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HomeMy WebLinkAboutBLDS-25-23 farm market application TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 COMMUNITY EVENT SIGN APPLICATION Application is hereby made to install a Community Event Sign, in accordance with MGL Sect. 8, Chap. 85, and Town of Yarmouth Zoning Bylaw Section 303.4.1.1 (except for maximum duration), and the Selectmen's Community Event Sign Policy. An application may be submitted by religious, civic and non-profit organizations. Construction and installation of signs shall be the sole responsibility of the applicant. Signs must be approved by the Yarmouth Building Department. The locations must also be approved by the Yarmouth Department of Public Works. Signs on town land must be approved by the Town Administrator. Signs on private land must be approved by the property owner. There is no fee for Community Event Signs. This application shall be accompanied by a diagram showing the design,dimensions,colors,and proposed location for the sign. Additional regulations: The size of signs is limited to thirty-two(32)square feet. If the sign is double-faced,only one side will be counted for measurement. Signs installed and permitted under this policy maybe installed for up to 12 months duration, or until the advertised event or campaign is completed,whichever comes first. Renewals may be applied for through the Building Department. The content of signs must be non-political and for a non-profit organization. Internal illumination, moving parts, or the appearance of moving parts is prohibited. The applicants agree to abide by the terms of these laws and regulations. Community Event sign permits may be revoked at any time for any infraction of these laws and regulations. APPLICANT:`BoLSS Z\V�r Fa r RI ors Mai\ r Permit# &L)S -o23 02-3 SIGN LOCATION: c�G\i L LS CONTACT PERSON: US���t�� � s Vie-c s PHONE: 77 1- `d,/ 7- l OC. 7 MAIL ADDRESS: d, ItIox 37(-I, Sc,,VCe11,(,nC2v , �,�Yl- EMAIL: Ccat kLyl,e & bCuss t ,Uev� INSTALLATION&REMOVAL DATES:C./J — 51 (a o Zs Ste"m ```' e-t SIGNATURE OF CONTACT/AUTHORIZED AGENT: ecai)I r'4A.-ti . /pc,n Date Please Note:The Building Department shall be notified within n (10)days of any change in the above information. APPLICATION APPROVED BY: Building Department artment Date APPLICATION APPROVED BY: for Depart nt f ublic Works Date APPLICATION APPROVED BY: for Town of Yarmouth (or) Property Owner Date PLEASE NOTE THE FOLLOWING CONDITIONS: • APPLICANT SIGNATURE: Date BUDS- a-�f-�l A ® I DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/30/2024 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 NAME: Next First Insurance Agency,Inc. PHONE (855)222-5919 FAX PO Box 60787 (A/C.No.Ext): (A/C.No): Palo Alto,CA 94306 E-MAIL support@nextinsurance.com ADDRESS: pp INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Next Insurance US Company 16285 INSURED INSURER B: Carlene Veara Bass River Farmers Market INSURER C: _ _ 52 Quartermaster Row INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:780990950 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 SUER POLICY EFF POLICY EXP LIMITS LTR INSD MD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 AMAGE TO CLAIMS-MADE X OCCUR PREM PREMISES(Ea occuED ence) $100,000.00 MED EXP(Any one person) $15,000.00 A X NXTV49XTJT-01-GL 09/18/2024 09/18/2025 PERSONAL&ADV INJURY $1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 X POLICY PET LOC PRODUCTS-COMP/OP AGG $2,000,000.00 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 PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR X NXTV49XTJT-01-GL 09/18/2024 09/18/2025 EACH OCCURRENCE $1,000,000.00 A EXCESS UAB CLAIMS-MADE AGGREGATE $1,000,000.00 DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Occurrence: $1,000,000.00 A Professional Liability NXTV49XTJT-01-GL 09/18/2024 09/18/2025 Aggregate: $2,000,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) The Certificate Holder is Town of Yarmouth.This Certificate Holder is an Additional Insured on the General Liability policy and Umbrella/Excess Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Town of Yarmouth LIVE CERTIFICATE 1146 Route 28 0 •r. 14. 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE South Yarmouth,MA 02664 . •L ! { •" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . rr= ACCORDANCE WITH THE POLICY PROVISIONS. V{ e -.. At l.}Vf+�F AUTHORIZED REPRESENTATIVE Miry aN` f Click or scan to view i ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i _ { ' • i .si ititt� i_-b{ BASS RIVER i t FARMERS MARKET f } i THURSDAY i ito & _, ' SATURDAY . , i ! . .,, ...... 4.1* ( - 2 _ •"5.-.-,..,fi t'a - 4- ttc. .,r, _„..t. i LOCAL FOOD44 _...,, ' ..,,,-„..-- } '-. 0.a_cr.„. LOCAL RA i . \- 2,0„0, (11,v-e,' —3Jw-ve. ,<-- 3 \\I\T-T - ,2 .2 5-- CTo © o c '3 is Vns I 0 e LI - Co SS '-as `c��� �CG erg o z)c�A.S l �1 Cl i 'c s Q n cl- (, - c., eCss c)(Y1 A7 . C c) K\ c, .2 3- o-cA ro‘rcs4-