HomeMy WebLinkAboutApp-CertsDetails
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License Restrictions/Conditions
Expiration Date*
12t31t2026
Business lnformation
Business Name*
The Other Guys
Business Mailing Address (if different)
180 lndian Trail Dennis Port, MA02639
Business E-Mail"
peternmorey@gmail.com
Business Legal Entity
Corporation
Goue . a 5_2)O
Ttl€ ort€ G--5s
Business Address in Yarmouth *
'16 North Main Street SOUTH YARMOUTH, MA
02664
Business Phone #*
s082748117
Business Type"
Food Service
Corporation Name (if applicable)
PMJD GUYS INC
Tax lD (FEIN or SSN)"
FEIN
ls this a iIAME CHANGE?
No
Owner / Manager lnformation
Owner's Name*
Peter Morey
Manager/Contact Person Name*
Peter Morey
FEIN
**-***6967
Owner's Phone Number
5082748117
Manager i Contact Person Phone Number*
5082748117
PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH
COPIES OF CERT!FICATIONS
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
5084320462
Please attach copies of certifications for all listed below:
List all Certified Food Protection Managers'
Peter Morey
List all employees with Allergen Certification'
Peter Morey
Establishment Operations
Length of Permit
Annual
Address
'180 lndian Trail Dennis Port, MA 02639
Email
peternmorey@gmai l.com
Location is Permanent Structure?
Yes
Name and Title
Peter Morey
Telephone Number
5082748117
Establishment Type
I
I
I
I
I
I
Continental Breakfast
Non-Profit
Residential Kitchen for Retail Sale
Number of Seats lnside'
20
Total Seats
20
Retail Service
Common Victualler
Wholesale
Number of Seats Outside *
0
Frozen Dessert
Retail Square Footage*
Less than 50 sq. ft.
I
I
Food Service
Vending Food Other
Name Change 0nly
I
Affidavit
New construction, remodel or conversion requires an Occupanry Permit from the Building
Department in order to receive a valid Food Permit.
I
l, the undersigned, attest to the accuracy of the information
provided in this application and latfirm that the food
establishment operation will comply with 105 CMR 590.000 and
all other applicable law. I have been instructed hy the Board of
Health on how to oblain copies of 105 CMR 590,000 and the
Federal Food Code. Pursuant to MGL Ch.62C, Sec.49A, lcertify
under the penalties of perjury that l, to the best of my
knowledge and belief, have filed all state tax returns and paid
laxes required under law.'
Peter
Morey
Dec 30,
2025
Submitted by Staff
I
tr
Worker's Compensation insurance Affidavit
I do hereby certify, under the pains and penalties of perjury, that
the information provided above is kue and correct.*
Peter
Morey
Dec 30,
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.
Type of Business'
I am an employer with employees *
lnsurance Company Name
Maximum lndemnity Company
Policy # or Seliins Lic. #
BDG-3086771-02
Business
RestauranVBariEating Establishment
lnsurer's Address
3655 North Point Parkway, Suite 500, Alpharetta,
GA 30000s
Expiration Date
0611412026
Food / Retail Service
SEASONAL FOOD SERVICE OPENING:All food service establishments musl 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 prohlbited.
I acknowledge thal I have read and understand the information
above.'
Notice
PERMITS RUN ANNUALLY FROM JANUARY 1 TO DECEMBER 31. IT IS YOUR RESPONSIBILITY
TO COMPLETE THIS APPLICATION EACH YEAR,
ALL RENOVATTONS TO ANy FOOD ESTABLTSHMENT (pAtNTtNG, NEW EQUIPMENT, ETC.) MUST
BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENT.
RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN.
ft
i*Town of Yarmouth, MA
Payment
Record No.BOHF-25-21O
status Active
Type Payment
Assignee Peter Morey
lnvoice lD 1408673
Record No: BOHF-25-2lO
Food Establishment Application
Status: Active
Submitted On: 1213C. I 2025
Primary Location
12 NORTH MAIN ST
SOUTH YARMOUTH. MA 02664
Owner
MITROKOSTAS NAFSIKA E TRS
PO BOX 260 SOUTH YARMOUTH,
MA 02664
Became Active December 30,2025
Due Date None
January 16, 2026
;l Peter Morey
J sog-214-8111
@ peternmorey@gmail.com
I l8O lndian Trail
Dennisport, MA 02639
Applicant
Fee Breakdown
Fee Name
Food Service Fees
Common Victualler
License Fee
Frozen Dessert
Caterer
Farmers Market Retail
Food Event
Residential Kitcken for
Retail sale
Wholesale
Non-Profit
Mobile
Vending Machines
Temporary Food
lce Cream Truck
Total
Total Fee Paid Due
$t25.oo $o.oo $125.oo
$60.00 $o.oo $60.00
$o.oo $O.OO $O.OO
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$ooo $O.OO $O.OO
$o.oo $o.oo $o.oo
$o.oo $o.oo $0.o0
$0,0o $0.00 $o.oo
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$o.oo $O.OO $O.OO
$o.oo $O.OO $O.OO
$o.oo $o.oo $o.oo
Payment History
$r85.OO $O.OO $l85.OO
Retail Fees
Continental Breakfast
No payments to show.
Messages
Sara Provos December 3O,2O25 at llo pm
Good afternoon, you can now go online and pay the application fee. Thank
you.
Sara Provos January 13, 2026 at 2:14 pm
Good afternoon,.iust want to remind you that you have a payment due for
your FY2O26 Food Establishment Application / License. Please go online
and pay the required fee. lf you will be mailing in a payment (check), please
mail to Town of Yarmouth, l'146 Route 28, South Yarmouth, MA 02664. Thank
you.
Step Activity
OpenGov system activated this step 1213012025 at l:lO pm
ServSafe
National Restaurant Association
Servsqfe'
CERTIFICATION
for successfully completing the stondords set lorth for the ServSobt tood Protection Monoger Certilicotion Exominotion,
which is occredited by fie ANSI {Americon Notionol Stondords lnstitute) Notionol Accreditotion Boord (ANAB}-
Conference [or Food Protection (CFP].
ER
10817
E XAM FORM NUMBER
6t17t2029
DATE OF EXPIRA]ION
6r recedificolion requiremenls-
6t17t2024
DATE OF EX
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PETER N/OREY
2581b
1-o n,0\vo
FICATE
| 3 B.gd.rid 3.
EI IZ'
CTnTIFICATE OF
ATTTNCEN AWNNEN E S S TNNIN IN G
Name of ReciPiene PETER MoREY
Certifi cate Num$sr3 5370015
Date of ComPletion' rrzszml
Date of Expiratiofi' 11t2et202a
Irrood Bv:
Thc obotc-aanal iavn b htcly isnul tb* ccrt!fuau
for omqlcciq on atlo4cn a7ltadtat ,laiiiT fmtumn*"ioi d * Un *ruat Dqrtaot of fublit Heottt' i, onilant, uith 105 CMR 590.N9(G)(3)(a).
msl MTIONAL.REStruRANT
ASSOCIATTON oM.tr.lurttr R..arunnt AtD.irtioa
333 Tuopib R.dA Suitc l@
Sotnl'borr.gl' MA 01n2
5(E-3Ui-9m5
viY.tllrtaataulaat..aocoll
8m.765.2122
ftvtaatIrruLo'rg
This ccrtifeatc still bc oaHfufruc 6) 7unfiom da'c of @n?htiott'
=ffi
tr THE HARTFORD
BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251
THE
HARTFORD December 30, 2025
For lnformatronal Purposes
180 INDIAN TRL
DENNISPORT MA 02639
Account lnformation:
Policy Holder Details :
PMJD Guys lnc DBA The Other
Guys
E Contact Us
Need Help?
Chat online or call us at
(866) 467-8730.
We're here Monday - Friday
Enclosed please find a Certificate Of lnsurance for the above referenced Policyholder. Please contact us if you have any
questions or concerns,
Sincerely,
Your Hartford Service Team
WLTRO()5
6;b cERTIFTcATE oF LrABrLrry INSURANcE 1213012025
THIS CERTIFICATE IS ISSUEO AS A i'ATTER OF INFORIIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.
THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
AUTHORIZEO REPRESENTATIVE OR PROOUCER, AND TIIE CERTIFICATE HOLOER.
IMPORTANT: lf the c€rlificate holder is an ADDITIONAL INSURED, the policy(las) must be endorcod. lf SUBROGAT|oNIS WAIVED,
subject to the terms and conditlons ofthe policy, certain pollcies may requirc an endo.sement. A statement on this ce ificate do€s not
confer rights to lhe certificate holder in li6u of such endorsemenl(s).
PRODUCER
BRYDEN & SULLIVAN INS AGCY INC/PHS
08084306
The Hartford Business Service Centea
3600 Wiseman Blvd
San Antonio. TX 7825'1
CONIACT
(866) 467S730
AODRESS
INSU RER(S) AFFOROING COVERAGE
II{SURED
PMJD Guys lnc DBA The Other Guys
180 INDIAN TRL
DENNISPORT I,4A 02639
INSURERA: Twin City Fire lnsurance Company 29459
INSURER D :
COVERAGES
E HOLDER
CERTIFICATE NUMBER REVISION NUMBER:
@ 1988-2015 AcoRD CoRPORATION. All rlghts reservod.
The ACORD name and logo are rcgistered marks of AcoRD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE AEEN ISSUED TO THE INSUREO NAMED AAOVE FOR THE POLICY PERIOD
INDICATED.NO]WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACI 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 REDUCEO BY PAID CLAIMS,
INSR
LTR TYPE OF INSURANCE t'.lsR
s!aR LfiTS
EACH OCCURRENCE
OAMAGE IO RENTEO
PREMISES lEa @ftnel
COMMERCIAL GENERAL LIABILIry
CLAIMS.MADE
PERSONAL & AOV INJURY
GENERAL AGGREGATE
PROOUCTS. COMP/OP AGG
GEN'L AGGREGAIE LIMITAPPLIES PER:
OTH€R:
JECI
COMAINED SINGLE TIMIT
BODILY INJURY (Por p6Bon)
AODILY INJURY (Por aeid6.l)
AUTOMOBILE LlAAILlrY
AUIOS
HIREO
AUTOS
scHEor.lLEo
AUTOS
NON.OWNEO
AUTOS
EACH OCCI]RRENCE
EXCESS LIAB
OCCUR
MADE
DEO nerempr $
oTt"r,X STATUTE
E L EACH ACCIOENT $500,000
E L. O SEASE -EA EMPLOYEE $500,000
woRxERs cof PENsaTlolil
AND E PLOYERS' IIABILITY
PROPRIETOR/PARINEFYEXECUTIVE
OFFICEF'MEMBER EXCLUDEO?
OESCRIPIION OF OPERATIONS helow
f 08 WEC AYgNTR 071122025 07112J2026
E L OISEASE - POLICY LIMIT $500,000
OESCNP,ON OF OFERATIONS / LOCA7IONS / VEHICLES (ACORO i Ol. Addnion.l R.m.rt. Sch.dul., m.y b. .tLch.d il morc 3p.a i. r.qulrod)
Those usualto the lnsured's Operations.
IIIII
SHOULD AIIY OF THE ABOVE qESCRIBEO POLICIES BE CANCELLED
AEFORE THE EXPIRATIOiI DATE THEREOF, NOTICE WIL AE OELIVERED
II{ ACCORDA]ICE WITH THE POLICY PROVISIONS.
li,"oan -f Caz6.u-or---,
AUTHORIZED REPRESENTAIIVE
For lnformational Purposes
180 INDIAN TRL
DENNISPORT MA 02639
ACORD 25 (20r6/03)
INSURER C:
INSURERE:
MED ExP (Any on6 p€6on)