CAFE VALVERDE OUTDOOR CAFE PERMITr
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SALEM REDEVELOPMENT AUTHORITY
OUTDOOR CAFt PERMIT
Preamble
The Salem Redevelopment Authority encourages the development of outdoor cafes within
the Heritage Plaza East and Heritage Plaza West Urban Renewal Districts to enhance the
visitor and shopper experience in Salem and to assist in improving the economic viability of
downtown businesses.
This Permit process is designed to ensure that Salem's unique architectural and cultural
features are protected as outdoor cafes develop and to provide a consistent set of conditions
for all outdoor cafes. As such,the SRA shall allow outdoor cafe uses within the Urban
Renewal District,subject to the following conditions:
1. All tables and chairs,as well as the surrounding area,must be maintained in a clean
and safe manner.
2. Restaurants must provide to the SRA proof of liability insurance which covers the
outside seating areas.
3. Restaurants must receive approval for outdoor tables from the Salem Licensing
Board and the Board of Health.
4. The design of all outdoor tables and chairs,and trash receptacles,must be reviewed
by the Design Review Board and approved by the SRA.
5. Seating areas must be of a size large enough to accommodate safe,easy and
uninterrupted pedestrian travel,as well as access to and from tables. Since the size of
tables and seating areas may vary, the SRA reserves the right to determine whether or
not adequate space exists for the creation of an outdoor cafe.
6. All tables and chairs must be safely secured in a vandal proof manner or must be
brought inside every night. The storage or security system must be approved by the
SRA.
7. All outdoor cafe permits will be issued to restaurants for a one-season trial period.
During this time period restaurants will be closely monitored by all appropriate City
departments and agencies to ensure that they comply with the provisions of this
policy. Following completion of a satisfactory outdoor season,the SRA shall issue an
outdoor cafe permit to the restaurant annually.
8. Outdoor cafe permits may be revoked by the SRA for non-compliance with the
provisions of this policy,at any time.
By signing below, I certify that I have read and understand the provisions listed above and I
agree to comply with all the requirements of this permit and any attached plans which are
mandated by the Salem Redevelopment Authority.
Signed and sealed this—,D?> day of 2000
al Redevelopment Authority ` Petitioner "�
P E33/15/2010 16:36 97B-777-9804 JOFN J DOYLE INS PACE 02/02
ACORD, CERTIFICATE OF LIABILITY INSURANCE 04%15""/20 0
PRODUCER (978)777-6344 FAX (978)777-9804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
John 7 Doyle Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
85 Constitution Lane HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Danvers, MA 01923
INSURERS AFFORDING COVERAGE NAIL#
INSURED Cafe Val verde Coffee Roasters LLC INSURER n: Safety Commercial
196 Essex Street INSURER B:
Salem, MA 01960 wsuRERc:
INsuRER D'
NSURER E
Qg_VERAGE-3
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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR D' TYPE Or INSURANCE POLICY NUMBER POLICY EFFECTIVEPDUCYEKPIRATIO LIMITS
GENERAL LIABILT' BF00013023 12/04/2009 12 04/2010EACH OCCURRENCE S 1,000 00
X COMMERCIAL GENERAL LIABILITY OAWGETORE
CIAIW$MADE aFP OCCUR MED EXP(Any ane penan) 13 In OO
A PERSONAL 3 ACV INJURY $ 1,000,000
GENERAL AGGPGOATE 3 2,000.00
GBJL AGGREGATt pLLRIIMIT APPLIES PER: PRODUCTS-COMP/OP AGG f 2,000 OO
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
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DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEMCLE91 EXCLUSIONS AOBEO BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICAIEANCELWIQtL—
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EKPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City Sal em OATS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HAMM TO THE LEFT,
Department of Planning & Community
Tom Daniels BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
93 Washington Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Salem, MA 01970 AUTHORIZED REPRESENTATIVE
John Doyle
ACORD25(20011D8) FAX: (978)740-0404 (PACORD CORPORATION 19&
Pti4/15(2010 16:36 976-777-9804 JOHN J DOYLE INS PAGE 01/02
John 9, Doyle Insurance .Agency
85 Constitution .bane Ste. 2-9f
(Danvers, M. 01923
(Phone: (918)777:6344
(Far,• (978)777-9804
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( 4/21/2010 09:34 978-777-9804 JOHN J DOYLE INS PAGE 01/01
PATE II 0xYYYYI
,A-C-OM CERTIFICATE OF LIABILITY INSURANCE 04/1S/2010
PRODUCER (979)777-6344 FAX (978)777-9804 ONLY AND ICON ERICATE S NO RIGHTS UPON�THE CEIR ERTIFlCATE ON
John J Doyle Insurance Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
SS Constitution Lane ALTER HE COVE GE AFFORDED BY THE POLICEES BELOW.
Danvers, MA 01923 INSURERS AFFORDING COVERAGE NAIC N
WSURERA: Safety Commercial
NsuRED a Va ver a Co ee Roasters LLC INSURER&
1% Essex street INSURER C:
Salem, MA 01960 INSURER O:
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THE ANY PQLICE REQUIREMENT. J ICE ORLCONDITION OF ANY CONTRACT OR OTHER DocumEDM wITH RE9 ECTOTO WH CHLTIMIS CCERTIFICATE MAY BEI SUED AR O
FOLIC EMAY 9 AGGREGAIN,THE!ATE
LIMITS RANCE AFFOOIW ED BY THE
BEENREDUCEDRED DUCED DESCRIBED
BY HEREIN LAIMS,SUBJECT TO ALL THE TERMS•EXCLUSIONS ANO CONDITIONS OF SUCH
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INSR W' TYFE OF INSURANCE POLICY NUMBER
POLICY EFFECTNE POLICY EXPIRATION LIMITS
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X GOMMERCIALGENERALLIABILRY VIED EXP(Ally pNPADpnI S 10,00
CLAIMS MADE ❑X OCCUR PERGONAL&ADV INJURY $ 1 U00
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DESCRIPTION OF OPERATIONS I LOCATIORSIVEHICLESI EXCWBIONS ADOEO BY ENOOR&dev 19PECIALPRO uth
dditional insured: City of Salem and the Salem Redevelopment Authority
eneral Liability extends to tables outside the establishment
T
75alem,
SEIOVLO ANY OF THE ABOVE DESCRIBED POLICIESSE CANCELLED DEPOSE TME
EXPIR,ow DATE TIEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
_L0 DAYS WRITTEN NOTICE TO THE CERTFIOATE HOLDER NAMED TO THE LEFT,
of Planning & Community BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY HIND UPON SURER. NIS R ESENTATDFq
on street AUTRORIYBD REFRES A VE
1910 John Do le
ACORD 25(20011013)
FA) : (978)740-0404 PACORPORATION
C D T9f
ANikk Safety Insurance RECEIVED E C E l VED
P.O. Box 9114 L•,LJ
/ Boston,MA 02110 APR 2 9 2010
1-800-951-2100
DEPT OF PLANNING&
COMMUNITY DEVELOPMENT
Following Policy Set for:
CITY OF SALEM
SALEM REDEVOLPMENT AUTHORITY
93 WASHINGTON ST
SALEM, MA 01970
Reason for Policy Set Copy:
Additional Insured
Policy Set
Mailer Sheet
SI1 AI 001
BP00013023
PWSafety Insurance Company
d10
d
-P
20 Custom House Street
Boston,MA 02110 Businessowners Policy
1-800-951-2100 Amended Declaration
Direct Bill - Insured Add Additional Insured Declarations Effective 04/ 15/ 10
BP0001 09 1 12/04/-1M1 12 : 01 AM STANDARD TIME 61917
Iawed r ed.
Ri*i.�.*'.
am
CAFE VALVERDE COFFEE JOHN J DOYLE INS . AGENCY , INC .
ROASTERS LLC 85 CONSTITUTION LN RM 2-H
196 ESSEX STREET DANVERS, MA 01923
SALEM, MA 01970
Phone : ( 978) 777-6344
Form of Business: Corporation
Business Description: Coffee Bars or Shops
ED return for the payment of the premium,and subject to all of the terms of this policy,including forms
and endorsements made a part hereof,we agree with you to provide the insurance as stated in this policy.
COVERED LOCATION(S)
LOC:001,BLDG 001: 196 ESSEX STREET,SALEM,MA 01970
PROPERTY
This policy contains a S500 deductible unless otherwise specified (see additonal coverages section).
LOC I BLDG COVERAGES LIMITS OF VALUATION AUTOMATIC
NO NO INSURANCE CLAM INCREASE
001 001 Building $25,000 Replacement Cost 04 %
001 001 Personal Property $20,000 Replacement Cost 04 %
LIABILITY AND MEDICAL EXPENSES
Fxct-pt for Fire Legal Liability,each paid claim for the coverages listed reduces the amount of insurance we provide
during the applicable annual period. Please refer to Paragraph DA.of the Businessowners Liability Coverage Form.
DESCRIBED COVERAGES LIMITS OF INSURANCE
LIABILITY $1,000,000 PER OCCURRENCE
MEDICAL EXPENSES $10,000 PER PERSON
FIRE LEGAL LIABILITY $100,000 ANY ONE FIRE III EXPLOSION
ADDITIONAL COVERAGES / OPTIONAL COVERAGES - PROPERTY
The following additional/optional coverages are afforded under this policy.
Some coverages are subject to deductibles specified in the policy forms.
LOC NO I BLDG NO DESCRIBED COVERAGES I LIMITS OF INSURANCE
ADDITIONAL COVERAGES / OPTIONAL COVERAGES - LIABILITY
The following additional/optional coverages are afforded under this policy.
DESCRIBED COVERAGES I LIMITS OF INSURANCE
PREMIUM
\Tinual Premium $642 Change in Premium $22
Special Interest Copy AUTHORIZED REPRESENTATIVE
PAGE 1 04121/10 (Print bate)
'dM'h" Safety Insurance Company
20 Custom House Street
Boston,MA 02110 Businessowners Policy
1-800-951-2100 Amended Declaration
Direct Bill - Insured Add Additional Insured Declarations Effective 04/ 15/ 10
;a---6.
--6-41t-' 600"
BP00013023 12/04/09 12/04/10 12 :01 AM STANDARD TIME 61917
CAFE VALVERDE COFFEE JOHN J DOYLE INS . AGENCY , INC .
ROASTERS LLC 85 CONSTITUTION LN RM 2-H
196 ESSEX STREET DANVERS, MA 01923
SALEM, MA 01970
Phone : ( 9781 777-6344
MORTGAGEES / LOSS PAYEES / ADDITIONAL INSUREDS:
LOC # I BLDG # I TYPE I NAME AND ADDRESS
001 001 Additional Insured BP 04 48
CITY OF SALEM
SALEM REDEVOLPMENT AUTHORITY
93 WASHINGTON ST
SALEM,MA 01970
Policy Forms and Endorsements
BP 00 09 01-97 Businessowners Common Policy Conditions
BP 0108 03-98 Massachusetts Changes
BP 04 17 01-96 Employment Related Practices Exclusion
BP 04 19 06-89 Amendment-Liquor Liab ExcI-Excpt for Schedule
BP 10 04 04-98 Exclusion of Certain Computer-Related Losses
BP 10 05 04-98 Exclusion-Year 2000 Computer Related Losses
IL 00 03 04-98 Calculation of Premium
SB 00 02 11-99 BOP Special Property Coverage Form
SB 00 06 11-99 BOP Liability Coverage Form
SB 05 14 05-04 War liability Exclusion
SB 05 17 0447 Silica or Silica-Related Dust Exclusion
SB 05 18 0447 Asbestos or Other Respirable Dust Exclusion
SB 05 76 11-02 Limited Fungi or Bacteria Coverage(Property)
SB 05 77 11-02 Fungi or Bacteria Exclusion
SBM[001 06-01 Equipment Breakdown
BP 04 30 01-96 Protective Safeguards
Loc#001 Bldg#001
Sprinklered
BP 04 39 01-96 Abuse or Molestation Exclusion
BP 04 48 01-97 Additional hisured-DLsig Person or Organiz
Special Interest Copy
PAGE 2
Safety Insurance Company
20 Custom House Street
Boston,MA 02110 Bus i nessowner s Policy
1-800-951-2100 Amended Declaration
Direct Bill - Insured Add Additional Insured Declarations Effective 04/ 15/ 10
ol>cY erioq
- 70 '; eoyinning and:Ending at ; AgentGode
BP00013023 /04/10112 : 01 A.M. STANDARD TIME 61917
IrGd tnsttreral and� Agent
CAFE VALVERDE COFFEE JOHN J DOVLE INS . AGENCY , INC .
ROASTERS LLC 85 CONSTITUTION LN RM 2-H
196 ESSEX STREET DANVERS, MA 01923
SALEM, MA 01970
Phone : ( 978) 777-6344
Policy Forms and Endorsements
BP 17 03 01-97 Condominium Commercial Unit-L)&s Assessment
Loc#001 Bldg#001 Limit$25,000$500 Deductible
SB 05 34 11-02 Limited Exclusion of Acts of Terrorism
Premium has been waived for this coverage.
SB 05 42 11-02 Exel of Punitive Damages Related to Terrorism
SE 00 01 I1-99 Safety Enhancement Endorsement
STN 103 02-03 Notice of Terrorism Insurance Coverage
Speeial Interest Copy
PAGE 3