An application was received from Ricky Zeng representing Gong Cha, requesting permission for a projecting sign at the premises numbered 50 Church Street approval has been received from Inspectional Services, Department of Public Works, Community Development Department and no abutter response, proof of mailing has been received

Location Applicant Sign/Awning Permit 50 Church St § Ricky Zeng Cambridge, MA 02138 161745 4 [phone removed] @ [email removed] Submitted On: Feb 3, 2022 General Information What option best describes this application? Sign(s) Description of Proposed Work old sign removed, new sign replace Estimated Cost of Sign(s) in dollars 1150 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings). Cambridge City Council approval may be required. You must submit a Projected Sign Application and Will one or more of the proposed signs extend six (6) inches into the public sidewalk? Abutter's Form (https://viewpointcloud.blob.core.windows.net/profile. Yes pictures/City_Clerk_Sign_Awning_Application_ Wed_Jan_0 2_2019_15:28:46_GMT+0000_(Coordinated_Universal_ Time ).pdf) to the City Clerk's Office. Sign Information Sign Text Gong Cha Illumination Type of Sign Natural Projecting Width of Sign (feet) Height of Sign (feet) 2 2 Height from the ground to the top of the sign (feet) Area of Sign (square feet) 12 4.2 Sign Material Height from the ground to bottom of the sign (feet) Aluminum, Vinyl,PVC 10 Projection from the Building (inches) Weight of the sign (Ibs) -- 25 Is the sign an accessory to a first floor store? Width of Bullding Facade for Associated Use (feet) Yes 26

Location Applicant Sign/Awning Permit 50 Church St 1 Ricky Zeng Cambridge, MA D2138 161745 - [phone removed] @ [email removed] Submitted On: Feb 3, 2022 General Information What option best describes this application? Sign(s) Description of Proposed Work old sign removed, new sign replace Estimated Cost of Sign(s) in dollars 1150 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings). по Cambridge City Council approval may be required. You must submit a Projected Sign Application and Will one or more of the proposed signs extend six (6) inches into the public sidewalk? Abutter's Form (https://viewpointcloud.blob.core.windows.net/profile- Yes pictures/City_Clerk_Sign_Awning_Application_Wed_Jan_0 2_2019_15:28:46_GMT+0000_(Coordinated_Universal_Time ).pdf) to the City Clerk's Office. Sign Information Sign Text Gong Cha Itlumination Type of Sign Natural Projecting Width of Sign (feet) Height of Sign (feet) 2 2 Height from the ground to the top of the sign (feet) Area of Sign (square feet) 12 4.2 Sign Material Height from the ground to bottom of the sign (feet) Aluminum, Vinyl, PVC 10 Projection from the Building (inches) Weight of the sign (tbs) -- 25 Is the sign an accessory to a first floor store? Width of Building Facade for Associated Use (feet) Yes 26

Contractor Contractor Name RICKY Z ZENG Address 1211 PLEASANT STREET Telephone E-mail [phone removed] [email removed] License Expiration Date License Number 07/13/2022 CS-113216 Contractor's Signature Date Signature of Licensed Contractor 02/03/2022 Ricky Zeng

Stock Company * COMMERCIAL GENERAL LIABILITY COVERAGE PART * * DECLARATIONS * * Group * POLICY NUMBER: PAV0148947 1. NAMED INSURED: DBA: NEW CC SIGN 2. LIMITS OF INSURANCE - INSURANCE APPLIES ONLY FOR COVERAGE FOR WHICH A LIMIT OF INSURANCE IS SHOWN. 2,000,000 $ General Aggregate Limit (Other than Products/Completed Operations) $ 1,000,000 Products/Completed Operations Aggregate Limit $ 1,000,000 Each Occurrence Limit $. Personal & Advertising injury Limit 1,000,000 100,000 any one premises Damage to Premises Rented to You Limit 5,000 any one person Medical Expense Limit 3. LOCATIONS of all premises you Own, Rent, or Occupy ZIp State City Address 02127 MA South Boston 1 T0 Colony Ave No. 1 ARYANSE PREMIUM BATES PREMIUM BASIS All Other Prodico All Other Prodico Code / Expesure 4. CLASS** 124.00 129.00 24.664 5,000 No. 18idg 8idg 98993 Sign Erection, Installation or Repair 48.00 0.396 Included Inci 120,000 No 1 Bldg 1 58408 Printing - Other than Not-For-Profit 50.00 Included Incl 1 50.000 e) No. 1 Bldg 1 Additional Insured - CG2011 100% FULLY EARNED No. No. .. If Classifications are Numbered, the coverage appites to lhe corresponding Location No TOTAL: $ 351.00 (o) each (m) admissions -per 1000 (c) Wlat cost-per 51000 (s) gross salas- per $1000 (o) other (u) units (a) arab-pes 1000 sa. fl (p) payroll. per 51000 (1) see classification notes in company or 1SO Commercial Lines Manuat 5. Policy may be AUDITABLE Б. SAS PETS E2-AL LIABILITY FORMS/ENDORSEMENTS This page alone does not provide coverage and must te attached to a Commercial Lines Common Policy Declarations Common Policy Conditions, Coverage Part Coverage Form(s) and any other applicable forms and endorsements. Page 1 ol 1 S2000 (06/01)

WORKERS COMPENSATION AND EMPLOYERS LIABILITY Liberty Mutual. INSURANCE POLICY INSURANCE INFORMATION PAGE AR 176 Berkelay Street Boston, MA 02116 27243 issued by IM INSURANCE CORPORATION Issuing Office 016C WC5-315-389517-021 Policy Number 02-18-21 Issue Date WC5-315-389517-020 RENEWAL OF: Sub Account 0000 Account Number 1-389517 1. Insured and Mailing Address NEW C C SIGN INC 000972540 RISK ID 259 QUINCY AVE QUINCY, MA 02169 03 - CORPORATION Status Other workplaces not shown above: SEE ITEM 4. PREMIUM - EXTENSION OF INFORMATION PAGE Policy Period: The policy period is from 04-04-2021 to 04-04-2022 12:01 A.M. standard lime at the Insured's mailing address. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: 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: each accident 1,000,000 Bodily Injury by Accident $ policy limit Bodily Injury by Disease 1,000,000 each employee Bodily Injury by Disease $ 1,000,000 C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE END WC 20 03 06B D. This policy includes these endorsements and schedules: SEE 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. stimated Annua Rate per $100 Premium Basis Total Code Premiun of Remuneration Estimated Annual Remuneration Classifications Number See Extension of Information Page Total Estimated Annuai Premium $ (MA) 2,083 Minimum Premium ANNUAL Premium will be billed Producer 0004024848 TAM FINANCIAL LIC 200 LINCOIN ST APT 1 BOSTON MA 02111 WC DO 0001 B (CA) © 1987 National Council on Compensation Insurance, Inc. WC 00 00 01 A Page 1 of 1 All Rights Reserved Ed. 07/01/2011 Insured copy

CAMBRIDGE HISTORICAL COMMISSION 831 Massachusetts Avenue, 2'd FL., Cambridge, Massachusetts 02139 Telephone: [phone removed] Fax: [phone removed] TTY: [phone removed] E-mail: histcomm@cambridgema.gov URL: http://www.cambridgema.gov/Historic LOGERISTO Bruce A. Irving, Chair, Susannah Barton Tobin, Vice Chair; Charles M. Sullivan, Executive Director Joseph V. Ferrara, Chandra Harrington, Elizabeth Lyster; Caroline Shannon, Jo M. Solet, Member: Gavin W. Kleespies, Paula A. Paris, Kyle Sheffield, Alternates COMMISSION CERTIFICATE OF NONAPPLICABILITY 50 Church Street Property: Applicant: Gazit Horizons,_ LIC Attention: Ricky Zeng, CC Sign Boston The Cambridge Historical Commission hereby certifies, pursuant to Chapter 2,78, Article III of the Code of the City of Cambridge and order establishing the Harvard Square Conservation District, that the work described below does not involve any activity requiring issuance of a Certificate of Appropriateness or Hardship: Re-use existing projecting sign bracket and install new zoning- compliant sign. ISD : #161745 All improvements shall be carried out as shown on the plans and specifications submitted by the applicant, exceped sy odered one. Approved plans and specifications this certificate. This certificate is granted upon the condition that the work authorize here 1r enced within six moth ate ts no date onced within six months after the date of issuance or if such work is suspended in significant part for a period of one year after the time the work is commenced, such certificate shall expire and be of no further effect; provided that, for cause, one or more extensions of time for periods not exceeding six months each may be allowed in writing by the Chair. Date of Certificate: February 17. 2022 Case Number: 4744 Ittest: A true and correct copy of decision filed with th office of the City Clerk and the Cambridge Historical Commissio on February 17, 2022. - Executive Director. By Charles M. Sullivan/st ... Iwenty days have elapsed since the filing of this decision. No appeal has been filed • Appeal has been filed → City Clerk Date

Invoice No. 03490 NEW CC SIGN 259 Quincy Ave. Quincy, MA 02169 TEL: [phone removed] / [phone removed] Fax: [phone removed] [email removed] NEW CC Sign ALL RIGHTS RESERVED Bill To Gong Cha Cambridge Invoice # Rep 50 Church St. 01/10/2022 Date Cambridge MA 02138 Barry Tam:[phone removed] 03490 Terms [email removed] Amount Description Item $800.00 1" aluminum return w. Sign 1/2" PVC letters $800.00 Subtotal $50.00 Sales Tax $300.00 Installation Fee Date: 01/10/2022 $1150.00 Total Signature Of Client: Barry Tam Date: 01/10/2022 -$550.00 Deposit Approved By: Ricky Zeng 01/10/2022 BOA Zelle Permit Fee Balance

- 21.86° side view: 13.25" Gong cha 1/2" PVC Existing wall Proposed Gong cha 118" Specifications: • 1" D 040 Aluminum welded to return with red vinyl. * 1/2" pvc letter * Letter boxes to be mounted on the existing mounting plates. Sign installed in location shown on attached photo side walk This image is for general reference only, and may not accurately represent the actual produc Blade Sign The undersigned, in his or her individual and official capacity, hereby certifies that Address: 50 Church St. Customer: Barry Tam the quoted prices, designs, specifications, terms, and conditions are accepted. New NEW CC SIGN CC Sign is authorized to perfom the work as specified. City/Town: Cambridge 259 Quincy Ave. Quincy, MA 02169 Company: Gong Cha TEL: [phone removed] / [phone removed] State/Zip: MA 02138 Phone: [phone removed] Fax: [phone removed] Date X File Name: Gong Cha Cambridge Revision: Original: 12/17/2021 [email removed] Job No: 03490 • NEW CC Sign ALL RIGHTS RESERVED Estimate($0 Means No Price): Print Name

The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Please Print Legibly Applicant Information Name (Business/Organization/Individual): New CC Sign Address: 259 Quincy Ave. Phone #: [phone removed]/857-205-5678cell City/State/Zip: Quincy MA 02169 Are you an employer? Check the appropriate box: Type of project (required): 4. L I am a general contractor and I 1. 1 am a employer with 2 6. • New construction have hired the sub-contractors employees (full and/or part-time).* 7. • Remodeling listed on the attached sheet. | I am a sole proprietor or partner- 2. These sub-contractors have 8. • Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. • Building addition comp. insurance.* [No workers' comp. insurance 10. Electrical repairs or additions • We are a corporation and its S. L required.] officers have exercised their 11. Plumbing repairs or additions 3.• I am a homeowner doing all work right of exemption per MGL 12.L Roof repairs myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t 13.D Other Sign employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. * Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Expiration Date: 04/04/2022 Policy # or Self-ins. Lic. #: WC5-31S-389517-021 City/State/Zip: Cambridge MA 02138 Job Site Address: 50 Church St. 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 DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 02/03/2022 Date: Signature: Ricky Zeng [phone removed] Phone #: Official use only. Do not write in this area, to be completed by city or town official. Permit/License # City or Town: Issuing Authority (check one): 1D Board of Health 2 Building Department 3Д City/Town Clerk 4. Electrical Inspector 5Plumbing Inspector 6.LOther Phone #: Contact Person:

Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §2SC(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionaily, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), addresses) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in City. (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (l.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center, 2 Avenue de Lafayette Boston, MA 02111 Tel. [phone removed] or 1-877-MASSAFE Fax [phone removed] Revised 7-2019 www.mass.gov/dia

OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] PAULA M. CRANE ANTHONY I. WILSON DEPUTY CITY CLERK CITY CLERK _. 20 Cambridge, To the Honorable, the City Council of the City of Cambridge: EACH PETITION MUST BE ACCOMPANIED BY A DRAWING OF PROPOSED SIGN, INDICATING DESIGN AND DIMENSIONS AND LOCATION ON PREMISES. The undersigned respectfully prays that Gong Cha (NAME OF BUSINESS) be granted permit to erect a sign of the following specifications in front of premises located at 50 Church St. (ADDRESS) replace new projecting sigh Type of Sign: (state whether electric or otherwise and material used in construction) Reading matter to go on Sign: Gong Cha and 2 Chinese characters means gong cha • N/A 28"x21.86" Weight: Size: Public Way в. 9'10" Obstruction: (Also exact distance from bottom of sign to sidewalk) (Give exact distance sign is to extend over sidewalk) 9'10" Height Above Grade: Bottom: NOTICE - REGULATIONS Section 1212.0 State Building Code - Projecting Signs] [Section 12.08.010 Municipal Code - Encroachments onto Streets] • A projecting sign shall be constructed wholly of incombustible materials. • All signs must meet requirements of Zoning Ordinances and Building Code. • Note: Section 12.12.220 provides in part "every owner who maintains a ... structure in or over a street... shall do so only on the condition that such maintenance shall be considered as an agreement on his part to keep the same and the covers thereof in good repair and condition, at all times during his ownership, and to indemnify and save harmless the City against any and all damages, cost or expenses which it may sustain, or be required to pay by reason of such.. structure." PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND UNDERSTANDING UNDER PAINS AND PENALTY OF PERJURY. 1(17-354-0835 eat.102 SO CHURCH ST. CAMBRIDGE, MA 02138 (Tel. No.) (Address) (Property owner or authprized agent) 50 Church Street, Cambridge MA 02138 /[phone removed] Barry Tam (Tel. No.) (Address) (Business owner) Print Reset

НОВАР ЗАН. CAMBRIDGE 770 MASSACHUSETTS AVE CAMBRIDGE, MA 02139 (800)275-8777 03,10 PM :02/22/2022 Price Unit Qty Product Price $4.06 $0.58 Boutonniere $4:06 Grand Total: $4:06 Credit Card Remitted Card Name: VISA Account #: XXXXXXXXXXXX4921 Approval # 08494G Transaction #: 660 Chip AID: A0000000031010 ALT VISA CREDIT •CHASE VISA PIN: Not Required *x***********x*****x**х****************** USPS is experiencing unprecedented volume increases and limited employee avattability due to the impacts of COVID-19. We appreciate your patience **х×****.*...*.***....****.**********. In a hurry? Self-service kiosks offer quick and easy check-out. Any Retal) Associate can show you how. Preview your Mail Track your Packages Sign up for FREE Q https://inforneddelivery.usps.com All sales final on stamps and postage Refunds for guaranteed services only. Thank you for your business Tell us about your experience. Go to: https://postalexpertence.com/Pos or scan this code with your mobile device, or call [phone removed]. UFN 240102-0139 Receipt #: 840-50200033-3-7833360-2 Clerk 21