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HomeMy WebLinkAboutRed Roof Inn - 12/31/2019LO NAME OF OWNER:,BW Rp,- I-L(� E Town of Mansfield 6 Park Row Mansfield, MA 02048 Swimming Pool APh POOLOPERATION: N(Semi-Public ADDRESS:-jI^¢_ ft Special Purpose Pool 41ric5 7YiIS U.,6.jiN��' PO&LOCATION: (Q F0 f�5 131✓,a ciTY:Ne�,✓ I�1�r\� STATE: 0"Jf o 21P: q',051 TELEPHONE: G `L[ 215 _ 17 D t FAX: lb ILL- 1 Z J - 5` § o EMAIL: Ie50A dt Pir@ L7(r•QlYt FED ID/SS NO: 9—er-fification ExvIreg_Ej2ry 5Years Permit Expires December 31st Yearly. PERSON CERTIFIED: rmv-,K '(6N�-3co Pool/SPA Certification Date: 5 / as [ (g Pool/SPA Certification Expires: s1 obi Jai PERSON CERTIFIED: Pool/SPA Certification Date: Pool/SPA Certification Expires: certification remarks(if necessary): REMARKS; TYPE/POOL: C0.r_r--A'-- LENGTH: Lj Q' WIDTH: 9,0' VOLUME: RAC 000 MIN/MAX DEPTH: 31 1-3 `6 SWIMAREA: `{<Do5t F{ WATER SOURCE: Town, W/W DISPOSAL: 16,11 Sl-, r TYPE OF FINISH: VUNiAr_ SCUM GUTTER: A/ov.e- DECK TYPE: /,/orb fee: $100 DIVE AREA: /Upre- SKMMR WEIR LENGTH: -Two bQsveA-3 TREATMENT SYSTEM: D i,x��ous DISINFECT METHOD: CHEMICAL TREATMENT: Mav �fil I, Qy re,� ,, A NUMBER OF BATHERS: S6- ND L-` fe U' b °^ SIGNATURE: "� DATE: Sign, date and enclose check payable to Town of Mansfield. Mail to: Board of Health, Town of Mansfield, Six Park Row, Mansfield, MA o2048. TAX CERTIFICATION FORM I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under law. Signature of Individual or orpoC rate Name By: Corporate Officer Wandatory, if Applicable) 4-4®1 - 33�egg7 *"Social Security No. (Voluntanj) or Federal Identification Number *This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax 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 Department of Industrial Accidents Office of Investigations Ulf 600 Washington Street Boston, MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: General Businesses !Q City/State/Zip: Aree y an employer? Chec the appropriate box: L Lv'1 I am a employer with _LYemployees (full and/ or part-time).* 2. ❑ 1 am a sole proprietor or partnership and have no employees working for me in arty capacity. [No workers' comp. insurance required] 3. ❑ We are a corporation and its officers have exercised their right of exemption per c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required]' 4. ❑ We are a noll-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance reo.] M �lPhone #: 5Dt 2-j2 I Business Type (required): 5. ❑ Retail 6. Restaurant/Bar/Eating Establishment 7. ❑ Office and/or Sales (incl. real estate, auto, etc.) g. ❑ Non-profit 9. ❑ Entertainment 10.❑ Manufacturing I LEJ Health Cpr,e Other -nny applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. "If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should check box #1. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy information. Insurance Company Name:_ L_ 0C_'/ ken& 7 t r"l r>, n , Insurer's City/State/Zip: _ 1..•��,V�r ��r,6 Policy 9 or Self -ins. Lu { — Li 4 j�" IToT� -r- - Attach a copy of the workers' cI ompensation 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 DIA for insurance coverage verification. I do hereby of perjury Official use only. Do not write in this area, to be completed by city or town offrciaL City or Town: Permit/License is true and correct 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 www.nims.gov/dia Phone ACORO CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD YYYY) 9/6/2019 12/13/2018 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 PRODUCER Lockton Insurance Brokers, LLC 5 Centerpointe Drive Suite 400 Lake Oswego OR 97035 (213) 689-0065 INSURED Red Roof Inns, Inc;., 1447203 7815 Walton Parkway New Albany OH 43215 rnVrPAr_FR RFnRr101 CFRTIFICATF NIIMRFR• I577RGn/ REVISION NUMBER- XXXXXXX 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 TYPE OF INSURANCE ADDL INSR SUER MD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMMD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR NOT APPLICABLE EACH OCCURRENCE S XXXXXXX DAMAGE PREMSESOEa oacu once $ XXXXXXX MED EXP(Any one person) $ XXXXXXX GEN. PERSONAL&ADV INJURY $ XXXXXXX AGGREGATE LIMIT APPLIES PER: PRO- POLICY El PRO- OC OTHER. _ GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP ADD $ XXXXXXX _ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NOT APPLICABLE COMBINED SINGLE LIMIT Ea_accilm $ XXXXXXX BODILY INJURY (Per pmem) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE Per accident —_-_ $ XXXXXXX _„_, $XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOTAPPLICABLE EACH OCCURRENCE $ XXXXXXX _ AGGREGATE $ XXXXXXX $ XXXXXXX DEO RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS'LIABLITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICERIMEMBER EXCLUDEDi (Mandatory In NH) If yes, desedba under DESCRIPTION OF OPERATIONS below NIA N WCC-641-437760-019 9/6/2018 - 9/6/2019 X STATUTE ORH E.L. EACH ACCIDENT $ 1 000000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT I $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be anachad If more space Is required) Red Roof Inn 60 forties Blvd; Mansfeld, MA 02048 .11 nco rAMr FI I ATInM 15778501 Evidence of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR ©1988-2016"AC(dRO CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CC�RL'i CERTIFICATE OF LIABILITY INSURANCE °A 7/112019 t0/30/30/2018018Y, 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: B the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 endorsements . PRODUCER Lockton Insurance Brokers, I J N 5 Conterpointe Drive Salle 400 PHONE PAX ---- `-` I& 0` ----. --_ ------Ian N91' L& Lake Oswego OR 97035 (213)689-0065 - — — ,_,- _ INSURER(a AFFORDING COVERAGE --- NR)CN INSURER A:Lib(jrtMutual Fire Insurance Com env _ 23035 INSURED Red Roof Inns, Inc.4SUaea e_Philade hia Indemni Insurance Co. 18058 1447649 7815 Walton Parkway iysuasR c. Everest IndemniX Insurance Company.__ 10851 New Albany OH 43215 INSURER D , Travelers Casualtyand Surety Company 19038 INsuRERE t Nati pal Union Fire Ins Co Pitts. PA ,_ ----.:.----. ---... .___ ...__ 19445 .__.___:_.__. F• COVERAGE$. REDR00) CERTIFICATE NUMBER: 15706582 REVISION NUMBER: XXXXXXX 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.. LTR TYPE OF INSURANCE ._ �__.... POLICY NUMBER _ISGGIDYEE'POLIeY M A EITP .__..._...�.__... >...............�._......_: LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y N 1132-641-437760-078 7/1/2018 7/1/2019 EACH OCCURRENCE _ bA�AsraaENT�o-- $ 1000,000_m TM_ — MwEXP{Anyona,pereon)_ $ XXXXX}CX PERSONAL S AOV INJURY $ 1 0-00 000 GEN'L AGGREGATE LIMGIIIT. APPLIES PER: GENERAL AGGREGATE _ s 2000.00O_„_ _ POLICY 1 J)WCT'. N LOG PRODUCTS-COMP/OP AGG ;$ 2,,000 QQQ OTHER: $ B AUTOMOBILELIABILRY N N PHPKI841386 7/1/2018 7/I2019 DST Et eldpol ,.. B L i. $ 2,OOQ000_ X BODILY INJURY (Par parson) $ XXXXXXX ANYAUTO OWNED SCH AUTOS ONLY ACTOSULED BODILY INJURY(Peracadsn0 $ XXXXXXX X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE PofacdduA _ $ XXXXXXX C UMBRELLA LIAR OCCUR N N XCIBX00132-181 7/1/2018 7/1/2019 EACH OCCURRENCE S IOQQ00-Q00 AGGREGATE.-_ .5 See Below, EXCESS LIAR CLAIMS MADE DED I X NETENTIONS 10000 $xxxxxx WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERIMEM ER EXCLUDEDI ANY ECUTIVE ❑ (Mandatary In NH) NIA NOT APPLICABLE P (OT . ESL. EACH ACCIDENT $�p'X"vXXXyXq-,„LL kLDiSEASE-EAEMPLOYE Iryyos, tloocnbo under DF.SCRIPTIONOFOPERATIONSbolo. r(' "— [ELDISEASE-POLIC.YLIMIT =..y'tlX)t+*+a $ xxxxxxx '.D E Crime XS Crime N N 105959149(Crime) 01-602-58-36(XS Crime) 7/1/2018 7/12018 7/111019 7/I/2019 SI00000/$5,000 Ded $5,060,000/ I05K Led 'DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is m9uired) RE; Red Roofinns 40274 (a GO.EAdLcs Blvd• Mansiie)d MA 02048, 7bwn oCMansfield is an Additional Insures) to the extent provided by the policy language or endorsemenTis'su`e�appmved by the msumn a ea I , Town of Mansfield Attn: Health Department 6 Park Row Mansfield MA 02048 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY L1Iit'1tyMutui4. INSURANCE INFORMATION PAGE vs Berkaey street Boston, MA 02116 Issued byEmployers Insurance Company of Wausau (a stock company) 15555 Policy Number WCC-641-437760.018 Issuing Office Lewiston, ME Renewal Of WC6.641-437760-017 Issue Date 09/13/2018 Account Number 4-437760 Sub Account 0001 1. Insured and Mailing Address FEIN 31-1393666 Red Roof Inns, Inc, 7815 Walton Parkway NJ TIN 3 9 1133666 000 NEW ALBANY OH 43215 Risk ID 11393666 MI Risk ID 2164698 Status Corporation Other workplaces not shown above:See Item 4. Premium - Extension of information Page 2. Policy Period: The policy period is from 09/06/2018 to 09/06/2019 12:01 A.M. standard time at the insured's mailing address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: AZ AR CA CO CT DE FL GA IL IN KY LA MD MA MI MN MS MO MT NV NH NJ NY NC OR PA SC TN TX UT VA WV WI B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. 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 those listed in Item 3.A and the States of: ND OH WA WY D. This policy includes these endorsements and schedules: See Item 3. Coverage D - Extension of Information Page 4. Premium: 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. Classifications Code Premium Basis Total Rate per $100 Estimated Annual Producer 0002 041241 LOCKTON COMPANIES LLC 5 CENTERPOINTE DR STE 400 LAKE OSWEGO OR 970358661 Total Estimated Annual Premium $ 2,043,204 Deposit Premium $ 2.043,204 Deposit Tax/Surcharge/Assessment $ 56,513 Countersigned by Authorized Rep. (FL) WC 00 00 01 A 01987 National Council on Compensation Insurance, Inc. WC 00 00 01 B (CA) Ed. 07/01/2011 All Rights Reserved Page 1 of 1 i i' i I I r,. '6-16w1"u T�IJos I!ewe 10 6L6'6V5'6lddSN suoa0�,'uo!leaJuan1oj Lp r C�r , ti,w Mansfield, MA 02048 RE: Red Roof Inn Mansfield, MA — Pool Permit Written Policy for incidents in pool Dear Miss Donovan -Palmer: Fecal, Vomit and Blood Incidents in Swimming Pools I. FECAL INCIDENT PREVENTION IN SWIMMING POOLS Although the actual health and safety risks associated with fecal accidents are considered to be minimal, provided that proper pool chemical levels are maintained, fecal incidents do pose a significant interruption in pool operations. As such, prevention of fecal incidents should be stressed. The following preventative measures shall be implemented at all pools: A. Patrons must be directed to take a cleansing shower before entering the pool. B. Do not permit diaper changing at poolside. Do not allow young children to be"dipped" or rinsed off in the pool as part of the diaper -changing process. C. Patrons who are ill or have suffered from diarrhea within the previous two (2) weeks should be denied admittance into the water. It has been shown that persons with cryptosporidiosis continue to shed crypto oocysts (the infectious form of the organism) in their stool for 2 weeks after their diarrhea has ended and can therefore infect others. D. All persons wearing diapers, or who would be of diaper -wearing age (e.g. infants and toddlers), should wear swimsuit diapers or tight -fitting rubber or plastic pants which will contain fecal matter and prevent it from entering the pool. E. Do not allow pets in the pool area. See 304 CMR 12.08. F. Maintain the chemical feed equipment and chemicals at optimal levels. This includes maintaining the disinfectant levels (residual chlorine levels between 2.0 and 3.0 ppm); optimal pH (7.4-7.6); alkalinity (80-120 ppm); and calcium hardness (200-400 ppm). Note: Lack of proper PH can greatly affect disinfection effectiveness in chlorinated pools. IL FECAL INCIDENT PROCEDURE IN SWIMMING POOLS There is a concern regarding the potential transmission of cryptosporidium parvum (a parasite excreted in the feces of infected humans and other mammals) and escherichia coli O157:117 (a harmful strain of coliform bacteria living in the digestive tracts of humans and other animals). Most organisms found in properly chlorinated pool water, including E.coli 0157:H7, are killed very quickly. In fact, usually only a few seconds of disinfection are needed to kill 99.9% of then into orgamoms. Tool via organisms that are more resistant to disinfection, such as cryptosporidia, are typically very watery diarrhea. This is seldom noticed or reported. Thus, solid stool is unlikely to contain cryptosporidia. This knowledge thus requires a two -pronged approach to managing a fecal incident. (The following information was adapted from "Respond in to iecal entercc for in Dsetr ccted Swimming and V e"Inn on Morbidity and Mortality Weekly Report, May hnp: //www. cdc.gov/mnrwr/pdf/wk/mm5020. pdn Red Roof Inn i7274 e Boston/Mansfield • 60 Forbes Blvd n Mansfield, MA 02048 ® P 508.339,2323 ® F- 508,337.6733 • redroof.com allow anyone to enter the contammatcu puugs) completed. 2. Remove as much of the fecal material as possible using a net or scoop and dispose of it in a sanitary manner. Clean and disinfect the net or scoop (e.g., after cleaning, leave the net or scoop immersed in the pool during disinfection). Vacuuming stool from the pool is not recommended*. 3. Raise the tree available chlorine concentration to 2 ppm (mg/L), pH 7.2-7.5, if it is <2.0 ppm (tng/L). Ensure this concentration is found throughout all co -circulating pools by sampling at least three widely spaced locations away from return water outlets. This free available chlorine concentration was selected to keep the pool closure time to approximately 30 minutes. 4. Maintain the free available chlorine concentration at 2.0 ppm (mg/L), pH 7.2-7.5, for at least 25 minutes before reopening the pool. In the presence of chlorine stabilizers such as chlorinated isocyanurates, a level of 3.0 ppm (mg/L) of free available chlorine must be achieved. Ensure that the filtration system is operating while the pool reaches and maintains the proper free available chlorine concentration during the disinfection process. 5. Establish a fecal accident log. Document each fecal accident by recording date and time of the event, formed stool or diarrhea, free available chlorine concentration at the time or observation of the event and before opening the pool, the pH, the procedures followed to respond to the fecal accident (including the process used to increase free chlorine residual if necessary), and the contact time. B. Diarrhea (liquid stool) L See Al. 2. See A2. 3. Raise the free available chlorine concentration to 20 ppm (mg/L) ¶ and maintain the pH between 7.2 and 7.5. Ensure this concentration is found throughout all co -circulating pools by sampling at least three widely spaced locations away from return water outlets. This chlorine and pH level should be sufficient to inactivate Cryptosporidium and should be maintained for at least 8 hours (one turnover for a standard pool). If necessary, consult an aquatics professional to determine and identify the feasibility, practical methods, and safety considerations before attempting the hypercblorinafion of any pool. 4. Ensure that the filtration system is operating while the pool reaches and maintains the proper free available chlorine concentration during disinfection. 5. Backwash the filter thoroughly. Be sure the effluent is discharged directly to waste and in accordance with state or local regulations. Do not return the backwash through the filter. Where appropriate, replace the filter media. 6. Swimmers may be allowed into the pool after 8 hours and when the free available chlorine level has been returned to the normal operating range (I.0-3.0 ppm). Maintain the free available chlorine concentration and pH (7.2-7.8) at standard operating levels. If necessary, consult state or local regulatory authorities for recommendations on bringing the free available chlorine levels back to an acceptable operating range. Red Roof Inn ff274 o Boston/Mansfield • 60 Forbes Blvd a Mansfield, MA 02048 a P 508,3392323 ^ F 508,337,6733 s redroof.Com probably not infectious. it is possioie An ,No.urI...,•.,.... w1 .,—. • •- ­_ viruses, to be spread by vomit; therefore if the entire stomach contents are vomited, respond to the vomit incident as you would the "Formed Stool' procedure above. The procedure is: 1. Direct everyone to leave all pools into which water containing the vomit is circulated. Do not allow anyone to enter the contaminated pool(s) until all decontamination procedures are completed. 2. Remove as much of the vomit material as possible using a net or scoop and dispose of it in a sanitary manner. Clean and disinfect the net or scoop (e.g., after cleaning, leave the net or scoop immersed in the pool during disinfection). Vacuuming stool from the pool is not recommended*. 3. Raise the free available chlorine concentration to 2 ppm (mg/L), pH 7.2-7.5, if it is 7.0 ppm (nrg/L). Ensure this concentration is found throughout all co -circulating pools by sampling at least three widely spaced locations away from return water outlets. This free available chlorine concentration was selected to keep the pool closure time to approximately 30 minutes. 4. Maintain the free available chlorine concentration at 2.0 ppm (mg/L), pH 7.2 7.5, for at least 25 minutes before reopening the pool. In the presence of chlorine stabilizers such as chlorinated isocyanurates, a level of 3.0 ppm (mg/L) of free available chlorine must be achieved, Ensure that the filtration system is operating while the pool reaches and maintains the proper free available chlorine concentration during the disinfection process. 5. Establish a vomit accident log. Document each vomit accident by recording date and time of the event, free available chlorine concentration at the time or observation of the event and before opening the pool, the pH, the procedures followed to respond to the vomit accident (including the process used to increase free chlorine residual if necessary), and the contact time. B. Blood Disease -causing organisms found in blood (e.g., Hepatitis B virus or HIV) are spread only through activities that involve the exchange of infected bodily fluids, such as, in sexual contact and sharing needles with an infected individual. According to the CDC, that agency is not aware of any of these organisms being transmitted to swimmers from a blood spill in a pool; therefore, there is no recommended procedure to be followed after a blood spill in a swimming pool. As a matter of comfort, the pool operator may choose to close the pool temporarily to satisfy patrons. Sincerely, Frankie Todesco, General Manager Red Roo( Inn #274 e Boston/Mansfield ® 60 Forbes Blvd d Nlansfield, MA 02048 ^ P 508.339.2323 a F 508.337.6733 ® redroof.com Commonwealth of Massachusetts Town of Mansfield Town of Mansfield 6 Park Row Mansfield, MA 02048 Board of Health Permit to Operate a Swimming Pool PERMIT NUMBER: 6 PERMIT EXPIRES: December 31, 2019 Person Certified: FRANKIE TODESCO Pool/SPA Certification Date: May 22, 2018 Pool/SPA Certification Expires: May 22, 2023 Person Certified: Pool/SPA Certification Date: Pool/Spa Certification Expires: In accordance with the provisions of Chapter 111. Section 127A of the Massachusetts General Law, and Regulations established by the Massachusetts Department of Public Health (105 CMR 435.00), permit is hereby issued to: for the operation of a Public Method of water treatment is Bathing load not to exceed: BW RRI LLC Semi -Public located at: 60 FORBES BLVD. AUTOMATIC CHLORINE 55 bathers Number of Lifeguards required at all times the pool is open is: "NO LIFEGUARD ON DUTY" sign is required. Amy Donovan-PaCmer, Health Agent Special Purpose Pool None Date Issued Frankie Todesco I General Manager a P 508.339,23231 F 508.337.6733 Red Roof Inn #274 • 60 Forbes Boulevard • Mansfield, MA 02048 i02740redroofmm I Ww .redroofcom