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The Barnacle New CV 05 15 23
Common Victualler License This application is for restaurant establishments with seating. Please contact staff if you have questions regarding the online application at 508-862-4774 or at erin.logan@town.barnstable.ma.us Transaction Details Number: F175E210T1 Date: 3/27/2023 8:57 PM Method: MasterCard Type of Application - New License Application $100.00 Required Legal Ad Fee - Required Legal Ad Fee $82.22 Do you have Entertainment? - No $0.00 Subtotal:$182.22 Processing Fees:$5.75 Order Total: $187.97 Name of Corporation JME Taylor Doing Business As: The Barnacle Name of Applicant Mary Ann Taylor Applicant Email Mtaylor2530@yahoo.com Applicant Cell Phone (774) 487-7627 Address of Business 988 Craigville Beach Road, Centerville, Massachusetts 02632 Mailing Address (if different) 56 Norris Street, Hyannis, Massachusetts 02601 Name of Manager Mary Ann Taylor Manager's Email Mtaylor2530@yahoo.com Manager's Cell Phone (774) 487-7627 Type of Application New License Application - $100.00 Required Legal Ad - Additional Fee $82.22 *Abutter notification will be required - Fees associated will depend on number of direct abutters. The Licensing Division will guide applicant through the process once application is submitted. Do you plan on having alcohol included at your business? No Do you have Entertainment? No Name of former business at location: The Barnacle Hours of Operation 7am - 8pm # of Seats Inside 0 # of Seats Outside 35 Detailed Floor Plan Scanned Documents.pdf Resume of Manager MAT bl&WH.PDF Copy of Menu Barnacle Menu.pdf Copy of Lease Agreement or P&S COMMERCIAL LEASE.pdf Copy of Articles of Organization or Business Certificate Articles of Incorporation Worksheet (1).pdf Proof of Liability Insurance TOwn of Barnstable GL.pdf Liability Insurance Visual Example Workers' Compensation Insurance Affadavit Town of Barnstable WC.pdf Workers' Comp Visual Example To access a blank Workers' Comp form: Step One: Click here; Step Two: Fill out blank fields; Step Three: Save to desktop; and, Step Four: Upload to this application. NOTICE: Any misstatement in this application or violation of the applicable town ordinances, bylaws or regulations shall be considered sufficient cause for refusal, suspension, or revocation of any and all licenses. I warrant the truth of the forgoing statement under the penalty of perjury. Signature Form of Payment Credit Card (Online Only) MARY ANN TAYLOR mtaylor2530@yahoo.com | (774) 487-7627 Hyannis, MA 02601 PROFESSIONAL SUMMARY Effective at meeting food service operational and financial objectives. Knowledgeable about budget administration, inventory management and cost-reduction strategies. SKILLS Safe food handling Budgeting Menu development Kitchen equipment operation and maintenance Kitchen staff coordination WORK HISTORY 03/2017 - Current Food Service Director | Health Care Service Group Inc. - Harwich, MA Plan operations to effectively cover all needs while controlling costs and maximizing service. Oversee food preparation and monitor safety protocols. Hire and manage all kitchen staff. Train staff on proper cooking procedures as well as safety regulations and productivity strategies. 05/2015 - 03/2017Food Service Director | Wingate Of Brewster - Harwich, MA Maintained high standards of food quality by reviewing shipments, overseeing preparation and monitoring food safety. Placed food orders with suppliers on weekly basis, taking into account kitchen budget and expected demands. Hired, trained and managed all kitchen staff, including staff development, issuing disciplinary action and conducting performance reviews. 01/2005 - 04/2015 Executive Chef/Food Service Director | Senior Lifestyle Corporation - Lake Wylie , SC Developed menus, controlled food costs and oversaw quality, sanitation and safety processes. Developed and remained accountable for safety, quality, consistency and adherence to standards. Oversaw scheduling, inventory management and supply ordering to maintain fully stocked kitchen. CERTIFICATIONS Certified Dietary Manager, July 2020 Certified in ServSafe, 2018-2024 INCORPORATION WORKSHEET prepared on March 01, 2023 INCORPORATOR: CORPORATION NAME: PRINCIPAL PLACE OF BUSINESS: The address where the corporation's principal place of business will be located is: BUSINESS ACTIVITIES: This corporation will begin on March 01, 2023, with an initial number of employees of approximately 15, and anticipated first year gross revenues of approximately $500,000.00. The primary activities of the corporation can be described as follows: Restaurant. GEOGRAPHICAL AREA OF BUSINESS OPERATIONS: The business will conduct its operations in the following geographical area: Barnstable Massachusetts. STOCK: The corporation will authorize the following number of shares: 1,000 The shares will be: no par value Name: Street Address:56 Norris St City, State, Zip:Hyannis, Massachusetts 02601 Telephone:774 487 7627 Ext. _________________ Legal Name: Trade Name: Street Address:988 Craigville Beach Rd City, State, Zip:Centerville, Massachusetts 02632 County:Barnstable Telephone:774 487 7627 Mailing Address:56 Norris Street City, State, Zip:Hyannis, Massachusetts 02601 This is a RocketLawyer.com document. Mary Ann Taylor JME Taylor Co. JME Taylor Co. DBA: The Barnacle The shareholders will be required to first offer their shares to the corporation before selling to other parties. FISCAL YEAR: The fiscal year of the corporation will end each year on December 31. DIRECTORS: The following persons will be the initial directors of the corporation: Each director will serve for a term of 5 year(s). The directors will not be personally liable to the corporation or its shareholders for obligations arising out of the performance of the directors' duties. OFFICERS: The following persons will be elected to fill the respective offices: Name:Mary Ann Taylor Address:56 Norris St City, State, Zip:Hyannis, Massachusetts 02601 Telephone:774 487 7627 Ext. _________________ Name:John Taylor Address:3142 Amaranth Dr City, State, Zip:Fort Mill, South Carolina 29708 Telephone:704 576 6006 Ext. _________________ Name:Jamie Bays Address:3142 Amaranth Dr City, State, Zip:Fort Mill, South Carolina 29708 Telephone:980 316 1196 Ext. _________________ President:Mary Ann Taylor Address:56 Norris St City, State, Zip:Hyannis, Massachusetts 02601 Telephone:774 487 7627 Ext._________________ This is a RocketLawyer.com document. The corporation will defend the directors and officers against lawsuits. Business transactions between the corporation and its officers and directors will be allowed. Instruments which relate to an interest in real estate must be signed by the following: President or Vice-President and Secretary or Treasurer The officers are authorized to do the following: Open a corporate bank account Employment agreements will be authorized with the following officers: Jamie Bays Mary Ann Taylor SEAL: The corporation will not have a corporate seal. STOCK CERTIFICATES: The corporation will not, unless requested, issue stock certificates. Vice President:John Taylor Address:3142 Amaranth Dr City, State, Zip:Fort Mill, South Carolina 29708 Telephone:704 576 6006 Ext._________________ Treasurer:Jamie Bays Address:3142 Amaranth Dr City, State, Zip:Fort Mill, South Carolina 29708 Telephone:980 316 1196 Ext._________________ Secretary:_________________ Address:_________________ City, State, Zip:_________________, _________________ _________________ Telephone:_________________ Ext._________________ This is a RocketLawyer.com document. REGISTERED AGENT: The name and address of the registered agent of the corporation is: Name:Mary Ann Taylor Company Name:_________________ Address:56 Norris St City, State, Zip:Hyannis, Massachusetts 02601 Telephone:774 487 7627 Ext._________________ This is a RocketLawyer.com document. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD JMELL-1 OP ID: EB 03/27/2023 Erica J. Barrett Olde Cape Cod Insurance Martha Findlay 300 Winter Street Hyannis, MA 02601 Erica J. Barrett 508-771-3300 508-775-3821 ericab@occia.com XS Brokers Ins Agency Inc JME Taylor CO C/O Mary Ann Taylor 988 Craigville Beach Road Centerville, MA 02632 A X 1,000,000 X 05/01/2023 05/01/2024 100,000 5,000 1,000,000 2,000,000 1,000,000 A TOWN-01 Town Of Barnstable 230 South Street Hyannis, MA 02601 508-771-3300 Property Section SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS 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). 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. OTHER: (Per accident) (Ea accident) $ $ SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY N/A N/A N/A 03/27/2023 OLDE CAPE COD INSURANCE AGENCY INC 300 WINTER ST HYANNIS MA 02601 Erica Barrett (508) 771-3300 ericab@occia.com AMERICAN ZURICH INSURANCE COMPANY 40142 874778 N/A N/A N/A A 6ZZUB0W43497923 05/01/2023 05/01/2024 100,000 100,000 500,000 N/A Workers’ Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. Daniel M. Crowley, CPCU, Vice President – Residual Market – WCRIBMA Town of Barnstable 230 South Street Hyannis 02601MA JME TAYLOR CO 988 CRAIGVILLE BEACH RAOD CENTERVILLE 02632MA