE 28 WEST YARMOUTH, MA 02673 April 15, 2026 Floor Occupancy_ Use Group Other 01 st Floor 124 A-3 Lecture halls,dance halls, Reception &Lounge churches and places of religious Use Group Classification(s) worship,recreational centers, terminals,etc. Allowable Occupant Load 01st Floor 100 A-3 Lecture halls,dance halls, Lounge churches and places of religious worship,recreational centers, terminals,etc. 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 Building Name of Municipal Chief Mark G Date of Inspection Commissioner `�� C ,L,)='\S Signature of Municipal Fire Signature of Municipal Building` r Chief Date of Issuance . // / Commissioner /// %g YAK,, TOWN OF YARMOUTH r,�r_ Office of the Building Commissioner ,' �'; 1146 Route 28, South Yarmouth, MA 02664 ' tc" y 508-398-2231 ext. 1260 Fax 508-398-0836 `y MATTACHEESE- rt C�RPpRA1EC b 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: Street and Number: l?-3 !Y)a,;rn .S4 ex_e-i, (Ah—s-4 ya,,),,,,„,4 1, , $1.4 4 02.6,73 Name of Premises: Thti c o_ Ct f y.,.,-,.,a 4 y, Tel: SO g• 71 i •3wv L Purpose for which permit is used:' - y n i,5 Cot r+S-, r.i cc/uu.- e,1 .57 vast License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency £%Pv v5-C vw'1I- Q Y-arrno k Certificate to be issued to ` Cart_ ,c 4 yo,,,,,,,o,4L, Tel: 3:$8 1 1-3/,,e, -. Address: Owner of Record of Building MAR 2 0 2025 7 Address Bui D ti a•., _J Present Holder o ertificate ;y �T LI) 414i ‘i Sig ature person to whom Title Certificate is issued or his agent all /z$ Date Email Address: nil e.o4 j —d S Z c 0.1r.. 41,x,,.-.-,.,-0 t 4/-) . cz,yi„ 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-24-37 04/15/2025-04/15/2026 AC� DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/17/2025 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 RogersGray,A Baldwin Risk Partner PHONE FAX 410 University Ave (Am_Nn..Fxt);800-553-1801 (A/c,No):877-816-2156 Westwood MA 02090 ADDRESS: mail©rogersgr y.com INSURER(S)AFFORDING COVERAGE NAIC# _ License#:PC-514062 INSURER A:The Cincinnati Specialty Under 13037 INSURED COVEATY-01 INSURER B:Allied World Insurance Company _ 22730 The Cove at Yarmouth Resort Owners Association, Inc. INSURER c:CNA Insurance Co 35289 The Cove at Yarmouth Resort Hotel Homeowner's Association, Inc. 183 Main Street INSURER D:The Commerce Insurance Company 34754 West Yarmouth MA 02673 INSURER E:AXIS Surplus Insurance Company 26620 INSURER F: Massachusetts Retail Merchants COVERAGES CERTIFICATE NUMBER:1985735121 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 I TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDDIYYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY CSU 0185688 4/1/2024 4/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JE T LOC PRODUCTS-COMP/OP AGG $2,000,000 _ OTHER: $ D AUTOMOBILE LIABILITY L19121 4/1/2024 4/1/2025 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED x SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ B I X UMBRELLA LIAB X OCCUR 0313-5686-1792725 4/1/2024 4/1/2025 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTIONS n S F WORKERS COMPENSATION 014005035505124 1/1/2025 1/1/2026 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBEREXCLUDED? -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Boiler&Machinery 7033730991 4/1/2024 4/1/2025 Deductible $25,000 E Commercial Property EAF660369-24 4/1/2024 4/1/2025 Blanket Bldg Limit $35,470,275 Building Deductible $50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Property:The Cove at Yarmouth Resort Owners Association,Inc. 183 Main Street West Yarmouth,MA 02673 Number of Buildings 3-Total Units 229 Special form,Replacement cost coverage applies. Building Deductible:$50,000 Ordinance or Law-Coverage A-Included in Building Limit Ordinance or Law-Coverage B&C-$5,000,000 Maximum per occurrence Named Storm:2%of Total Insurable Values per occurrence,subject to$50,000 minimum All Other Wind/Hail:$50,000 per occurrence See Attached... CERTIFICATE HOLDER 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. Town of Yarmouth Route 28 AU ED REPRESENTATIVE South Yarmouth MA 02664 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: COVEATY-01 LOC#: AC RD ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED RogersGray,A Baldwin Risk Partner The Cove at Yarmouth Resort Owners Association,Inc. The Cove at Yarmouth Resort Hotel Homeowner's Association,Inc. POLICY NUMBER 183 Main Street West Yarmouth MA 02673 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE All Other Perils:$50,000 per occurrence Carrier Schedule Effective 4/1/2024-4/1/2025 $5,000,000 part of$10,000,000 Primary-Endurance American Specialty Insurance Company-Policy ESP30035274601 $5,000,000 part of$10,000,000 Primary-Axis Surplus Insurance Company-Policy EAF660369-24 $15,000,000 XS 10,000,000 Primary-Mt.Hawley Insurance Company-Policy MCP0175560 $8,372,638 Part of$16,745,276 3rd Layer XS 25,000,000-Landmark American Insurance Company-Policy LHD941796 $8,372,638 Part of$16,745,276 3rd Layer XS 25,000,000-James River Insurance Company-Policy 00129374-2 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD