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BREWSTER BOARD OF SELECTMEN MEETING OF APRIL 27, 2015 ACTION ITEMS 1. Accept Gift - Pine Harbor Wood Products would like to donate a flag pole to the Recreation Department to be placed at the Freemans Way Fields. Pine Harbor will also install the flag pole. The estimated value of the gift is $859.00 ADMINISTRATIVE RECOMMENDATION We recommend the Board vote to approve this request and accept the gift 2. Request to Use Public Address System - Cape Cod Sea Camps is once again seeking permission to use their public address system for bugle calls and announcements for the upcoming camp season. As in years past, they will make every effort to keep the volume at the lowest possible decibels and to make only necessary announcements. ADMINISTRATIVE RECOMMENDATION We recommend the Board vote to approve this request. 3. Request for Waiver of Fee - The Brewster Conservation Trust is requesting a waiver of the $300.00 Planning Board Site Plan Review fee in connection with the plan to convert the current residence on the property at 36 Red Top Road into a small office for the Trust and Compact of Cape Cod. The Brewster Conservation Trust is a non-profit organization. The Town Planner is supportive of this request. ADMINISTRATIVE RECOMMENDATION We recommend the Board vote to approve this request. 4. Request for One Day Entertainment License - Joseph Rome of Susan Lane is requesting a one day entertainment license for a wedding reception at 496 &s 506 Paines Creek Road on Saturday June 13, 2015 from 4pm - l Opm. The entertainment is an amplified band, the Rip It Ups, and they will be performing in a tent. The cost of the license is $35.00 ADMINISTRATIVE RECOMMENDATION We recommend the Board vote to approve this request. 5. Request for Hawker & Peddler License - John Jenkins, D/B/A John's Dogs & More, is again requesting a yearly Hawker & Peddler license. He will only operate by invitation and will not become a `roving' food truck. He sells a variety of items, including hot dogs, sandwiches, soups and salads. He has a State Hawker &s Peddler license and has filled out the necessary paperwork with the Board of Health. ADMINISTRATIVE RECOMMENDATION We recommend the Board vote to approve this request. April 27, 2015 Action Items Page 1 of 2 k 7 p Susan Broderick From: Ellen Bearse Sent: Friday, April 10, 2015 2:58 PM To: Susan Broderick Subject: RE: donation 'gift' The cost is $859 and is being donated by Pine Harbor Wood Products. Installation is being donated by Pine Harbor and Cranberry Landscaping, Thanks, Ellen Ellen Ojala Bearse Recreation Director Town of Brewster (508) 896-9430 www.brewsterrecreation.com From: Susan Broderick Sent: Friday, April 10, 2015 2:54 PM To: Ellen Bearse Subject: RE: donation 'gift' Hi Ellen, Yes, the Selectmen will need to accept this gift. If you can send me the estimated dollar value as well as who it is from, I will put it on as an action item at our next meeting, 4/27/15. Thanks, Sue S'tcsan l kodcl icic r 1 rLllirtr'sU,ui r e.Sr�hrr r rsor SCICCIIIW11,17a)N V A(111lim'u,zlor J08400-3/701.r 1131, From: Ellen Bearse Sent: Friday, April 10, 2015 2:49 PM To: Susan Broderick Subject: donation 'gift' Hi Sue, The Rec Comm has received a donation of a flag pole, including installation for the Freemans Way facility. Do we need to get this accepted as a gift? If so, please let me know what information you need so we can get it as an action item on the next BOS meeting. Thanks! Ellen Ellen Ojala Bearse C BEST SUMMER EVER r April 9, 2015 Board of Selectmen Town Administrator 2198 Main Street Brewster Town Hail Brewster, MA 02631-1898 Dear Sir/Madam: In hopes that spring and summer actually arrive this year, we are again requesting your permission to use our Public Address System for bugle calls and announcements during the forthcoming 94th camp season at Cape Cod Sea Camps. We will continue to make every attempt to keep the volume at the lowest possible decibels and to make only necessary announcements. We also wish to be a "good neighbor" in the town of Brewster and supportive of the Brewster community. As always, we extend an open invitation to any member of the Board to come and visit camp and tour the grounds. Please meet us at the "Big House" and if we are in session, come join us for a meal in our dining hall!! Just give me a call at camp! We are looking forward to a very successful season in 2015. Thank you for your consideration. $ inc F ly yours, Nanc Garran Exe u ' e Director CAPE COD SEA CAMPS tACIDITE 3057Main Street - P.O. Box 1880 - Brewster, MA 02[31-7880 D,.r p: 508.896.3451 _ f: 508.896.$272 -- info@capecodseacamp5,com - www.capecodseacamps.com Susan Broderick From: Hal Minis <hminisl@gmail.com> Sent: Wednesday, April 22, 2015 11:30 AM To: Susan Broderick Cc: Roger O'Day; Peter& Ellie Johnson; Mark Robinson Subject: BCT Request for fee waiver Attachments: Hay BOS fee waiver.pdf Hello Sue, The Brewster Conservation Trust would like to request the BOS's approval for a fee waiver for a Site Plan Review waiver from the Planning Board. Please see the attached letter request and background information. Please let me know if anything else is necessary.Thanks for your help. Hal Minis Skype: halminis 774-323-0292 1 Sax 268 Brewster, Massw,'h usetls 026,1" The Board of Selectmen Town of Srewster Brewster, MA 02531 ' April 22,2015 Subject.Approval of fee waiver for Site Plan Review waiver Dear Members of the Board of Selectmen, Tne Brewster Conservation Trust has recently purchased the 56 acre tormei'Hay property dt 35 Red Trap Road.Our intention at this point in time, as described in the attached narrative, is to turn the current residence into a small office for the Trust and provide space for the Compact of Cape Cod Conservation Trusts- Hecause we will not alter the structure or change the relationship of the structure to the site and to abutting properties,we will request a waiver of site plan review from the Planning Board,As a r'eeistered 501(c)3 run-profit organization which acts to benefit the Town or Brewster,we respectfully request your approval for a waiver of the$300 fee established for a site plan review waiver. Thank you for your consideration and approval, Hal Minis President � 4 f-, Brewster Conservation Trust Narrative toaccompany application for Site Plan Review Hay/Bir6aeyhouse,3GRed Top Road April 7, 2@15 Background: From June 2014 to March 2015, in three transactions,the Brewster Conservation Trust purchased the 56-acre former estate of John and Kristy Hay from the current owner Packet Landing, LLC (Christopher Birdsey, Mgr.) Mr. Birdsey had purchased the property one year earlier with the intent of building a private residence within the 4.68 acre envelope that includes two, building lots,surrounded by land conserved by cohservation restrictions held by the Town of Brewster and The Compact of Cape Cod ConsemetionTrusts' |nc. (3eeE)ohibits2'2'and3'attached)'TheprupertyislocatedintheRKVzoue. DCT's primary objective in making this purchase was to conserve the entire 56 acnes.The property is one of the largest privately held pieces of undeveloped land in Brewster and includes a variety of ' habitats and special features, in addition to the house vithich was the original Hay residence(and Mr. Birdsey~sresidence for the last year). With the purchase oftheentire parcel, BCT has started toplan for both the use of the house, in a way that honors the Hay legacy as Brewster's"first man of conservation," as well as the considerable orotected |and. The Brewster Conservation Trust: BCT is a 501-c-3 non-profit-trust devoted to conservation and public education.Article U, Purposes, ofthe BCT Declaration ofTrust speaks to the use ofthe Trust's resources "...for the benefit of a 11 the inhabitants of the'l-own of Brewster for the conservational,educational,and scientificpurposesfnrvvhichtheTrustisformod—.° SpeciMcpurposesindudethepreservadonofthe natural benefits and rural character ofthe Town of Brewster by land conservation, establishment of sound conservational practices, providing open space for public education,and sponsoring scientific research on wildlife in Brewster. In practice, BCT has engaged in a variety of educational activities, including co-organizing the annual Brewster Conservation Day with the Town (attended by approximately 800 people last year); producing a guide to Brewster's walking trails, also in collaboration with the fown,-developing an interpretative trail at the Eddy Sisters property on Lower Road, including a 32-page history of the property; and publishing a newsletter which is largely educational in content. VVealso hold landowner workshops, most recently inNovember ZO14, |nthe past,wehave sponsored Brewster children as campers at the Museum of Natural History and provided college scholarships to NausetHigh graduates from Brewster, Proposed change of use: While 8O`sprimary objective inpurchasing the Hay/8irdseyproperty was land conservation,we are also considering how to use the house. Our proposal for the short term is to change the use of the house from residential to non-profit office space for BCT. BCT does not currenfly have an office so the house and outbuildings would be a convenient place to maintain office equipme nt, store records and other documents and our land management equipment(hand tools, mower, trimmer),We also propose to invite the small staff(1.4 FTE)of The Compact for Cape Cod Conservation Trusts to co-locate in the house. The Compact provides technical support to land trusts across Cape Cod and has provided significant conservaVon assistance to the Town of Brewster and BCT, In fact,The Compact is currently under contract toprovide assistance to the Tmwn'sOpen Space Committee and has written millions of dollars'worth of successful grants for th 0- Town over the past 20 years. To make this change in use, we would not alter the physical structure in any way(see Exhibit 4) ,The current east wing of bedrooms would be changed to offices and the living and large bedroom in the ^_ west wing would beconverted togeneral and meeting space. Generally, this would mean daily use of the house by 2-4 people and occasional visitors, In addition theTrust would use the main meeting space forYtsmonth|V8oardofTrustees'meedng(1O-1Ipeop|e5orZhours).Thereioamp|epur0nXspace around the driveway circle and adjacent to the shed to accommodate this traffic. Thedrivevvaywas reviewed and approved by the Fire and Police Depts. in 2014-for proper vehicular accessibility. The septic system was inspected inJanuary, 201S (see Exhibit 5). We believe that this change in use is consistent with our educational mission and will enable Lis to secure the Hay house and the acreage byproviding analmost-daily presence. Over the long term, 8[T ' will consider how the special conservation land of the former Hay estate can be made available to the public and how the house rnay be used to expand our educational program. However, before these future plans are finalized,the Trust will apply for a new site plan review. i F_1II��IIV!!llSl//10//i//i \�o�``� 0 u r , T� Board of Selectmen O s of 9��� Town Administrator T 2198 Main Street Brewster,Massachusetts 02631-1898 eg R P9 Al eo o,�\\\\\\\\\\\ FAX 5 089 896-8896-3701 96 8 089 /////10i11jNIIIIIllll1111AAVAAA" ) APPLICATION FOR ONE-DAY ENTERTAINMENT LICENSE (must be submitted,with application fee, two (2) weeks prior to the date of the event) Applicant's Name: Contact Phone#: q(7 - I'f - Applicant's Address: (09 ��gg.�s��, L6��� 0,�_6. I Type of Event: k I/ Location and Address where entertainment will be hosted if different from Applicant's Address: �01'tea r.ct t;ol L F,a,,1, ®n � ? - Date and hours requested of proposed event: Day: 13 � 3-015 Times: Description of Entertainment proposed, pleaseinclude name of tphe band o(rr DJ if applicable: y T�a-, ,ko o 1 1°- ..T ke, Qf .p !:+ 1 1, j Y): �).1c�, t�r V^'s.'�� 6l) Fr aer. l ��Z�- ,a ,�.�� � J ��rn ue��✓E1 f Will tJ entertainT�wment be performed indoors or outside of buildings? ',, ,A,_ �¢ 4t,e-- }- Will temporary structures be erected (such as platforms, scaffolds, tents, pavilions, etc.) �� If so, please describe wp , ka,,er_ ��� a,t�r� LN JAJ$ %-VV e V- e, ,+k Pew If music is proposed, will it be performedlive? s If music is proposed, will it be acoustic or amplified? (I'd Number of attendees anticipated over course of event 65 Maximum # at any one time: FEE=$35/day/location Signatur AIpp i nt: _. .. . Date: + �) Q C 5 Licensing Authority's Approval: Notices sent: Fee Paid: Date Approved Signature for Licensing Authority Town of Brewster Office°t Board of Salertman 2198 IYlain Street Town Administrator Brewster, MA 02631-1898 o = z Phone: (508) 896-3701 g- -� Fax: (508) 396-8089 y%SY��nl1!l1111 Fee Date Paid Application for"Hawker&Peddler" Transient Vendor Permit In accordance with MGL Chapter 101,Section 5 Applications MUST be received at least 4 Weeks prior to the proposed event date. Applicant's Name&Phone Number: John R. Jenkins 5OR-364-8010 Applicant's Address: P.O. Box 78 [ 361 Parker Road] West Barnstable, MA 02668-0078 Business Name: John' s Dogs and more Name of business owner or parties in whose interest said business is to be conducted: John P. Jenkins Base Business Address/ Location: 361 Parker Road Proposed Business/Location: Drummer Roy Park and/or other special event locations in Rrewst.er. Dates of Activity: Dates as schdduled for special events . Hours of Operation: Hours as scheduled for special events. On the back of this form,please list all specific items for sale and the estimated quantity maintained on the premises (attach'a separate sheet, if necessary) [Menu attached hereto. 1 r April 2, 2015 S"Ignatut ,.o Applicant Date ,F Please note in the fall of 2012 the Town of Brewster passed a bylaw requiring civil fingerprinting for the state and national criminal history screening of applicants for the following municipal licenses: Alcoholic Beverages License (Manager) Hawker&Peddler Ice Cream Truck Vendor All holders of the above listed licenses must be fin erp�mted. Licensing applicants may appear at the Brewster Police Department, located at 631 Harwich Road, for fingerprinting collection on the following days by appointment only; Tuesday evenings between 5pm and 7ppm or on Fridays between 8am and loam. Contact L t. Bausch at 508-896-7011 or by email at fzbaausch,^c—.;.Tto schedule an appointment. - Lt. Bausch Date Payment of Fingerprinting Fees: Fingerprinting fees include federal, state sand local fees. Before being fingerprinted, all licensing applications must pay the statutory fingerprint fee of thirty dollars ($30.00) with a money order or bank check payable to the "Commonwealth of Massachusetts". In addition to a signature, the money order or bank check shall include the name of the applicant hand-printed in block letters. Licensing applicants may pay the municipal fingerprint fee of seventy dollars ($70.00) by check. *The Board of Selectmen will not approve any Hawker and Peddler applications until the results of the state and national criminal history information have been received. This will take a minimum of 2 weeks. BREWSTER POLICE DEPARTMENT Chief Richard I Koch,Jr. 63l Harwich Road Brewster,Massachusetts 02631 Phone 508-806-7011 wwwlrewsterpolice;org Fax 508-896-x-595 CIVIL FINGERPRINTING CONSENT FORM John P. Jenkins , consent to the collection of my fingerprints as part of the application process for the following license: Brewster Hawker & Peddler I acknowledge and understand that my fingerprints will be searched against the database maintained by the Federal Bureau of Investigation. April 2, 2015 (ig tj'�e Date John P. Jenkins Name (printed) "9n J avctr m hi p wi&am ea n wniW) oA� f�'C7 M 0 — a b t-' Gid n K � a+ C4- CD ra n (D Q.� C �.O A� ° (D r! CD E cam+ '"fix ('Da o m 0 (gyp os--•- Z (Q. CD n Q.�' En 0 (D ,. Cl,rel y ,� m m 1 0 o K (D Q.co CA aR p : f M � + UJ "d � �(D (D M Hrm aa � .Cltl Do y( w b �t by Q 0 ro O R y ma xro gib• z'm o a ' v tD En m fi p'0 --m m G m :t j (D OD r4 ' H 0 -O trC G h Y4 m Sy �' :A " N Fj (D O p ' cD ° P) H (9 P' (I ° w D 0 rt �' ►tl (D C-I � � �, � 1O a1 0. N rm�aQ; ¢:a� t-LJ �. a ti n o r+�-h m �1 0 � y mCDD � �, (D K ~ w zO V` Z �+� � �b m rn m A+ (D G .D. -o N CD (� `+((DD d m OD mCD i (DMca � 'm �.�+ O-- m a.m —leG X o p (o POVC w� a aED h.(D =P CA a, m0 p:j 0 0.(D w > o �aRC, 'CAI � GC� m m G (D b � y`( CD b z d o P aED (D CG (D C �,(D 0 (D U] �• n � c � wa'm o o � �D Z Q "0 m 0 N t^ o 0 � O C M r+ C m � � S ea CD tj rA CL t3 C7: ►i cr�+ p (GDro(DP. mmm 0 Y d cllo co (° n w G m C .. c+ co' Q d9 CD cep co w� 'c+-(D 0 (D( n CD 7 I-e ea Signature of Licensee .....I...... ... .,... .................................................................. John 's Dogs - - - 2015 Menu Pricing Breakfast Breakfast Sandwich ........... [Served until 11:30 am only] .............. $ 4.50 Fried Egg with Cheese and choice of Sausage, Ham or Bacon Served on English Muffin {Bagel .50 extra} FrenchToast ......................................................................................... 4.50 With Sausage, Ham or Bacon .............................................. 6.00 Bagel .................. {cream cheese .50 extra} ......................................... 1.75 English Muffin ..................... 1.50 Toast ................................... 1.50 Muffin .................................. 2.00 Donut ................................... 1.50 Fruit .................................... 1.00 Yogurt ................................. 1.50 Dogs HotDog ............................................................................................... $ 2.50 TurkeyDog .............................................................................................. 2.50 KielbasaDog ........................................................................................... 4.50 Big Beef Dog ...... %Ib. all beef .................................................................... 4.50 Burger Dog ....... it's a bacon cheeseburger shaped like a hot dog! ............ 5.00 CornDog .................................................................................................. 3.50 Italian Sausage ............ Hot-or- Mild ... Includes peppers & onions ........... 5.50 Toppings for dogs: ............................................................................ .50 ea. cheese - chili - sauerkraut - peppers & onions - jalapenos Sandwiches Grilled Cheese Sandwich ......................................................................... 3.50 withTomato ....................................................... 4.00 with Bacon or Ham ............................................ 5.00 B-L-T ........................................................................................................ 5.50 TunaMelt ................................................................................................ 5.50 Grilled Chicken Breast Sandwich ... with lettuce, tomato & mayo ............. 7.00 Buffalo Chicken Sandwich ... with lettuce, tomato, gorgonzola & mayo ...... 7.75 Cajun Chicken Sandwich ................ with lettuce, tomato & mayo ............. 7.50 Breaded Chicken Sandwich ........... with lettuce, tomato & mayo ............. 5.00 Filet of Fish Sandwich ........ served with tartar sauce ........................... 4.50 Hot Pastrami Sandwich ...... served with choice of cheese ..................... 7.50 Peanut Butter & Jelly ..... Skippy of course!... strawberry or grape? ......... 3.00 Hamburger ......................... 4.00 Cheeseburger ................. 4.50 BaconCheeseburger ........................................................................... 6.00 Mushroom Swiss Burger ....................................................................... 6.00 Veggie-burger .................... 4.00 Veggie with cheese ......... 4.50 Add to any sandwich: Cheese ..... .50 Tomato ..... .50 Bacon .... 1.50 Avocado ...when available........ 1.00 John's Dogs; 2015 Menu Pricing; Page 1 of 3 Salad Plates & Wraps Garden Salad .................................................. plate: 5.00 Chicken Salad ................................................. plate: 8.00 .... wrap: 7.00 Cape Cod Chicken Salad .................................. plate: 9.00 .... wrap: 8.00 Egg Salad ...................................................... plate: 8.00 .... wrap: 7.00 Ham Salad ...................................................... plate: 8.00 .... wrap: 7.00 Tuna Salad ..................................................... plate: 8.00 .... wrap: 7.00 Shrimp Salad .................................................. plate: 9.00 .... wrap: 8.00 Caesar Salad ................................................... plate: 7.00 .... wrap: 6.00 Chicken Caesar Salad ...................................... plate: 9.00 .... wrap: 8.00 Greek Salad .................................................. plate: 7.00 FruitCup .................................................................................................... 4.00 Chowders & Soups Clam Chowder ................................................ cup: 4.00 .... bowl: 6.00 Corn Chowder ................................................ cup: 4.00 .... bowl: 6.00 Beef Stew .......................................................... cup: 4.00 .... bowl: 6.00 Chili ................................................................. cup: 4.00 .... bowl: 6.00 Soup du Jour ... (prepared) ........................... cup: 3.50 .... bowl: 5.00 Soup du Jour ... (chef's creation) ................... cup: 4.00 .... bowl: 6.00 Specials American Chop Suey ...................................... cup: 4.00 .... bowl: 6.00 Jambalaya ..................................................... cup: 4.00 .... bowl: 6.00 Macaroni 'n Cheese ........................................ cup: 4.00 .... bowl: 6.00 Baked Potatoes ...... {with any two hot or cold toppings} ......................... 4.50 LobsterRoll ................................................................................................ 15.00 Lobster Salad Plate ..................................................................................... 17.50 Snacks Yogurt ..................................................................................................... 1.50 FreshFruit ............................................................................................... 1.00 Brownies ................................................................................................. 1.50 Chips - Cookies - Crackers - Candy ........................................... 1.00 CheeseNachos ........................................................................................ 3.75 Hot Beverages Coffee - Decaf - Tea - Hot Chocolate Small .... 1.00 - Medium .... 1.50 - Large .... 2.00 John's Dogs; 2015 Menu Pricing; Page 2 of 3 Cold Beverages Fountain / Cold Beverages: Small ............ 1.00 Coke - Diet Coke - Sprite - Root Beer Medium .......... 1.50 Lemonade - Iced Tea - Iced Coffee Large ............ 2.00 X-Large .......... 2.50 Assorted Juices: ... ( Apple - Cranberry - Mixed Berry - Orange - V-8) ........ 2.00 Bottled Water ....................... 1.50 Canned Soda ...................... 1.50 Gatorade ............................. 2.25 Milk ....................................... 2.00 Desserts Strawberry Shortcake .............................................................................. 4.50 Ice Cream Assorted pre-packaged novelties .................................... 1.50 -to- 3.00 Hoodsie ................................................... 1.50 Ice Cream Sandwich ................................ 1.50 FudgeBar ................................................. 2.00 Ice Cream Bar ........................................... 2.00 Italian Ice .................................................. 2.00 Orange Cream Bar ................................... 2.00 Screwball .................................................. 2.00 SportsBar ................................................ 2.00 Strawberry Shortcake ............................ 2.00 Fruit Sticks .............................................. 2.50 Dora the Explorer .................................... 2.50 Klondike Original Bar ............................... 2.50 Snow Cone ............................................... 2.50 SpongeBob ............................................ 2.50 Choco Taco ............................................. 3.00 Hoodwich ................................................. 3.00 KingCone ................................................ 3.00 Klondike Krunch ...................................... 3.00 Consuming raw or undercooked meats,poultry,seafood,shellfish or eggs may increase your risk of foodborne illness, especially if you have certain medical conditions. ' Before placing your order,please inform your server if a person in your party has a food allergy. ' Rev. 01-2015 All menu prices include Massachusetts Meals Tax. John's Dogs; 2015 Menu Pricing; Page 3 of 3 A, ����VVVA\A\\111111111111!!II/!jp//� � � ���` �Ft E W :\\\\QF i e Board of Selectmen i Town Administrator — -- a 2198 Main Street ti Lam- F Y� FCORpORA' � Brewster,Massachusetts 02631-1898 (508)896-3701 \\ FAX(508)896-8089 ,i- IhVV. N" PUBLIC BEACH ACCESS PERMIT REQUEST— ' To be submitted to the Town Administrator's Office(2198 Main St,Brewster MA 02631 or by fax to 508-896-8089) a minimum of 21 days prior to the commencement of the requested access. Access permission is granted on a Vt come basis,with only one contractor allowed use of the site at any given time. The following information is required: Name of Public Beach where access is requested aAy,�� nj Name of Entity requesting access I ' ' C—l--\.a:5'� � 1'Y1•G Y^c�1-�ASL Address of entity requesting access 3 © 'IV Alf Contact person for Contractor(s)performing work 'A ,�y ,�C"o;.►:\ k Cell phone# for contact person and Contractor(s)performing work - S, a k -I _ j© � Address of Contractor(s)perfonning work L`1 c, An \n, Vk ��' 1S Owner of property where work will be done HAW" 19-A-(-X�R-1 Address of roperty owner where work will be done dy ,mss Contact information for owner of property where work will be performed Q Ottl Site where work to be done (Map &Lot as well as Street Address—Attach Map w/Lot indicated) Local DEP&Conservation Permit Number (^o _ i c3 `q Please attach a description of proposed work If vehicles, equipment and/or materials are to be stored on public property over night, please attach a list the materials and/or equipment with any vehicle registration numbers. Estimated duration of work S Proposed start and finish dates Aer il 'a, M �\�^ Selectmen's assigned time frame for permission(to be verified by staff) Deadline for completion of work (to be verified by staff) Deadline for Contractor's clean up of site (to be verified by staff) Attach copies Certificate of Insurance Performance Bond or Bank Check for deposit(minimum$10,000) (Funds will be returned after successful completion of work) Receipts of sand delivery showing amount(s) and source(s) of the material This approval is only valid if signed by representatives from ALL 3 departments: Selectmen's Office Conservation Department Dept of Public Works yrs►� _r f /k�tJw�sl�✓1 L 1'J 4-" (.c i t l ✓y�..eQ k �� w►�, S'p erg S /YISuL Ar 1 r-�J y L4-.,) l F b w-yv f From:Rogers&Gray Insure Fax:(877)816-2156 To:+15083982206 Fax: +15083982206 Page 2 of 2 0412312015 3:46 PM ��•� CHAS&ME-01 DPEARSE ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/yYYY)4/23/2015 THIS CERTIFICATE IS ISSUED ASA 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(les)must 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). PRODUCER ( CONTACT NAME: Rogers&Gray Insurance Agency, Inc. PHONE FAX -2156 434 Rte 134 {AIC No.Ext): (A/C,No): (877) South Dennis, MA 02660 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Union Insurance Company INSURED INSURER 8: Cape Sand&Recycling LLC ( INSURER C: P.O.Box 5 I INSURER D: Dennis Port, MA 02639 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBK POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DDNYYY) (MM/DDNYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE N OCCUR CLA509948611 05/05/2014 05/05/2015 I PREMISES Ea occurrence) $ 250,110 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,00 POLICY F—]PRO r LOC I PRODUCTS-COMP/OPAGG $ 2,000,00 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO I BODILY INJURY(Perperson) $ ALL OrED SCHEDULED AUTOOr AUTOS ( BODILY INJURY(Peracdden[) $ NON-OWNED I PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Peracadent) $ UMBRELLA LIABHCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB I AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONI STATUTE I I ETPER H AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N/A E.L.EACH ACCIDENT $ OFRCER/MEMBER EXCLUDED? (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Named Insured on General Liablity Policy: Chase&Merchant Inc and Cape Sand 8 Recycling,LLC General Liability Coverage Includes Additional Insured by Written Contract Endorsement Workers Compensation certificate to be issued by the carrier. CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Brewster THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tow Tow of Street ACCORDANCE 1IMTH THE POLICY PROVISIONS. Brewster, MA 02631 AUTHORIZED REPRESENTATIVE G ©1988-2014 ACORD CORPORATION. All rights reserved. ACn10n,�r,f,�n1Afnl1 T1-nrnRD logo are registered marks of ACORD Received Time Apr, 23, 2015 3: 52PM No. 4144 PUBLIC 13E,&-CH ACCESS PEWV.0 OUE5T To be submitted to the Town Adm istrator-'s oflee (2198 Main St, Brewster MA 02631 or by fa-I to 5086896-8089) a miniannm of 21 clays prior to the co nencement of the;requested access. Access permission is granted oar a Ist come basis,with only one contractor aliowe€i use of the site at any give-n time.The fallowing information is required* Name of Public Beach where access is requested: 1ALL-1 S LaA+M)IQ 6 Name of Entity roguestrng access Anchor Marine Inc ` P O.Box 172 r South Orleans,MA Address of entity requesting access 02662 Contact person for Contractor(s)performing work Cell phone r for contact person and Contractor(s)performing Work Sog 2-to S34 o Address of Contractor(s)performing work Owner of proptm where work will be done 'PARI- fz-ogXS, 90"=(L c,..o�-a- j+arm �Dt"`ar�Sa� Address of property owner where work will be done Lit ,-j'1 6- 1 G44�9PA-l'a UA P39,>4-R— Contact information for owner of property where work will be perform_ed ���,�� fy'p6er~-vs fes' gMass. Gofv-, 'P�a-1 K � s 3 ��JM� I . coy--% � Site where work to be done(Map &Lot as well as Street Address—Attach Map w/Lot indicated) Local DFP & Conservation Permit plumber sir l r °t'}, �'--�i� y 14 a Please `ash&o- r' a de$CPptioD of pr'opostki v;Tork if vehicles; equipment and/or materials are to be stored on public property over night,please attach a list the materials and/or equipment with any vehicle registration numbers. Estimated duration of work 5 r,>" 5 Proposed start and finish dates Selectmen's assigned time frame for permission(to be verified by staff) Deadline for completion of work(to be verified by staff) Deadline for Contractor's clean up of site (to be veiified by stat Attach copies Certificate of Insurance Performance Bond or Bank Check for deposit (minimum $20,000) (Funds will be returned after successful completion of work) Receipts of sand delivery showing amount(s) and source(s) of the material This approval is only valid if signed by representatives from ALL 3 departments: Selectmen's Office Conservation Department Dept of Public Works 1 ONAL INSURANCE CQMPAN� WA�SHING'rON INTERNATI fond No. 9169942. p0 Box 172, South Orleans, Anchor Matixre, �. SE PRESENTS, that��atio r fiance Company, a New Hampshire KNOW ALL BY TKE 'Md W.as� on St., Brewster, MA 02631 }yam 02662 as PrindBall ood and lawful held and firmly bound unito Town ®f Br�100 Dollars (M$�,040.Oa), g �d corporation, are penal sum of Ten Th aw,, and well to be made, we bind ourselves, as Obligee, in the p ent , €which well anfid1y bYy mese presents money of the United States, far pa oy indy and severally, ators,� our heirs, executors, ad-a� tr Lots/Landing5-- gEAS, the said Principal has applied to said Obiigee for a Parking al shall "�� SUCH, that, �Principal CONDTTION OF THIS OBLIGATION NOW THEREFORE,THE revisions of all Laws or Ordinances of Obligee, NOW comply with the p then this obligation shall f �ruliy observe and honestly which licensepe issued, regulating the business n m full force and effect. otherwise to be and da ofM� 2015_ Signed, sealed and dated this 191h Y PROVIDED HOWEVER= the date of expiration of any Continuation Certificate executed ® This bored shall c2016 or Until the UntillVlarch 19, . by the SuretY- ovided. tin to the Obligec, stating � Until cancelled as herein prod by vided' Surety by sending notice m writing ent acts or This band may be cen days thereafter,liability shall terminate as to subsequ when not less then ten day _ --- -- ---- Omissions of the Principal• -- Anchor Marie -- _ (P }} .(se Wasbi'gtonInternationalInmance Company _ h. (se in Fac �. Alys a R. -ehael, Attorney- t 1 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE CON-WANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly Organized and existing under laws of the State of3�lew Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Visofth Company,s corporation ,and organized and existing under the laws of the State ofNew Hampshire and having its principal office in the City of Schaumburg.Illinois,each does hereby make,constitute and appoint_ WILLIAM L.LABBE,JOHN J.FEITELBERG,CA`THERD'E H_LAWRENCE, ANNE M.HIGGINBOTTOM,BARRY J.HORGAN and ALYSSA R MICHAEL JOH,rMY OR SEVERALLY lis true and lawful Attarney(s)-in Fact,to make,execute,seal and deliver,forwr and on its behalf and as its act and deed,bonds or other itings as surety,on contracts ty suretyship d are er may ut required ll permitted by obligatory in the nature of a bond on behalf of each of said Companies, law,regulation,contract or otherwise,prodded that no bond or undertaking or contract or suretyship executed tinder this authority Shall exceed the amount of: FWTY MULLION($50,000,000.00)DOLLARS the Boards of This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutionsrits opted by�led and held Directors of both North American Specialty Insuraztce Company and Washington International Insurance Company gs Y on the 9ffi of May,20t2: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President any Vice President,any AssistantttVOrne reed the Secretary or any Assistant Secretary be,and each or any of them he�rennby is ertaktngstand all n�acts of surety,and that each or any of them in the given Power of Attorney to execute on behalf of the Company hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the Seal of the Company; and it is gR RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney of to any cer 6ficate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such oacsoim�Ctg qty to which itures or is attachseal ed'e binding upon the Company when so affixed and in the future with regard to any bond,undertaking il altuullrflbi� ��'¢�a�4� 'fir {D'SEAL Me By MIC2 v_hnda:nn.S�■r Vra Prrsidmr orwsshimgtnm lrttcewGoa■1 lmrmrtnee Company Not aSGnf. .�, t[I73 M= &se9crv-=e Fmidmr orNorlh Amrrinc SpealaG3'[usors■cr P+nY p■ y NL t,■yrq■u.Via Prrsdcnt orwssLm¢lmn lnterm imnot tm u mice Cmmpany &Vice President■rNorir•AuWAi Spechdty lmsur =Co`Pff"r IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this20� day of rime 20 he . North American Specialty Insurance Company Washington International Insurance Company State of Illinois ss: County of Gook June 27012,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of On this f th day of Washington International Insurance Company and Scnior Vice President ofNorth American Specialty Insurance Company ComDaanvid M_Lavtnan Vice President of Washington ho b me duEl�ymsvnce Company and rorn acknowledged tce thatthey signed the above Power £Atta Aof'North American Specialty ttorney as officers of and personally known to me, g Y acknowledged said instrument t0 be the voluntary act and deed of their respective companies_ r�mlyol FICIALSF6r„ NNA D.SKLENS Public uuy Public,sum orlttino s Donna D.Sktens,Notary iia Exphts loIiE wot5 of North American Specialty Insurance Company and Washington L Jeffrey Goldberg _ the duly elected Assistant Secretary rue and _ f a power of International Insurance Company,endo hereby wash that the international above and foregoing pang,which is sill in full force and effect Y green by said Hort y 0 American Specialty Insurance Company and IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 19th daf March ,20 15 le int vtceP gnu&Assh=Sma" AA—i—Specialty l—C—"'y RrggrRKmsLonat tasm��+:.mm(Nn ZmassDOT C E RT I F I CAT E OF R E G I ST RAT I O ty ReylR.y.11 .. M.G.L. Chapter 90 Section 24B makes it a crime to alter this Certificate RMV Division PLATE TYPE R£GISTRATI7d NUTA r-A REGISTRATION TYPE EFFECTIVE DATE EXPIRES r.!Otrrr! YEAR —RANSACTIOtl NUMMR CON l G11575 ( COMMERCIAL 01/01/15 LAST DAY oF 12 15 02434901290701 MFRS ASOOELYEAR h1A.'fE L BOD7$T7CE:TYP£ COLOR IF VEHICLE TOTA_REGISi ZRO Not valid without official CARRYING 4WEIG3 FORA 200' DEER IMODELOAD TRACT YELLOW signature of Registrar PASSENGERS CO&IMIAL V21410-E FOR HIRE: OR TRAILER. VEHICLE IDENTIFICATION NUMBER INSU:+AN ECOMPANYTYLE Nu' - REGISTRAR MAXIAIUlA NUMBER OF SU DW624HX587293 ACADIA INRANCEJ $A702934 �T - PASSENGERS r p p` THAT CAti BE RESIDENTIAL ADDRESS !IF DIFFERENT, `X SEATED. 034000 MVAEIS)OF OWNCS(S)AND LIAIL1DG ADDRESS FE=ES IIIII�IiIIIIIII�II III�I�l111IIII1111111t1f 11�1111�11iilllil11111 REGSTRAMN 680.00 •-*T***AIr10* 5-DIGIT 02535 005426 TITLE 0-00 ANCHOR MARINE INC PO BOX 172 sPECAtPLATES 0-00 SOUTH ORLEANS MA 02662-0172 SALESTAX 0 .00 TOTAL 680.00 MASSACHUSETTS DEPARTMENT OF TRANSPORTATION REGISTRY OF MOTOR VEHICLES DIVISION The records of the RMV database constitute the official status of the vehicle registration. SPECIAL MESSAGE_ IF THIS VEHICLE IS NEWLY ACQUIRED, IT CHANGE OF ADDRESS MUST BE INSPECTED WITHIN SEVEN (7) DAYS OF REGISTRATION. STREET ADDRESS CITY_STAT=.21F CODE important Information for Vehicle Owners • Every person operating a motor vehicle shall have the Certifi- • Return the registration plates to the RMV immediately if: cate of Registration for the motor vehicle and for the trailer,if any,and his/her license to operate,upon his/her person or in - The vehicle has been sold or junked and the registration is not. the vehicle,in some easily accessible place_ going to be transferred to another vehicle_ Keep a Copy of the Bill of Sale, Title, and completed Reassignment of Title for your • By law,you must report any change of address to the RMV within records to document the transfer. 30 days in writing. Address changes can be made on the RMV You move to another state and you register the .. website:www.massrmv.com or by mail to:RMV.P.O.Box 55889, µ.�. Boston,MA 02205-5889.Once you have reported the address vehicle in that state. change to the RMV, please write corrected address in box _ The insurance policy is not renewed or is cancelled provided above. and there is no plan to obtain a new policy_ Transferrina Your Plates: Massachusetts law (M-GL Chapter 90, Section 2) allows you to transfer valid registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance and a new registration. All the following must be met_ 1.You are at least 18 years of age and you own the motor vehicle or trailer identified on this Registration Certificate.2.You transfer ownership of this vehicle to another person or permanently lose possession of it (such as through repossession, etc.); 3. The newly acquired vehicle is of the same vehicle type (passenger vehicle to passenger vehicle, trailer to trailer etc.); the same registration type (passenger to passenger, commercial to commercial); and has the same number of wheels: and, 4. The seller and buver properly complete the Assignment of the Certificate of Title (for the newly acquired"used"vehicle) or Certificate of Origin (it a"new"vehicle)_ If all the above are met,you may operate the newly acquired vehicle with the transferred plates up to 5:00 pm of the 71h calendar day following the date of transfer(or loss of possession). The day of transfer or loss is day#1. During that 7 days,you must carry the Bill of Sale(or the dealer's Purchase Contract)for the newly acquired vehicle and this Registration Certificate when operating the vehicle.See FAQs About the Seven-Day Registration Transfer Law on the RMV's-website at www.massrmv.com. No Insurance Card Required= Massachusetts's law does not require an Insurance card. The law, M.G.-L. Chapter 90, Section 34A and Chapter 175, Section 113A requires the vehicle's owner to maintain a compulsory motor vehicle insurance policy or bond for bodily injury coverage and property damage insurance. If an insurer is identified on the face of this Registration Certificate, it is required by law to electronically notify the RMV (Registry of Motor Vehicles) if coverage lapses. The vehicle owner is then notified by the RMV to obtain new insurance within 10 days or the registration will be revoked. Bonds are filed with the State Treasurer's Off ice_ BE FiRST iN LINE BY GOING ONLINE AT WWW.MASSRMV.COM Schedule a Road Test Request a Duplicate Title NEED TO VISIT AN RMV OFFICE? Renew Your Driver's License Request a Duplicate Registration Renew Your Registration Change Your Address SAVE TIME Pay Citations/Court Hearing Fee Cancel My Plate/Registration Complete Your Replace Your Driver's License Order a Special Plate Application Online! ViSiT OUR WEBSITE FOR A FULL LIST OF AVAILABLE TRANSACTIONS y ' ��. - ��47Ga�ptain r un,bar Rd, B��ewster,,� MA 06,; ' �� f -= - , 4'� CaptfainxDun�ar Rd; Brewster, MA102631 .. .. 5,1.�CaptF- �n Dunbar Rd, Brews On earth _ 0 smeters ANCHOR MARINE INC. Quality marine construction since 1968 CHRISTIAN J.NORGEOT •+� — P.O.Box 172 South Orleans,MA 02662 Attention Jillian Douglas Town Administrator's Office Site where work to be done: 41,47 and 51 Captain Dunbar Road, Map 7, Lots 14,15 and 16 Proposed work: sand nourishment 60 cubic yards rock wall repair(reinstall rocks that have moved) We will be using a rubber tired front end loader and a mid sized tracked excavator. Overnight Storage: We will be storing a rubber tired front end loader and a mid sized tracked excavator and 60 cubic yards of sand during the project. Start/Finish/Duration/Dates/Times: This is at most a 5 day job, we are currently working with Jim Gallagher as to an appropriate week. anchormarineine@ aol.com Chatham: 508-432-2656 Orleans: 508-255-2577 Fax: 508-432-2657 Client#: 148604 ANCHORMARI ACORD DATE(MMIPPIYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/23/2015 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(les)must 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). PRODUCER COOMEACT Amanda Pepin HUB International New England (A//CC.No,Ext): (111`,Ne}: 866-379-3254 222 Milliken Blvd ADDRESS: m �p SS: aanda. In hubinternational.com ADDRE Fall River,MA 02722 ` INSURER($)AFFORDING COVERAGE NAIC# 508 235-2200 I INSURER A:Union Insurance Company 25844 INSURED - I INSURER B:Acadia Insurance Company 31325 Anchor Marine,Inc. INSURER C P.O.Box 172 INSURER D: S_Orleans,MA 02662 INSURER E INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. NSADDL SUER' POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYYI [MWDDIYYYY) A GENERAL LIABILITY CPA003944426 03/26/2015 03126/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY i PREMISES[EaaE�rrence} $300,000 CLAIMS-MADE Fil OCCUR MFD EXP(Any one person) $155,000 PERSONAL&APV INJURY $1,000,000 GENERAL AGGREGATE $2,000,004 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY MAA003M724 03/26/2015 03/26/201 COMBINED SINGLE LIMIT 1,000,000 fEa accident! $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY X HIRED AUTOS }( AUTOS NON-OWNED WeraockdentDAMAGE $ AUTOS B X UMBRELLA LIAB H OCCUR CUA003944523 03/26/2015 03/26/201 EACH OCCURRENCE $,000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $1,000,000 DEO I I RETENTIONS $ WORKERS COMPENSATIONISSUED BY I WC STATU- 1OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE Y I N CARRIER I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Town of Brewster is listed as Additional Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Brewster SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2198 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Brewster,MA 02631 AUTHORIZED REPRESENTATIVE ©188$-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD ftS13672241M1349540 MV002 Susan Broderick From: Kathy Lambert Sent: Friday, April 24, 2015 12:07 PM To: Susan Broderick Subject: surplus request& govdeals Attachments: IMG_0289jpg;IMG_0290jpg;IMG_0291jpg; IMG_0292jpg;IMG_0293 jpg;IMG_ 0294jpg; surplusaprill5.docx Please add the attached "surplusaprill5" document to action items to have an old server and printer listed as surplus. Once the selectmen approve this, please put the following ad on Gov Deals: Used Computers, Printers,and Assorted Equipment. Lot of used computer equipment including 15 Dell Dimension Desktops, 2 IBM Desktops, 1 T310 Server, 2 scanners, 7 flat screen monitors, 12 printers, 3 10/100 switches, 1 KVM switch, and 1 netbook. Equipment is sold as is and may or may not be operable and/or may have hidden defects. Computers may have hard drives, memory, or other components removed and/or erased. 1 xa%IWIIIIWIIH / �f`°eaE_Ws, , TOWN OF BREWSTER OFFICE of � 0� Im'+�4��`y INFORMATION TECHNOLOGY 2198 MAIN STREET BREWSTER,MA 02631 0 - = 6£ PHONE:(508)896-3701 EXT 1131 FAX:(508)896-8089 u/u/unlWwlilnn o�"aa\ BREWSTER@BREWSTER-MA.GOV Please declare the following computer equipment to be surplus for sale or disposal. HP Laserjet 400 color—broken fuser, cheaper to replace than repair. PowerEdge T310 Server Serial 9HKR4M1. Server is 5 years old and the hard drive RAID controller is not compatible with Server 2012. Drives removed to provide spares for our backup server. Thank You, Kathy Lambert WWW.BREWSTER-MA.GOV