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Home My WebLink About2026 App-Certs-LicenseDocusign Envelope lD: 5D6DgEAs-EgE7-484E-930E-E48FA68049F6 The Commonwealth of Massachusetts Town of Yarmouth - Health Department Tobacco License { U liance with Town of Yarmouth Board of Health re ulations is neither inferred nor intended.Com Permlssion is hereby qranted to:Certificate No.Issued to Cumberland Farms # 2268 numbeL name, civ or town Ceftlffcete Expi6tionTo Property At:625 &634 ROUTE 28, WEST YARMOUTH , MA, 02673 December 31, 2025 DOR TOBACCO SALES PERUIT t{UiIBER See Attachsd Board of Health Hillard Boskey, M.O., Chairman Mary Craig, Vice Chairman Charles T. Holway. Clerk Laurance Venezia, OVM Eric Weston LICENSE IS BEING ISSUED BY THE TOWN OF YARMOUTH BOARD OF HEALTH Al! ssllers of clgarettce and 3mokelc3s tobacco must be laccnied. 114.1: G.L. c.64C, Clgaretter, Clgarr, Smokelese, Smoklng Tob.cco, Electronlc Nlcotlne D€llvory Systems (ENDS) THIS {.*iIUST AE POSTED ON PREMISEST*This certaficate affirms that the specifled premises, structur€, or portion thereof has met the necessary conditions lncludlng anyancpections roquired at the time of issuance,It must be framed or laminated and prominently displayed in a clearly visible location within the approved premrses.Alteraiton, defacement, removat, or tailu?e to dlsplay this Certlflcate ls stric,(lrr' orahibtted, fff)*u*Interim Health Director James Gardiner Date of Issuance: lanuary 5,2026 aHTP-23-26 __!4enqq plaperty add?Gss tnctuding stroat Commonweelth of MNssachllsetts Departrneot of Revenue Ceoffrey E. Snyder. Commissioner Lctter IDr L0648528288 Notice Date:Oclober 4, 2024 Account ID: CRI-100.1 t037-489 EAE EB; mass.gov/dor RETAILER LICENSE FOR SALE OF CICARS AND SMOKING TOBACCO ,!llhn'rII,qt,rltltqt,lrtrt,,lltl[,lll,ll,r,l,rlrr,Ir CUMBERLAND I'ARMS INC CUMBERIAND FARMS #0I76 CUMBERLAND I65 FLANDERS RD WESTBOROUGH MA OI58I.IO32 Attached below is your Retailer License for Sale of Cigars and Smoking Tobacco (Form CT-3T). Cut along the dotted line and display at your business location. At any time, you can log into your MassTaxconnect account at mass.gov/masstaxconnect to view and re-print a copy ofthis license. Ifyou have any questions about your license, call us at (617) 887-6367 or toll-free in Massachusetts at (800) 392-6089, Monday tkough Friday, 8:30 a.m. to 4:30 p.m. DETACH HERE MASSACHUSETTS DEPARTMENT OF REVENUE Retailer License for Sale of Cigars and Smoking Tobacco This license must be posted and visible at all times. The sale of tobacco products to anyon€ under 2l years of age is prohibited. Form CT-37 CUMBERLAND FARMS INC CUMBERLAND FARMS #2268 626 ROUTE 28 WEST YARMOUTH MA 02673-5061 Account ID: CRL- 10031037-489 Location ID: 10031037-0710 License Number: 15084677 12 This certifies that the taxpayer named above is licensed under Chapter 64C ofthe Massachusetts General Laws to sell at retail at the address shown above. This license is non-transferable and may be suspended or revoked for failure to comply with state laws and regulations. Effective Date: October 4, 2024 Expiration Date: September 30, 2026 Commonwe.lth of Mlssachusetts D.panm€nl ofR€v€nue Geoffrey E. Snyder, Commissioner Letter ID: L212946166.1 Nonce Datc: Seprember 27,202.1 Account ID; CCI- l00l l0l7-486 Elo H"$l RETAILER LICENSE FOR SALE OF CIGARETTES rrIhllllh,llI,hril,rrlr,h,lhlhllr,ll,,,rrrlllr,,l,,rIrl CTI]\4BERLAND FARMS INC CTMBERLAN'D FARMS #OI 76 CTMBERLAND I65 FLANDERS RD WESTBOROUGH MA OI58I-I032 Attached below is your Retailer License for Sale ofCigarettes (Form CT-3). Cut along the dotted line and display at your business location. At any time, you can log into your MassTaxconnect account at mass.gov/masstaxconnect to view and re-print a copy ofthis license. If you have any questions about your license, call us at (617) 887 -6361 or toll-free in Massachusetts at (800) 392-6089, Monday tkough Friday, 8:30 a.m. to 4:30 p.m. DETACH HERE MASSACHUSETTS DEPARTMENT OF REVENUE R€tailer License for Sale of Cigarettes This license must be post€d and r.isible at all times. The sale of tobacco products to anyone under 2l years of age is prohibited. Form CT-3 CI.]MBERLAND FARMS INC CIA4BERLAND FARMS #2268 626 ROUTE 28 WEST YARMOUTH MA 02673-506I This certifies that the taxpayer named above is licensed under Chapter 64C ofthe Massachusetts General Laws tosell at retail at the address shown above. This license is non-transferable and may be suspended or revoked forfailure to comply with state laws and regulations. Account ID: CGL- 10031037-486 Location ID: 1003 1037-0512 License Number: 837 641216 Effectiv€ Datc: Octobcr 1.2024 Expiration Date: Septcmber 30, 2026 a Details Expiration Permit Expiration Date' 1213112026 Business lnformation Establishment Name (listed on DOR Business License)* Cumberland Farms # 2268 Establishment Phone #* 508-771-6183 DBA ("Doing Business As" Name) / Store Front Name* Cumberland Farms # 2268 Business Street Address in Yarmouth (City, State and ZIP)" 626 MAIN ST WEST YARMOUTH, MA 02673 Manager/AgenUOperator Name' Jacqueline Thomas Owner/Corporation Name Cumberland Farms lnc. Owner Phone Number' 508-270-8350 EmailAddress* ma-retail-licensing@eg-america.com Mailing Street Address (if different than Business Skeet Address) Mailing Address City, State, ZIP @?d cERTTFTcATE oF LtABrLrry INSURANcE DATE(MI\'OD/YWY) THIS CERTIFICATE lS ISSUED AS A IiIATTER OF INFORMATIOiI ONLY AND CONFEBS NO RIGHTS UPON THE CERIflCATE HOLDER. THIS CEB]]FICATE OOES NOT AFFIBI'ATIVELY OR NEGATIVELY AiTEND, EXTENO OR ALTER THE COVEBAGE AFFORDED BY THE POUCIES BELOW- TH|S CERTTFTCATE OF TNSUBANCE OOES NOT CONSnTUTE A COi{TRACT BETWEEN THE ISSUING TNSUBER(S), AUTHORTZED BEPRESEIITATIVE OB PRODUCER, AND THE CERTIFICATE HOLDEB. IMPORTANT: l, the certilicate holder is an ADOITIONAL INSURED, the policy(ies) must have ADOITIONAL INSURED provisions or be endorsed It SUBROGATION lS WAIVED, subiect to the te.ms and conditions ol the policy, cerlain pollcles may require an endorsement. A statement on this cerlificate does nol conler rights to the certilicate holder in lieu oI such endorsement(s). aon Risk servic€s central, rnc chicaoo rL offir€2oo E;st Randolphchicaqo 1L 60601 usa [S. no,r (aool 163-0r05 lllsunEB(s) aFFoFotNG cov€RAGE NSUAED cumberl and Farms, rnc. 165 Fland€rs Roadwestborough MA 01581 usa DrsuFEF A: Indemnity rnsurance co of North anerica tisuFEF B: ACE Fire Underwrit€rs Insurance co tl t ot COVERAGES CEBTIFICATE NUMB€R: 5701 1 1 694300 BEVISION NUMBER: CANCELLATION oz =oo CERTIFICATE HOLDER THIS IS TO CERTIFY THAT THE POLICIES OF INSUBANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUFED NAMED ABOVE FOR THE POLICY PEBIOD INOICATEO, NOTWITHSTANDING ANY REOUIREMENT, 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. EXCLUSIONSAND CONDIIIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown sr€ as requ€sred [,tsB SUBR LlMns MEo ExP (any ono porson) PEFSONAL & AOV INJURY PFODUCTS , COMP/OPAGG GEN LAGGREGATE I,IMITAPPLIES PER JECT COMAIN€O SINGLE LUrI BODILY INJUaY ( P.r p€en) BODILY INJUBY (Per a€iden0SCHEDULEO AUIOIrcEILE LIAEIINY EXCESS LIAB DED X OTH-EB E.L, EACH ACCIOENI J2,000,000 E L D SEASE. EA EMPIOYEE l2,000,000 WOBKEnS @I.PEI'EATION ANo EITTOYEFS' TIABIUIY ANYPRoPFIEiOfl/ PAFTNER / EXECUTNE DESCRIPTIOT,I OF OPEFAT|oNS b.lo* wLRC7Z609955 llvc - Aos scFc72609992 o4/ot/2o25 04/or/202t 04/o\/aoz6 04/oL/2026 E L OiSE^SE, POTCY L|MN t2,000,000 DESCFIPTOiI OF OPEFAIIOT{S / LOCATIOIIS / VEmCfES (ACORO 1Or, Addtllonal Foma*s S.h.d{L, dy b. .tlached il moE 3p.co i. r.qoned} S}IOULO ANY OF IXE ABOVE O€SCRIBED POLICIES BE CAIEELTED BEFORE Ir.E EXANANO{ OATE THEBEOf. I{OTICE wlfL BE OEINENEO AC@RDAIICE WIII TlC -M. q-'/g"r"ut ?. a-/9- AT'T}iOFZEO REPfi ESE{TANV€Torn of Yamouth Town cle.k1146 Route 28south Yarmouth i,rA 02664 UsA acoRD 2s (2016/03) 0198&2015 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registe.ed marks ol ACORD 03t26/2425 (866) 281 7122 POTICY I{'IEER ] curus-unoe ! occua l4l s7s lzoTozt- I I I