Loading...
HomeMy WebLinkAboutHoliday Inn - 12/31/2019q �, Commonwealth of Massachusetts Town of Mansfield Board of Health Town of Mansfield 6 Park Row Mansfield, MA 02048 Permit to Operate a Food Service Establishment Type: FOOD SERVICE ESTABLISHMENT In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws, a Permit is hereby granted to:. GAUTAM SHARMA, PRESIDENT Whose place of business is: HOLIDAY INN FOXBORO -MANSFIELD 31 HAMPSHIRE STREET PERSON(S) IN CHARGE: TRICA PUTIGNANO, GENERAL MANAGER Permit Expires: December 31, 2019 Food Fee: $300.00 License Number: FS -35 BOARD OF HEALTH Milk & Cream MichaeCHeatey, Chairman 11, FOR BOARD OF HEALTH USE ONLY Permit # Issued FOOD ESTABLISHMENT PERMIT APPLIGA I IUN must be submitted at least 30 days before the planned o (Application & . Establishment Name: lz<A/ ! ��C� DEC f Establishment Address: c3/ Establishment Mailing Address(if different): /)J11 ld I'm ambo Establishment Telephone No.: ; Applicant Name & Title: Applicant Address:/f�i�5'Gj�/� '�- Applicant Telephone No.: %71V61111'/ M19 24 Hour Emergency No.: Applicant E-mail: Owner Name & Title (If different from applicant): Owner Address: Owner Telephone No.: Owner E-mail: Establishment Owned By: If a corporation or partnership, give name, title, and home address of officers or {s An Association partner. ® A Corporation Namei / Title Address r� An Individual 0 A Partnership Other legal Entity Person Directly Responsible For Daily Operations (owner, person in charge, supervisor, manager etc.) Name & Title: /n PbAA rwlx) &' ml -mf Mi ap-- Address: �'Sf JI 24 Hour Emergency No: Telephone No: /jIW /)f �C/� , r �� 7 FAX: E-mail: ` l f y-h&YO. 6 Alt E -Mail District Or Regional Supervisor (if applicable) Name & Title: Address: Telephone No: 24 Hour Emergency No: FAX: E-mail: Food Establishment Information WATER SOURCE: 4) SEWAGE DISPOSAL: No. of Food Employees: ' 5 DEP Public Water Supply No: (If applicable) DAYS/HOURS: Name of Person In Charge Certified in Food Protection Management If more than 3 Individuals are certified, complete list is on file. Person Trained in Anti -Choking Procedures (if 25 Seals or more): Location: ❑Q Permanent Location ® Mobile Mobile Start Date: Establishment Type ; Retail ( Sq. Ft) ® Caterer $35.00 9hilk & Cream $10.00 Mobile End Dale: Mobile Comments: ® Food Service up to 100 INCLUDING FOOD TRUCKS $175.00 Food Service up to tot -200 $250.00 ® Mobile Food Consession NO PHF PREPARED ON SITE $100.00 Manufacture Frozen Desserts/ice Cream $25.00/freezer VnnLang h of Permit: ual Food Service up l0 201 + $300.00 Q Pushcart $50.00 # of Pushcarts: Seasonal Seasonal Dales: ® Supermarkets $400 ® Residential Kitchen $100.00 EN Retail Food $125.00 ifi Retail Snack Food $50.00 ® Temporary Temporary Start Date: Temporary End Date: Temporary Time: _ Rein Date: Operations Food O p (Check all that apply): Definitions:PHF - Potentially hazardous food (dmekemperatum controls required) Non-PHFs-non-potentlelly hazardous /oodfno tlmellemperalure controls required) RTE-reedy-fo-e t foods (Ex, sandwiches, salads, muffins which need no furtherprocessing) ® Sale of Commercially Pre -Packaged Non-PHFs HFCooked To Order eld ® Hot PHF or More ThaneCooledd and s Single Mea) Seryor ice ce ❑ff Sale of Commercially Pre -Packaged PHFs Preparation of PHFs For Hot And Cold Holding For Single Meal Service Q PHF and RTE Foods Prepared For Highly Susceptible Population Facility nu Delivery of Packaged PHFs ® Reheating of Commercially Processed Foods for Service Within 4 Hours Q Sale of Raw Animal Foods Intended to be Prepared by Consumer I] Vacuum Packaging I Cook Chill l� Use of Process Requiring A Variance and/or HACCP Plan (Including bare hand contact alternative, time as a public health control) F Customer Self -Service of Non PHF and Non- Perishable Foods Only ® Customer Self -Service © Ice Manufactured and Packaged for Retail Sale I] Juice Manufactured and Packaged for Retail Sale ® Preparation of Non-PHFs Other Food Operations ® Offers Raw Or Undercooked Food Of Animal Origin ® Prepares Food/Single Meals for Catered Events or Institutional Food Service O#ars RTE PHF In Bulk ouantllies M Retail Sale of Salvage, Out -Of -Date or Reconditioned Food To be completed by the Board of Health Total Permit Fee: Payment is due with application sx waived I, the undersigned, attest to the accuracy of the Information provided in this application and 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 59(0.000 and the federal Food Code. Signature of Applicant: Pursuant to MGL Ch.62C, sec. 49A, I certify un and paid slate taxes required under law. Signature of Individual or Corporate Name: Social Security Number or Federal ID: er the penalties of perjury that I, to my best knowledge and belief, have flied all slate lax returns TAX CERTIFICATION FORM I cerlil'y under the penalties of perjury that 1, to my best knowledge and belief, have filed all State "fax Returns and paid all State Taxes required under law, Signature of Individual or Corporate Name By: Corporate Officer (Mandatory, IF Applicable) Social Security Number (Voluntary) or Federal Identification Number" This license will not be issued unless this Certification clause is signed by the applicant. **Yotu Social Security Number will be furnished to the Massachusetts Department of Revenue to detcrminc whether you have met tax filing or fax payment obligations. Licensees who Fail to correct their non -filing or delinquency will be subject to license suspension or revocation This request is made under the authority of Massachusetts General Law Chapter 62C, Section 49A. '\ The Commonwealth of Massachusetts Deparinlent oflndastrialAccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.inass.gov/dirt Workers' Coupensalion Insurance Affidavit: General Businesses. TO B10 FILED WI'I'kI'I'HE PERMITTING ANIIOItTI'Y, Applicant In -formation ` I Please Print Legibly Business/Organization Nante: V S I O N City(State!Zip; _M RNS F 1 t L tMA OZ 01Phone #:_50 t Are you an employer? Check the appropriate box: Business Type (required): 1,0 � 1 am a employer with �"—L employees (full and/ 5. ❑ Retail 2. ❑ orpari-time).* I am a sole proprietor or partnership and have no 6. Restaurant/Bar/Bating Establishment employees working for me in any capacity. 7. [] Office and/or Sales (incl. real estate, auto, etc.) [No workers' comp. insurance required] 8. ❑ Non-profit 3. ❑ We are a corporation and its officers have exercised 9. [1.Entertainment- their right of exemption per c. 152, §1(4), and we have ME] Manufacturing 4. ❑ no employees. [No workers' comp, insurance required]* We are a non-profit organization, staffed by volunteers, 1 LQ Health Care with no employees. [No workers' comp. -insurance req.] I2.❑ Other Any applicant that checks box NI must also fill out the section below showing their workers' compensmion policy information, **If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an o[ganita[,on should check box bl. I ant an employer that is providing workers' compensation insurance for nay employees, Below is the policy information. Insurance Company Name: II �0\ E P— U� E � -C _ (_ 0 Insurer's Address:Ii 1r 0 7 o E OQ`'PO (Z ATEPL � � I IL t v v City/State/Zip: _.__ Policy # or Self -ins. Lic. ff 6Int 300 _ $xpiration Date: 6 'U01 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). 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 Investigations of the DLA for insurance coverage verification. I do hereby certify,, underthe-painns and penalues of perjury that the infornmtion provided above is trite and correct. Sip -nature: I r'f7.I l)fq't )� Date: 11- 2 6' 1 Official use only, Do not write in this area, to be completed by city or town official.. City or Town: Pennitildcense Issuing Authority (circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4, Licensing Board 5, Selectmen's Office 6. Other Contact Person: Phone A� �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYVY) 11/26/2018 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 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). PRODUCER Diversified Insurance Industries, Inc. 307 International Circle Suite 610 CONTACT NAME: Brlanna Foertschbeck PHOON o Eat x .410 433-3000 aC Net:a10-433-3a4o 'E-MAILODREss: bnanna.fcertschbeck dii-ins.com INSURERS AFFORDING COVERAGE NAICA Hunt Valley MD 21030 INSURERA: CINCINNATI INSURANCE CO. 10677 INN0003005 INSURED GLOBAL Vision Hampshire, LLC t1a Holiday Inn Mansfield, MA INSURER B: Continental Insurance CO.' 35289 INSURERCt Ohio Casualty Ins CG* 24074 c/o Hospitality Cover Plus, LLC INSURERD: INSURERE: P.O. Box 1572 Cockeysville MD 21030 INSURER E: COVFRAGFR CERTIFICATE NUMBER: 717407119 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. TR TYPE OF INSURANCE ADDLINS. IVSD SWVDft POLICY NUMBER MM/UDIYYYY MM/ODIVYYY LIMITS A X COMMERCIAL GENERALLIABILITY INN0003005 11/1/2018 11/1/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 1XI OCCUR PREMISES aoacurrence $1,000,000 MED EXP (Anyone person) $1,000 X Empl Benefits X Liquor Llablllly PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS -COMPIOP AGG $2,000,000 POLICY 0JECT 1LOC Enrol Benf/Liquor $1,000,000 OTHER: A AUTOMOBILE LIABILITY CAA5250328 11/1/2018 11/1/2019 COMBINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ X ANYAUTO BODILY INJURY(Peraccirlmd) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ $ X $500 Com X $1,000 Coll B X UMBRELLALIAB X OCCUR 5094764769 11/1/2018 11/1/2019 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 1 n.nnn $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YI❑N PER EORH E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below C A Excess llabi1iryry Excess Auto Llabllity ECO1956977539 EXS0510142 11/1/2018 11/1/2018 11/1/2019 11/1/2019 LImNAggregale 25,000,000 CSL Limit 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be allached if more space is required) Re: Holiday Inn Mansfield - 31 Hampshire Street, Mansfield, MA 02048 General Proof of Coverage CERTlr:rrnTE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Mansfield 6 Park Row Mansfield MA 02048 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACC>Rh® _./ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDttYYY) 11/26/2018 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). PRTACT ODUCER Diversified Insurance Industries, Inc. 307 International Circle Suite 610 NAME' Bflanna FoertsChbeck PHOINC.NE Ex 410-433-3000 ac No, 410-433-3440 E-MAIL ADDRESS: Brianna.Foertschbeck@dii-ins.com INSURERS AFFORDING COVERAGE NAICIf Hunt Valley MD 21030 INSURER A: Employers Preferred Ins' 10346 INSURED VISI -04 Vision Hamsphire, LLC t1a Holiday Inn Mansfield INSURER B: INSURER C: MED EXP (Any one person) $ 31 Hampshire Street INSURERD: INSURER E: Mansfield MA 55075 INSURER F: PRODUCTS - COMP/OP AGG $ COVERAGES CERTIFICATE NUMBER: 1925911381 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 LTR I TYPE OF INSURANCE AODL N D SUBR WVO POLICY NUMBER POLICY EFF MMIOD/YYYY POLICY EXP MM/DO/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1 OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECOT 0 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NUT ON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 1 1 1 EACH OCCURRENCE $ AGGREGATE $ DED RETENTION5 $ A WORKERB COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEIVEXECUTIVEMNIA OFFICERIMEMBER EXCLUDED? (Mandatory in NH) Ues, describe under 8 I'UPTION OF OPERATIONS be EIG26SEW300 81812018 6124M019,.-' X STATUTE ETH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEd $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) General Proof of Coverage CERTIFICATE HOLDER CANCELLATION © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATION PURPOSES ONLY AUTHORIZED REPRESENTATIVE © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1:100 ,IJYCIK.S .. v..ay..a vv.v.,.v....vv. v.. v..v r...,..v�v.v v..vv.•..v� Insurance Policy EMPLOYERS PREFERRED INS. CO. Policy NumberFrom olicy Period To A Stock Company EIG 2656163 00 08/08//2018 06/24/2019 1 su0ed as slt1.9 erelo a at the address or the Transaction POLICY DECLARATIONS NCCI Carrier # 31283 WCIRB CARRIER# PRIOR POLICY NUMBER NEW - 1. Named Insured and kddress Agent VISION HAMPSHIRE LLC DIVERSIFIED INS INDUSTRIES INC 6465200 DBA HOLIDAY INN MANSFIELD 307 INTERNATIONAL CIR #610 31 HAMPSHIRE ST HUNT VALLEY, MD 21030 MANSFIELD MA 02048-1113 Telephone: 4104333000 Customer # Carrier # FEIN # Risk ID # Entity of Insured 1 31283 473112140 001033835 LIM LIABILITY CO Additional Locations: 2. The Policy Period is from 08/08/2018 to 06/24/2019 12:01 a.m. Standard Time at the Insured's mailing address. 3. A. Workers Compensation Insurance: Part ONE of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part TWO of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part TWO are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Part THREE of the policy applies to the states, if any, listed here: All states except AK, DE, HI, ND, OH, RI, WA, WY and states listed in item 3.A. D. This policy includes these endorsements and schedules: See attached schedule. 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates, and Rating Plans. All information required below is subject to verification and change by audit. Minimum Premium $ Assessments and Taxes $ 231 Expense Constant $ 338 Premium Discount $ -1,163 Total Estimated AnnualPremium $ 23,580 ❑ This is a Three Year Fixed Rate Policy Premium Adjustment Period: ® Annual; ❑ Semiannual; ❑ Quarterly; ❑Myon�thll/yy Countersigned this Day of Issued Date: 08/09/2018 Authorized Representative Issuing Office EMPLOYERS PREFERRED INS. CO. 14120 BALLANTYNE CORPORATE PLACE, SUITE 100 CHARLOTTE, NC 28277-2685 Issued Date 08/09/2018 INSURED COPY WC990630 (5/98 Ed.) Page 1 of 4 Awalffro-141 M-1, dw aucunsfdly.rnrq�uiing ol�a atepc4ar'k xt uYizldi is amecEled by iAe Nuenrxala l+�.�+Nci IExcvuiin oj, DATE 9F EXW, 1MA314-N �. , .. 4tai lewv <pyty CI>;cT�%fiy_�.1 sscs s r ., yler lcc+Dilb 51 2' i,`6^,N 5 .„ m �..>3aoaJ 1s=;vd<Aiml °.owAmns '112812029 _.......... DATE Of EXPIRATION MU umanl ¢:.I.�.�en=•.ix:n9wlYn..c,l..n G.uul n=..Smeaenot U]5 vLw1u❑fn.SwA:N.ilvarp LiOlGS.aNlvr hl3A.✓iaYnun�ev�/ Nance of Recipient: mARrs N 05H - Certificate Number: as M4 Date of Completion: Ia lm'e Date of Expiration: yf�?D13 7!r rAravr-iironrAftrrron to Aull £caned 4h rofiftwe Jbr rampfrdngnn nlftt aznrsunruirrr tminIngpropom +rragnirrAGyrGr A9oararkrurcm Drparimnn olPtd,(ir,HrnBfi in arrordimre wi/IM5 CMR 590.009(G)(3f (nJ. 75Aren jrarr will Gr %WWi fm fnte (5)3rwn/i'am dare nfronrplrrinn. D9assatbuassutiGfmwao4.Assnriu6oa BD(1:9b3.7923 aa37ivaibkc 9lrv+d,5u1tt3a3 vrosnrcsynvmw.ury( S.whb.mgh, AIA 0072 596-3QY9966 a»vpymartsteoronmsv+cu g p� b x J C: o w a ., = �_j U 00 a 3 U O W �- N N LL a O` p� a O &, � N r a Z � — C: O o Q l � � T (j-) s w �, a ~ W U 0 o N O ^, W ^` M N � ^ � m (N W • � �a. Z o J v V QU w O_ O O C N M co, a �V� � V O O Q m a a) (• �� G M S a S > � U T • � Z OD O �cn �n v N�So a) O O o J N 0,0 U u a oN u^ MRN° ZNUwo � w O W 0 z zuu 1� H � I W z W P4 ol z W-4 W u�l a �J _,zO N o /} N QL¢ N w OWD � S zc':< r 0 dux o Z NV p M q n EN`l m � A Y N O b�o� O t� G N o cz u U o cu0 zu Q Q a �J _,zO N o /} N QL¢ N w OWD � S zc':< r 0 dux o Y N O b�o� O G N �a �i � o F* L"J E �P bo % r `4 you �Mr�f`� f9" wLI a Q, cv 0 0 vi aC N — CS r 6 6 UOE ab U� E Cx� 6 a °cx 'aa m 0 m o LOvl cu `o,. L C co,� a Ovn D�SQ Q Z"u03 Y