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BCOI-23-1795
The Commonwealth of Massachusetts Town of ,o...Y... Ik.,0) YARMOUTH c ! - �fy c0RPORRTEO,b / 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: Sea Dog Brew Pub • Trade Name: Sea Dog Brew Pub BCOI 23 1795 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 23V WHITES PATH UNIT 1 SOUTH YARMOUTH, MA 02664 December 31, 2026 Floor Occupancy Use Group Other Use Group Classification(s) 01 st Floor 148 A-2 Restaurants, Night Clubs,or 130 Seats similar uses 18 Bar Stools Allowable Occupant Load 148 Total Person 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 Enrique Arrascue Name of Municipal Building Mark Gryll at2if Inspection // iI / Commissioner Signature of Municipal Fire // j e. Signature of Municipal Building / / Chief k-Ti Date of Issuance ! VZ� Commissioner A4C" CP DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/05/2025 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 pollcy(Ies) must be endorsed. If SUBROGATIONIS 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: PAYCHEX INSURANCE AGENCY INC 76210755 PHONE (800)472-0072 FAX (585)389-7894 225 KENNETH DR STE 110 (A/C,No,Ext): (A/C,No): g ROCHESTER NY 14623 E-MAIL ADDRESS: INSURERS)AFFORDING COVERAGE NAICS INSURER A: Hartford Flre Insurance Company 19682 INSURED INSURER B: SEA DOG CAPE COD LLC DBA SEA DOG BREW PUB INSURER C: 23 WHITES PATH SOUTH YARMOUTH MA 02684-1221 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYYI IMM/DD/Y YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) MED EXP(Any one person) :Ilia PERSONAL&ADV INJURY :II, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PRO- El LOC PRODUCTS-COMP/OP AGO JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS _AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAa CLAIMS- AGGREGATE MADE DED RETENTION$ WORKE`S CbMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E,L.EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE — N/A 76 WEG BV7PG1 08/11/2025 08/11/2028 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 — (Mandatory In NM) If yes,describe under E,L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION 23 WHITES PATH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SOUTH YARMOUTH MA 02664-1221 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Aide 03` Caa&.uoea� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD