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HomeMy WebLinkAboutApps-CertsDetails lnternal Only License Restrictions/Conditions No Seats Expiration Date* 12t31t2026 Business lnformation Business Name* Subacquisition LLC Business Mailing Address (il ditferent) 45 Pine Hill Drive, East Greenwich, Rl 02818 Business E.Mail* laurie@familysubs.com Business Legal Entity Other Legal Entity Business Address in Yarmouth * 12 Whites Path Business Phone #- 5083949500 Business Type* Food Service Other Legal Entity LLC Corporation Name (if applicable) Tax lD (FEIN or SSN). FEIN ls this a NAME CHANGE? No Owner / Manager lnformation Owner's Name' James Turi Manager/Contact Person Name* Laurie Turi Name and Title Luis Gaspar shop manager PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH COPIES OF CERTIFICATIONS Name of Certified Food Protection Manager(S) All food service establishments are required to have at least one (1) PERSON lN CHARGE on site during hours of operation FEIN *-*-89't 7 Owner's Phone Number 4015245986 Manager / Contact Person Phone Number* 4014395U2 Address Emergency Telephone Number 7744473062 Please attach copies of certifications for all listed below: List all Certified Food Protection Managers* Allison Nunes List all employees with Allergen Certilication* Laurie Turi Establishment Operations Length of Permit Annual Telephone Number 7744473062 Establishment Type Continental Breakfast Email juniorgaspar€4@g mail.com Location is Permanent Structure? Yes Common Victualler I I I I I I Non.Profit Residential Kitchen for Relail Sale Number of Seats lnside' 0 Total Seats Retail Service Other Wholesale Food Service Number of Seats 0utside - 0 Frozen Dessert Vending Food Name Change 0nly I I II I 0 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 CMR 590.000 and the Federal Food Code. Pursuant to irlGL Ch. 62C, Sec. 494, 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.' Laurie Turi Jan 22, 2026 Worker's Compensation lnsurance Affidavit Type of Business* I am an employer with employees * Submitted by Staff I Business RestauranVBar/Eating Establishment I do hereby certify, under the pains and penalties of perjury, that the information provided above is true and correct.' Laurie Turi Jan 22, 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 andlor 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 Paychex lnsurance Agency lnc Policy # or Self-ins Lic. # EtG574647801 Insurer's Address 225 Kenneth Dr, Rochester, NY 14623 Expiration Date 1112512026 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 vwvw.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 RESPONSIBILIry TO COMPLETE THIS APPLICATION EACH YEAR. ALL RENOVATIONS TO ANY FOOD ESTABLISHMENT (PAINTING, NEW EQUIPMENT, ETC.) MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENT. RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN. I oiQo'DATE IMM/DD/YYYY) 1211612025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGANVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. IUPORTANT: lf tho certlflcate holder ls an ADDITIONAL INSURED, the policy(les) must have ADDTTIONAL INSURED provlslons or be endorsed. It SUBROGATIoN ls wAlvED, subject to the terms and conditions of the pollcy, cenaln pollcies may requlre an endorsement, A statement on thls certlficate does not conter rlghts to the certlflcate holder in lieu ol such endorsemsnt(s) PAYCHEX INSURANCE AGENCY. INC. 225 KENNETH DRIVE ROCHESTER. NY 14623 INSURED SUBWAY FIT LLC 14 W MAIN ST HYANNIS, MA 02601 COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAI.'ED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT 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, POIICY EFF POLICY EXP(MM/DDTYYYYI (MI/I/DD/YYYYI COMMERCIAL GENERAI LIASILITY $ s cLAIMs-MADE L ]occt:n S OTHER GENERAL AGGREGATE PRODUCTS. COMP/OP AGO G€N'LAGGREGATE LIMII APPLIES PER OWNEOAUTOS ONLY HIRED AUTOS ONLY $ tr BODILY INJURY(Pq peEon)s aOOILY NJLTRY (Pe. acc'denl)$ AUTOMOBILE LI,ABILTTY S SCHEDULEO NON4WNEO AUTOS ONLY OCCL-IR EACHOCCURRENCE AGGREGAIEi cLAtMS-MADEEXCESS LAB RETEDED E L. DISEASE EA EiIPLOYEE $1,000,000 WORXERS COiIPENSATION ANO EXPLOYERS' LIABILIYY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICEFJMEMBEREXCLUOEO? OESCRIPTION OF OPERATIONS bekrw E L, EACH ACCIDENT s 1,000,000 E,L, OISEASE. POLICY LIM]T s 1,000,000 CLES (ACORD 101, Addition.l Remart! Sch.dul., m.y bo aflach.d i, nore sp... is Equired) Also included in the policy as: EAST FALMOUTH SUBWAY LLC, 236 TEATICKET HWY, TEATICKET, MA 02536 SUB ACQUISITION LLC, 12 WHITES PATH, S YARMOUTH, MA 02664 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE ExptRATroN DATE THEREoF, NorcE wtLL ae oerveneo itACCORDANCE WITH THE POLICY PROVISIONS, Town of Barnstable 367 Main St Hyannis, MA 02601 (L"'^.AAtuJ,AUTHORIZED REPRESENTA'TVE @ 1988-2016 ACORD CORP The ACORD nam€ and togo are registered marks of ACORDACORD 25 (2016/03)ORATION. All rights reservod. CERTIFICATE OF LIABILITY INSURANCE P.ychex lnsu€r.€ Agency ln. 877-266S8s0 50t3E9-7426 INSR TYPE OF INSURANCE t--l f l"o.,"" f-l igoi I."o" PREMISESIEa o-utre^cer $tt I $ s H*,o ElG5l4647Bol'r.t2stzo2stttzsooza ServSafe National Restaurant Association SerYSqfe' CERTIFICATION ALLISON NUNES for successfully completing the slondords set fodh {or the ServSobo Food Protection Monoger Cedificotion Exominotion, which is occreditd by the ANSI (Americon Notionol Stondords lnstitute) Notionol Accreditotion Boord (ANABI- Conference for Food Protection (CFP). ER 5686 EXAM FORM NUMBER 10t7t2029 DATE OF EXPIRATION for recertificolion requir€ments- 10t7t2024 DATE OF EX Locol lows opply She anLrntn ffiH NRAEF, Noib.ol R..i!@nt Acioiioi md Mi@l R6rduEni Asidio Sold,qr, [C (s.luid, fu dplki witl6 pdmi'i@ o{ dE @E ot e.l turL "+fowt((ltrmD ?toallx A{Sl N.tioGl A(oednaron Boad and lhe CoDleren.e,o' food l,rotert or #0655 FICATE NATIC ,/YU(,bc) lE b.2006, R6.lrt ADMN06&2013lR, <k ion Edwfidd rddorion lNRAffl. All ol,I! d.J un& litr t/ s.ltur ftl '- ; Gnro.t u' wirfi qs(6r ol 233 s. wd6 o.i{, suib 36@, chicogo, tr. 60606-6383 or s&&fr@r6iouEnr.oB S0 LEARNasERvE' T RAIN IN G CERTI FICATE tlF C(II'IPLETI(lN This certif ies that Lauri Tu ri is awarded this certificate for AilAB-Accredited Food Allergy Training Hourc 2.00 Completion Date Expiration Dato 12t11t2024 Certificate * 000040255r20 Afist National Accredilalion Boatd t? 112/ 7 AZa Samantha l'lo nta lb a n o, Chi peraiing 0tficer ACCREDITED -------I@- CERTIFICATE ISSUER *0975 IHIS CERT,FICATE /S N0N-IRAI'/SFERABLE 6504 Bridge Point Parkway, Suitel00 I Austln, TX78730 | 360training.com :tICUIHEFE)CUTHERE) 200 -2-;r?z@-=&:= & Leenxa senve Thh is your pdcker c.rd whlchm.yb.usedas prooi.rrai.ingcompl€rion.Thish nollhe .ctualFood H6ndlorLiceisi, so you must o.p3rrm.nland m.ke rc yo! turlirrJlth€ rcquireF.ns befor. applyiiC Ior ehp oym.nt ou.{io.s? 3uppor@36ova'.inq.om rr---Tr o I'g r--+- :E I I rr-rc#liiiooj'l#g| r,"inrne (ono'e"o'D e 1})D..1.].)|'1. LEARNzSERVE' TRAIN ING' Disclaimer Dear Laurie Turl Congratulations on sucqessfully completing this course. Your certif icate of completion will enable you to show proof of training to obtain f urther licensing if necessary. This certif icate does not provide any associated designation. Please check with your Local Health Authorities with regards to any additional requirements for employment or liability purposes. Thank you for choosing S60trainingl 6504 Bridge Point Parkway, Suite 100 I Austin, TX 78730 I 360training.com I \ I I I ) tt I I