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License Restrictions/Conditions
Seating: 44 in Breakfast Room
30 Green House
Expiration Date'
12t3112026
Business lnformation
Business Name*
All Seasons Resort
Business Mailing Address (if different)
Business E-Mail.
info@allseasons.com
Business Legal Entity
Corporation
Business Address in Yarmouth *
1199 Route 28
Business Phone #-
508-394-7600
Business Type*
Food Service
Corporation Name (if applicable)
All Seasons Hospitality lnc.
Tax lD (FEIN or SSN)-
FEIN
ls this a NAiIE CHANGE?
No
Owner / Manager lnformation
Owner's Name*
Rupal Patel
Manager/Contact Person Name'
D Patel
FEIN
**-***2997
Owner's Phone Number
508-394-7600
Manager / Contact Person Phone Number*
843461-5593
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
Name and Title
Jagruti Patel
Telephone Number
508-394-7600
Emergency Telephone Number
774-268-1654
Please attach copies of certifications for all listed below:
List all Certified Food Protection Managers*
Jagruti Patel
List all employees with Allergen Certification'
Jagruti Patel
Establishment Operations
Length of Permit
Annual
Address
1199 Route 28
Email
allseasonsresort@gmail.com
Location is Permanent Structure?
Yes
Establishment Type
I
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I
r
I
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Continental Breakfast Common Victualler
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.
l, 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 CMR 590.000 and
all other applicable law. I have been instructed by the Board of
Health on how to obtain copies of 105 CltlR 590.000 and the
Federal Food Code. Pursuant to MGL 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.'
Rupal
Patel
Ocl27 ,
2025
Worker's Compensation lnsurance Affidavit
Type of Business'
I am an employer with employees *
Submitted by Staff
I
Business
Other
Other Business
Motel
I do hereby certify, under the pains and penalties of perjury, that
lhe information provided above is true and coffect.*
Rupal
Patel
Oct 27 ,
2025
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.
lnsurance Company Name
Hartford undenrvriters ins co
Policy # or Self-ins Lic. #
6S60UBl K20561A
lnsurer's Address
P O box 5600,Hartford CT 06102
Expiralion Date
03t22t2026
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 3,1. IT IS YOUR RESPONSIBILITY
TO COMPLETE THIS APPLICATION EACH YEAR.
ALL RENOVATTONS TO ANy FOOD ESTABLTSHMENT (pAtNTtNG, NEW EQUtpMENT, ETC.) MUST
BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENT.
RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN,
I acknowledge that I have read and understand the Notice
information above*
Certificote of Ach ievement
This certilicote is oworded to
JAGRUTI PATEL
,065tAtll t2659
Nolionol Restouronl Associolion
?33 S Wocker Drive Suile 3600
Ch ccoo I 6060tr383
eOO:"OS :'zf ^ Chrcogo oreo 312 7'5 lO'L
Reslouronl org I ServSo{e.com
Congrolulotions! You hove completed
ServSofe" Food Hondler
Employee Food Sofety Online Course ond Exom
cerriftco1. Number 6033967 12t3t2022
ExDirorion Doie 121312025
rpoiEIrEAflst
,^.
ServSafe
-
ATTTRCEN AWE.NENESS TnTNING
Namc of ReciPienc JoY ALtrN
Certificate Number' s2726d)
f)ate of ComPletion' E2sr2o21
Date of ExPintion' el2s/?026 EfiffiEtrfiq6.:
ffiH
Isorcd Bv,
lbe ubooe-tt'nn'l prnot k furetl kstnl this cert{irate
for omplctingn hrgctt nwtttcncts lraitti,tg proS'l".n . -
*!"""ioi i ,fi u^*ritrserts Delnrtnutt oJ hfilic Hcolth" --"'ii
ii,oi,,torn, *ith I 0s cMR 500.009(c )( 7 )(a ).
'lltis rctrlfuuwill he wlitl.l'or.t'iw (5) ltorsfron thtt of ronplction
/,-mRfl NATIOI{AT .
RESTAIJ R/tNT
ASSOCTATTON.
800.765.2122Merrachuscto llt*auant A*ociatiou
333Tunpilc Rord, Suitc 102
$uthbon,ugh, MA o1772
508-303-9905
www.miuE taurrn tasaoc, or8
CERTIFICATE OF
I
o.5t'12J2025
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTET{D OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURAiICE DOES OT COIISTTTUTE A CONTFIACT BETWEEN THE |SSU|NG TNSURER(S), AUTHOR|ZEOREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
subjoct to lhe t.rms and conditions of the policy, ce.lain pollci.s msy requir. an .ndor..m.nt- a .t!r€m.nt on
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIvIATION
holder ls an AOOTTIONAL INSUREO, tho pollcy(les) must v6 ADDITIONAL INSURED provision3 or be endorsed
to th€ c.rlificat. holder ln rieu of such endors€msn
IMPORTANT: It tha cortifical.
I' SUBROGATION IS WAIVED,
this certificate doe3 not confer
Devaralulu Reddy
(508) 824-8666
30104HARTFORD UNDERWRITERS INS CO
Inist,iEo
ALL SEASONS HOSPITALITY INC
MA 02664
r i99 RTE 28
SOUTH YARMOUTH
ACORi}
128 OEAN ST
IAUNTON
CERTIFICATE OF LIABILITY INSURANCE
MA 02780
OOVERAGES CERTIFICATE NUMBER: 1 1 169:14 REVISION NUMBER:
THIS 1S TO CERTIFY THAT THE POLIC!ES OF 1NSURANCE rt.SreO aeLOw x,Ave gfeN ISS!EO TO TF]E INSUREO NAMEO AEOVE FOR fHE POLTCY PERIOO
INDICATEO NOTW'THSTANDINGANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OB OTIiER DOCUMENT l/l/ITH RESPEC- TO WHICH THiS
CERTIFICATE MAY AE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEO 8Y TtE POLICIES DESCRIBEO !!ERE]N IS SUEUECI :O AlL 'IHE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMI'TS SHOWN MAY IIAVE BEEN REOIJCCD BY PAID CLAIMS
oE3CRrPTlOr{ OF OPEiAITOXS / LOCAiONS / VEHICLES (ACORD 1q!..AddrtioNl;m.rr. s.h.dur., dv b. !n ch.d ir 60r. 6p... '' t'qui6dl
CERTIFICATE HOLDER CANCELLATION
WorkeB,comp€nsationbenefitswillbepaidtoMassachusett!employcesonly,PursuanttoEndoEcmentwc2003osB.noaumorlzationisgivenlo
pay ctaims tor benerrts to emproyees rn srJlJiffi;i;il;;h;;;'C;tirCinsured hires. or has hired those emplovees outside cf Massachusetts'
Thrs ceatificste of insu?nce shows tFe pollcy n force on the dale that lhls '€rtficate
was rssued {unless lhe explration date on the above pollcy
orecedes rhe ,ssue oare ot tt,s cenincate oilniuili-..] 'ii"-I[ii" iiii'i" iou".ag. ".n u" n'on ored darlv by accessrng tne Ploof ol coverage -
6"-r;r;V;#;id;-s;rctrioot at www mass.gov/lwdi^/o*ers-compensaliodtnvestigatons/
SHOULD ANY OE THE AAOVE DESCRIBED POLICIES 8E CAXCELIEO BEFORE
irr exptulott oarE TtiEREoF, NollcE wLL BE DELwEREo lN
ACCOROAXCE WTTH TIIE POL'CY PROVISIONS'
o 1988-2015 ACORO CORPORATI
iC.)MMERCIAL GENERA! UABIL'TY
eoclsAGGRE6ATE LIMIT AFPLIES PERl--L rEcr ----.1 L*
!!" ,,o*o. [**
P'RSO:{AL 6 ADV INJTJRY
GENER'.]. AGGREGA-E
N/A
L BOOIIY NJUIY (P': F,o)
- ] SCHEOULE]I AUTOS
tt
s 500.000
o3t22l2025 A3|2A2C266560UB',K20561A25 eurove, s 500.000
rrrn L g 500.000
WORKERSCOM'ENSANOT
ANO EMPLOYERS' LIABIiITY
iayrRorR€ToF/pARTNEtuExEcLlrrveIoFFlcERn EvBEiExcLUoEo'
DinieiM. c.o;;y. cPcu. vLce President - R$idual Ma*et - vlrcRlBMA
AU'HOR:ZEO IIEPRESEMTA'IY6
All Seasons Hospitalitv Inc.
MA 02664
1199 Route 28
South Yarmouh
ACORD 2s (2016/03)Th. AcoRD name and logo ar€ r.gi3ter€d marks gf ACORD
ON. Allrighta reserved
rl
s
BoorLY lluriY (Pr..d...t) I s
s
N/A
I
I
I
I
Details
Lodging/Motel Information
Eslablishment Name'
Allseasons hospitality inc.
Tax lD #
FEIN
Establishment Street Address*
1199 route 28
Owner's Name*
Allseasons hospitality lnc.
Owner's Street Address
1'199 route 28
Check if Mailing Address is different EmailAddress*
info@allseasons.com
The Health Department will not use past years' records for any certifications. You must provide new
copies and maintain a file at your place of business.
Owner lnformation
Establishment Phone #.
508-394-7600
FEIN-
** _r.,.*2897
Establishment City, State, ZIP-
02664
Owner's Phone #*
508-394-7600
Owner's Adress City, State, Zlp
02664
tr
Corporation Name
Manager's Phone #
508-280-3733
Lodging Type
lnn
Cabin
Motel
DOCUMENT Expiration Date*
12t3112026
Conditions
Rooms: 144
I
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I
Manager's Name*
Rupal Patel
B&B
Lodge
Trailer Park
tr
ft
For purposes of the limitations of Motel or Hotel use, Transient occupancy shall be limited to the
temporary and short-term occupancy, ordinarily and customarily associated with motel and hotel use-
Transient occupants must have and be able to demonstrate that they maintain a principal place of
residence elsewhere. Transient occupancy shall generally refer to continuous occupancy of not more
than thirty (30) days, and an aggregate of not more than ninety (90) days within any six (6) month
period. Use of a guest unit as a residence or dwelling unit shall not be considered transient.
Occupancy that is subject to the collection of Room Occupancy Excise, as defined in M.G.L. c. 64G or
830 CMR 64G, as amended, shall generally be considered Transient.
Click to get a copy of the Worker's Compensation lnsurance Affidavit: General Businesses
The Town of Yarmouth taxes and liens have been paid prior lo
renewal or the issuance of your licenses.*
I
Rupal
Patel
Dec 8,
2025
I acknowledge that I have read and understand the conditions
of 521 CMR 8 regarding transient lodging facilities. Transient
lodging shall include but not be limited to hotels, motels, bed
and breakfasts, inns, boarding houses, dormitories and
resorts.'
c
cPo
cEtrrtEo Pool
tor
as an Operato. of Aquatic Facilities
issued by the
Pool & HotTubAllionce
on
CertificationDate: 3/'1l2024
ExpirBtion Oate: 3131 12029
Certifi cation Numbet: C-O7 4687
lo3tructor Namc(3)
Brian Stewart Sabeena Hickman. CAE
President & CEo
Pool & Hot Tub AllioncePOOL6,
HOT TUB
LLIANCE
Fo. vlriffcotirn td€plb.E pHTA et 79- 54o'9ll9 ol errxii lcrvie GPhts-oe
Certified Pool & Spo Operotor Certificotion
Piyush Patel
o
cPo
cEt!ttlED Dool
Certified Pool & Spo,Operotor Certificotion
for
It/iguel Wright
as an Opcrator of Aquatlc F.rcilitres
issucd by thc
Pool & Hot Tub Allionce
on
Certifi catron Date: October 1 2, 2022
Expiration Date:October 3'1, 2027
Certifi cation Number: C{O8509
lnstructor Name(3)
Robert Freligh Sabeena Hickman, CAE
President I CEO
Pool S Hot lub AllioncePOOL &
HOT TUB
LLIANCE
to, verification. telcptpn€ PHTA st 79-54o 9'll9 or cfluil rrvice qpht!.o,8
&Hlu$lid-
'.nsc SECURITY CONTROL NO,
r75180c9D54D20
National SafetY Council Certificcrtion Cord
Tiffony Mois
hos successfutly compteted the cognitive
ond skitts evotuotlons for the fotlowing:
First Ai4 Adutt, Child ond lnfont CPR & AED
4.00 hrs
COMPLETION DATE
lt/2212024
INSTRUCTOR
Richord Todd (#1040918)
EXPIRATION DATE TRAINING CENTER
11/sO/2026
Cope Cod Sofety Troining
TRAINING CENTER ID
2071554
fhis course is eguivalent to AHA o,nd meets ECC ond ,[COR guldelines'
This credentiqI con be verified ot nsc.orglFAverify