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HomeMy WebLinkAboutBCOI-24-28 2025 The Commonwealth of Massachusetts �f..Y94$ Town of :,z , *Alit to YARMOUTH 3 . 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 Pancake Man Trade Name:The Pancake Man BCOI-24-28 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 952 ROUTE 28 November 30, 2025 SOUTH YARMOUTH, MA 02664 Use Group Classification(s) Floor Occupancy Use Group Other 01 st Floor 185 A-2 Restaurants, Night Clubs,or 185 Person Allowable Occupant Load 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 Building Name of Municipal Chief Enrique Arrascue Commissioner Mark G Date of Inspection 3/caho._--k,— , Signature of Municipal Fire -c Signature of Municipal Buildin ��Z r �--Chief — - Commissioner Date of Issuance i-....,,,o PANCA-1 OP ID: EB ACORO CERTIFICATE OF LIABILITY INSURANCE DADD/YYYY) �� 03/053/05/2025 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 508-771-3300 CONTACT Olde Cape Cod Insurance PHONE 508-771-3300 FAX 508-775-3821 Martha Findlay !(A/C,No,E:q: I(A/C,No): 300 Winter Street E-MAIL marthaf@occia.com Hyannis,MA 02601 ADDRESS: Martha J Findlay INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Wesco Insurance Company D INSURER B: ohSeU ancake Man Ltd And/Or _ Marshall Farley INSURER C: P 0 Box 148 Hyannisport,MA 02647 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR _ ,INSD WVD IMM/DD/YYYYI JMM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY r,Ea I 1 L. PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY (Ea accideDSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTEO�S ONLY AUTOS BODILYBODILY INJURYp (Per accident) $ AUTOS ONLY _ AUTOS ONLY {Per acE,clRdent)AMAGE $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 1 PER AND EMPLOYERS'LIABILITY STATUTE ERH / WWC3775764 02/28/2025 02/25/2026 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (MFICER/M�MggEER EXCLUDED? andatory rn NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below 1 , E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is require ) RECEIVED LLIJMAR 0 6 2025 UILDING DEPARTMENT . CERTIFICATE HOLDER CANCELLATION _" TOWN-15 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 1146 Main Street Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD