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Home My WebLink AboutApp-Certs-DocsDetails lnternal Only License Restrictions/Conditions Seating: 100 Expiration Date* 12t31t2026 Business lnformation Business Name* Cultural Center of Cape Cod Business Mailing Address (if different) Eusiness E.Mail. meg m@cu ltu ral-center.org Business Address in Yarmouth . 307 Old Main St Business Phone #. 5083947100 Business Type* Food Service Business Legal Entity Corporation Name (if applicable) Tax lD (FEIN or SSN)- FEIN ls this a NAME CHAI,IGE? No Owner / Manager lnformation Owner's Name* Board of Directors - Cultural Center of Cape Cod ilanager/Contact Person Name* David Horton Name and Title David Horton, Events Manager FEIN **-***3295 Owner's Phone Number 508-394-7100 Manager / Contact Person Phone Number- same Address 307 Old Main St PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH COPIES OF CERTIFICATIONS Name of Certified Food Protection Manage(S) All food service establishments are required to have at least one (1) PERSON lN CHARGE on site during hours of operation Emergency Telephone Number Please attach copies of certifications for all listed below: List all Certified Food Protection Managers* David Horton, Richard Quinn, Abby Higgins, GabrielleMcCully, Nancy Mcllveen, Nicholas Caplice, Amy Talhouk, Joe Cizynski Lisl all employees with Allergen Certification* David Horton Establishment Operations Telephone Number 5083947100 Length of Permit Ann ual Establishment Type Continental Breakfast I Email davidh@cultural-center.org Location is Permanenl Structure? Yes Common Victualler I ! I I I I I I Non-Profit Wholesale Residential Kitchen for Retail Sale Food Service Frozen Dessert Retail Service Vending Food Other I Name Change Only I Affidavit New construction, remodel or conversion requires an Occupancy Permit from the Building Department in order to receive a valid Food Permit. I, the undersigned, attest to the accuracy of the information provided in this application and I affirm that the food establishment operation will comply with 105 Ci,lR 590.000 and all other applicable law. I have been inskucted by the Board of Health on how to obtain copies of 105 CIIIR 590.000 and the Federal Food Code. Pursuant to ltlcL Ch. 62C, Sec. 49A, I certify under the penalties of perjury that l, to the best of my knowledge and belief, have filed all state tax returns and paid taxes required under law" Margaret E McNamara Jan 14, 2026 Worker's Compensation lnsurance Affidavit Submitted by Staff I I do hereby certify, under the pains and penatties of perjury, that the information provided above is true and correct.* Margaret E McNamara Jan 14,2026 lnsurance Policy lnformation Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigations of the DIA for insurance coverage verification. Type of Business* I am an employer with employees * lnsurance Company Name Wesco Policy # or Self-ins Lic. # wwc3784967 Business Non-Profit lnsurer's Address PO Box 3'1330, Cleveland, OH 44131-0480 Expiration Date 06t0112026 Food / Retail Service SEASONAL FOOD SERVICE OPENING:All food service establishments must be inspected by the Health Department prior to opening. Please contact the Health Department to schedule the inspection three (3) days prior to opening. CATERING POLICY: Anyone who caters within the Town of Yarmouth must notify the Yarmouth Health Department by filing the required Temporary Food Service Application form seventy-two (72) hours prior to the catered event. These forms can be obtained at the Health Department, or from the Town's website at www.yarmouth.ma.us under Health Department, Downloadable Forms. FROZEN DESSERTS: Frozen desserts must be tested by a State certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Department. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms have been met. OUTSIDE CAFES: Outside cafes (i.e., outdoor seating with server service), must have prior approval from the Board of Health. OUTDOOR COOKING: Outdoor cooking, preparation, or display of any food product by a retail or food service establishment is prohibited. I acknowledge that I have read and understand the information above.* Notice PERMITS RUN ANNUALLY FROM JANUARY 1 TO DECEMBER 31. IT IS YOUR RESPONSIBILITY TO COMPLETE THISAPPLICATION EACH YEAR. ALL RENOVATIONS TO ANY FOOD ESTABLISHMENT (PAINTING, NEW EQUIPMENT, ETC.) MUST BE REPORTEDTOANDAPPROVED BYTHE BOARD OF HEALTH PRIORTO COMMENCEMENT. RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN. I acknowledge that I have read and understand the Notice information above* ft ACORi} CERTIFICATE NU"BER:2t26 MasterCOVERAGES RTIFICATE MATTER LY AFFIRMATIVELY EGATIVELY ALTER NTATIVE CERTIFICATE ISTH cE ISSUts ASED A OF ONINFORMATION AND CONFERS oN URIGHTS TIIEPON ERNFICATE LDER.HO THISERTIFICATENDOESorNORDEXTENORTHEA END,AFFORDEDCOVERAGE BY TH POLtCtESECERTITt{tsELOWB OFFICATE URANClNs E DOES NOT CONSTITUTE CONTRACT THEBETWEEN ISSUING AUTHORIZEDINSURER(S), REPRESE OR ANO TI{EPROOUCER.I{OLDER. Eoume MA 02532 PORTANT:IM tftho certlficate oh islder anADDITIONAL th6URED,havemust ALADpolicy(ies)beorPfovlslons endorssd.ll SUBROGATION ts to theWAIVED,terms andsubiecl itiocond ofns the certain rcres anpolicy,pol endoraement.may qu statemsntthisc0rtmcatgnotdo€s confor to the hold€rce lficate lls suchof s€ndoB€ment(). Gabriel Desouza CICE: (508) 540-2400 (508)28S.{,t11 gabdel@riskadvica.com NAIC A 26522 PRMOGER Mr,ray & Macooneu lnsurance Sowicts, lna. 550 MacArliur thd. or-uqERe, Wesco lnsuraoce Co INSURER C: {{SURER D: NgURER E INSURED South Yarmouth MA O26M II{SURER F REVISION t{UMBER: NOTWITHSTANDING ENT, ICATE lsTHIS CETORTI THETHAT CIESPOLI OF FIANCENSU LISTED BELOW BEENHAVE ISSUED TO ETH NAMEDINSUREDABOVE FOR POLICYTHE PERIODINDICATEDREOUIRFMTERMORcoITIONNDORCONTRACTEROTHOOCUMENTTORESPECTWHICHTHISCERTIFISSUEDBEORTHPERTAINtNsEAFFORDEDURANCETHBYEPOLtCIESESCRIBEI)D INHERE SUBJECTts TO THE TERA,,S,sroNsEXCLU ANO CONDITIONS OF SUCH clEs.POLI SHOWNLIMITS BEEHAVEN REDUCE 8Y0 PAID CLAIMS. LIM'IS E4CH s 1,000,000 i'100,000 s 5,000 PERSONAL 6 ADV 5 1,0@,0@ AGGREGATE s 2.000,000 s COIllMERCAI GENERAL LIASIIr'Y cLArMs.itADE ffi *"r* OEMI. AGGREGATE IIMIT APPLIES PER: LOCPOUCY OIHER: JECT NPP2566508H o6to1no25 o€to112026 $ s BOoILY rUURy (F.r !€.e)s BODI-Y IIUURY (p.r dd€nt)5 S O',!,t{ED ALIIOs ONLY HNEO ruTOS ONLY SCHEDULEDAUIOS AUTOS ONLY AUTO OBII.I L|AAIJTY E4CH OCIURRENCEEI'CESS LIAB occ!R s o6t011202s 06to1t2026 I EL EACH ACCTOENt s 1,000,000 EA E'TPTOYEEE,L olsEASE,s 1.000,000 I AI{D E PLOERS' LIAEiJIY AI{Y PROPRIEIORIFARTI\IER/EXECIJTIVE OFFICEFVMEMBER E(CLUDED? WORIGRS COMPEI]SATION vvwc3784967 06101no2s 06/01/2026 OISEASE. POLICY LIMIT s 1,0OO,000 I'EgCRI?ITON Of OPERAIiO S/LOc IO[{S/ Town of Yamouth is fisted as add.Uonal vE llclqa (AcO@ 101, A.tdtator.t ilrn rr. ingur6d slct @y b. rtbcrr.d t rtor! !p.cc b rlqutcd) :F"HS#ff 1?3!H.X?[3,",:Ht1.J.,"'trIxcELLEDBEF.RE Sourh yarmqlh Town of Yannouth 1146 Roue 2a tt"*"Vh &,IHORIZED REPRESEIITAIIVE u/3,*_ HO @l988?0t5ACORO 2s (2016/03)Tha ACORD narne snd togo .r€ rsgiatered anark3 of ACORD ACORO co All rlghb resel. ed. CERTIFIGATE OF LIABILITY INSURANCE OA1E (I'iUDD/YYYYI 1?lO3n025 . txsuREnlsl aifoRllt{c c9vE(aGE usuREFA. Mount vemon Flrs hgrraflce co Cultural C€nl€. Of Cap€ Cod lnc. 307 Old Main St fYPE OF INSURANCE cuP25s2068H tr MA 02665 ServSafe iational Restaura t Assocratio! ServSofe Allero Certificqte of Co# TMens pletion "J." Aworded to DAVID HORTON Provided by the Notionol Restouront fusociotion C6rtili..rle , 6.,7762991 oo'" 4nl2o25 ExDirorion Dor€ 4n 12028 AlSl tlolloril Aacredllttton qoad ACCREDITED----!ME@t-* CEIlTIFICAIE ISSU€I] t 0655 ffi ExG.u&. Vic. P.dd..l, lvinos soryica. on ad Noioiot rorou'oit a$Laruron So,nh i :rC lsotJ ri,) nono: ood ,. c6 o,o Certi ficote of Achievernent All9l Natlo nal Ac c r odllalion Bo a td ACCREDITED --@--CERTIFICATE ISSUER 110655 Notionol Restouront Associotion 233 S. Wocker Drive, Suite 3600 Chicooo. lL 606066383 aoo.7"6i.zl zz rn Chicogo oreo 3I2.715 1010 Reslouront.org I ServSofa.com ServSofe' Food Hondler r-n,p[,ry**i l"iod snfely Cr:urs* s-'nrJ Fjxr:r'i This certificote is oworded to DAVID HORTON Congrotulotionsl You hove completed 4t3120257755985 41312028 ffi ServSafe Certificote of Ach ievement This certificote is oworded to RICHARD QUINN Afl S I Nat lona I Ac c re d ltatio n Eoard ACCREDITED --@.-CERTIFICATE ISSUER #0655 Notionol Restou ront Associotion 233 S. Wocker Drive, Suite 3600 Chicogo, lL 606066383 80O.765.2122 in Chicogo oreo 312.715.1O10 Reslouronl.org I ServSofe.com Congrotulotions! You hove completed ServSofe' Food Hondler Employee Food Sofety Course ond Exom 1.'1rrg., 8287350 11t1712025 11t17t2028 EI EI ServSafe Certificote of Ach ievement Alt$l N atl onal Accr ed ltatlon B o ard ACCREDITED_--@- CERTIFICATE ISSUER #0655 Notionol Reslrouront Associolion 233 S. Wocker Drive, Suite 3600 Chrcooo. lL 60606-6383 goo zZs 2122 in Ch,cogo o,eo 312.715. 1010 Reslouronl,org I ServSofe.com ServSofe'Food Hondler rrnpioy"" Food Sof"Y Course ond Exom This certificote is oworded to ABBY HIGGINS Congrotulotionsl You hove cornpleted 1/51202682759291 1ls/2029 ffi l I I I ServSafe Certificote of Achievement This certificote is oworded to GABRIELLE TVICCULLY AtlS I N atl on al Aecred itatlol Bo ard ACCREDITED_--.@-- CERTIFICATE ISSUEF f0655 Notionol Restouront Associotion 233 S. Wocker Drive, Suile 3600 Chicogo, lt 60606-6383 8OO.765.2122 in Chlcogo oreo 312.715.1O10 Restouronl.org I ServSo[e.com Congrotulotions! You hove completed ServSofe'Food Hondler Employee Food Sofety Course ond Exom Certilicore Number 827 59181 1/s12026 Exoirorion Dore 1 l5l2o29 ffi " rLi.,l." . 'Y6 I ,rr,) :, {.j j ttI t'inl }.) t $eryStrfeo' t.1 "il ,t CERTIFICATION t".j. a; .l i ;NANCY MCILV br rucoufuft clrnphtlr6 rhe txhrttr rr futl fu-{rr wfiidr h ocoudtrd by tfis Acririo.n Notiond 8n9n0?2 DATE OT T toeol bwr qPlY. ,itarogl C;'reogioo 6<onlnalon, frrrdod Pr6rdlb {Fffl.1 8t2312027 DATE Of EXPINAIION ,iodifidian r..Frit!,trnh ]i ,.iir ffi ) ,-t ) ii,. lro c. ntJ,i'-lt "tu |erf lblol'.l t"/'ar A{dCrtGO cd a- .rt &19l ffimyw$mfm 1 -----# I iI 1 I .1r, , ,,,i,, 'ti" I ServSqfe CERTIFICATION NICHOLAS CAPL h,r uccorfully omplairq dre rhndoftft rd br* ftr d'e which h qqrrsditrd by *s ANSI (Arnericon l.{oriond Confrreno for Food ftucaion (CFP). ER 1ol2gl2oz DATE OF E tocd lawr <ply. Morlogr Celifi calon Ercminqlion, Accrodittion loord l.AMBl- 10t23t2f.28 DATE OF EXPIRATIONi, rErriftoo,lbn Equlr.n r{r. ffi t*rd, lard i*n* Arrao. oid frdicd P-lEraddE! sd,i.,r, ur €d,{o.ilb.rld shi Fnrrh. d I ffi *.q+ oot. Co.'rEd!. {* $idqi d 2$ S. yhdc Ortrq $lt 3am, d'koso.lL a0ao&6tgit d S.6,6d''t'iQd"l' #tt# aacatolla,troltuln ariitrnkruCilJlioo lloin' llhoContr re lo,food P,olc(iion #o855 .,11, ServSafe N.lt ional Restaurfl r'tt Assocl.ttior Servsqfe' CERTIFICATION AMY TALHOUK '::,ftr uccaufully onplairg *u *on&n[ let h,r] k titr v/rhh h oeoditcd by dr Amcricon }.,lotionol ER irfanogr Coill&orlm E @nlnorlon, [r food nouion (Ofl. 1 EX ' ':1r' ir : 10t23t2028 DATE OT E XP IRATI O N &r rraillcdoo n+rirtrnlltr. Solrrlonr ffi DAIE OF E locol krvr 4ply. o t €*h!!.ro* ohJ*r Ne{E, Nd.rrlhiln^.lodclrlooJ rEd.dxlr! C.'rd qy* qrdft r2tg t, U& Dtlt Arb O.oo, df6rq lt. aoao46lr[t ,!r!6.a&r-,,ut'' (@td #0655 ACCltlt,[[I Plm0nlit AtllrL itr ilalloMl Slnrd!rr$ hsdlll. nnd tlr0 adllMn.o l0r I!r){, Ptolr'suoi