An application was received from Ricky Zeng representing The Dough Club, requesting permission for a projecting sign at the premises numbered 6 Church Street approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter

Location Applicant Sign/Awning Permit 6 Church St & Ricky Zeng 169889 Cambridge, MA 02138 6 [phone removed] @ [email removed] General Information What option best describes this application? Sign(s) Description of Proposed Work old blade sign removed, replace a new blade sign to the wall. Estimated Cost of Sign(s) in dollars 2700 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings). no Cambridge City Council approval may be required. Will one or more of the proposed signs extend six (6) inches You must submit a Projected Sign Application and into the public sidewalk? Abutter's Form Yes (https://viewpointcloud.blob.core.windows.net/profile- 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 taiyaki nyc, japanese ice cream, the dough club Illumination Type of Sign External Projecting Height of Sign (feet) Width of Sign (feet) 3.5 3.6 Height from the ground to the top of the sign (feet) Area of Sign (square feet) 11.6 12 Sign Material Height from the ground to bottom of the sign (feet) 8 aluminum, steel, led,vinyl Projection from the Building (inches) Weight of the sign (Ibs) 41 45 Is the sign an accessory to a first floor store? Width of Building Facade for Associated Use (feet) Yes 41.6

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 03/29/2022 Ricky Zeng

CITY OF CAMBRIDGE INSTRUCTIONS FOR OBTAINING PERMISSION FOR PERMANENT SIGNS AND AWNINGS THAT PROJECT OVER THE PUBLIC WAY MORE THAN SIX INCHES 1. Complete the Building (Sign) Permit Application on line at the Inspectional Service Department or n a personal computer. Inspectional Services Department is located at 831 Massachusetts Avenu 617) 349-6100. Items that must be scanned and attached to online applicatior Sketch or drawing of sign or awning Copy of sign company's contract • Insurance 2. Projected Sign Application and Abutter Forms are available at City Clerk's Office, Room 103 City Hall, 795 Massachusetts Avenue, [phone removed]. 3. Complete application. Application must be signed by business owner and property owner black ink only. You must measure and state the distance by which the sign or structure will project over the public way. This application is signed under the pains and penalties of perjury. If you have difficulty ascertaining the distance, you may wish to use a surveyor. Complete the abutter forms. After completing steps (1) - (3), file the application with the City Clerk. The completed application can be dropped off at the City Clerk's Office or e-mailed to Iperez@cambridgema.gov. 4 The Clerk will place the application on the agenda for a City Council meeting for its consideration. • During the months of September through June, the City Council meets every Monday at 5:30 p.m. except for Monday holidays. During July and August, the City Council holds one summer meeting. Applications must be received at the City Clerk's office on the Thursday prior to the Monday meeting. • After the City Council has approved the petition, the City Clerk will send the petitioner an unexecuted bond form. 5. Petitioner must have the bond form executed by a Surety Company and then return it to this office. 6. When the executed bond is returned to the City Clerk's Office, the City Clerk will approve the application that bond is acceptable. ISD will issue a building permit to the petitioner, so long as all building permit requirements have been met. The petitioner can obtain the sidewalk obstruction permit from DPW. Revised December 11, 2017

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 5/30 Cambridge, _ 2022 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 The Dough Club (NAME OF BUSINESS) be granted permit to erect a sign of the following specifications in front of premises located at 6 Church St. Cambridge, MA 02138 (ADDRESS) Type of Sign: Blade Sign (state whether electric or otherwise and material used in construction) Reading matter to go on Sign: Taiyaki NYC Japanese Ice Cream and 4 four Chinese characters means taste delicious Size: 41" X 36" Weight: 30lb Public Way в.8' A. 41" Obstruction: (Also exact distance from bottom of sign to sidewalk) (Give exact distance sign is to extend over sidewalk Bottom: 8' Top: 11'6" Height Above Grade: NOTICE - REGULATIONS [Section 12.08.010 Municipal Code - Encroachments onto Streets] Section 1212.0 State Building Code - Projecting Signs] • 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 he condition that such maintenance shall be considered as an agreement on his part to keep the same and the covers thereof i ood repair and condition, at all times during his ownership, and to indemnify and save harmless the City against any and a 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. 1696 NE Miami Gardens Drive, [phone removed] Amy Tetreault Nontarejami Beach, FL 33179 agent) (Tel. No.) (Property owner or authoriz [phone removed] (Address) (Tel. No.) (Business owner 6 Charch st. Cambridge Print Reset

169-79 165-102 169-100 FIRST PARISH UNITARIAN CHURCH WELLS OPERATING PARTNERSHIP, L.P KIRCHE, LLC C/O THOMPSON PROPERTY TAX SERVICES WILLIAM MORSE COLE C/O PRAGUE & COMPANY 3 CHURCH STREET P.C. BOX 56607 15 WALNUT ST., SUITE 150 ATLANTA, GA 30343 CAMBRIDGE, MA 02138 WELLESLEY, MA 02481 169-99 GH HOLDINGS LP 1696 NE MIAMI GARDENS DR NORTH MIAMI BEACH, FL 33179

151.03LC 170-19 Cambridge St 171-1 (91:0) (48,0)(52:0 62932 Garden St (88:50) (152/10) (68.74)) /62.80L0 432.70LC 27.8BLC (84.0) 84.55DC169-95 74270) (65.0) 158-25 (75.33) (185.46) (12.0 6261 g460у6 (96.0) 169.3 56.6฿LC (42.0)37.78LC189-96 2680 169-69 48.0GLC024(459.0) 23269 8015 (201.37) (309.23) (42.94(50.20) 113.25LC (60,0) (130.0) 169- (43.0) (158.50) 56109975 15.72LC (23.75) 15.72LC 99.62LE 14233) 189-01 (94,03)8208 (40.016 67) 169-5 169-19(50.33) (23.85) 85858 (485.0) (88 0)3924 189-94 (47,85) 169-18 (24.6) (40.82) 769-1 128.33) 3200 (35.18) 169-15(80.0) (50.0) (172:85) 51,99 (62.90) (180.40) 130.11) (135.12) 169-8 (51.23)(40:40) (79 198 16) 169-79 1536(70.56) 169-6 7169-68 189-14 (126,65) 14779 159-1 2191 169-12 31774 14951 .(24.0) 12055 2359 1(51.0) (40.0)L169-7 (70.8g) (96.80) ((4B.0) (64.32) (106.73) 169-85 (98.30) 18.50) (197:55) (54:41)(T9.57)(28.0) (98.04)6269 (17,17) 169-82 (83,65) 169-8[phone removed] Church St (64:50) 5591 12970 169-99 (58-37) 12651 Peabody St 169-86 14268 (59,65) (28.93) (125.89) .18 124 (48.16) (164(0) (20.16) (105.07) (78,18) 169-84 (62.82) (227.63)(56.02) (т68.0) 10175 (78.36) (6.59) (6p.0) (49.50) 169-102 (37.75) 169-42 18207(135.83) (2862) 169-48 (6. 93) 11029 (49,72) 168-13 (54.45) 8774 (69.26123793 (135.59) 169-98(77.3 ) (37,78) 168-32 169-93-8979 (138.36 (42.86) (58-96213-50/75,21)(42,48) Brettle St (57:60) 169-46 1738฿ (40.48)(T.42) (108,0) 159. 168-33 (79.87) 169-50 6453 ..(12.16) (130.30) (132,80) 1,3000 (82.81) -(18,70) (12:89) (145,39) (41,07)(63.73) (174:06) (60.54). 29633 188-38 (8375) (47.52)() 160-69 160-58 (51:67), (58.88) (108.90) 12351 5455(86.20) (57:66), 460-63 (79.47) 160-57 15850 160-64 2765 (165/21) (105.45) (99:76) (85,10 (87-46) (52.07) (150.64761,54) (24(84) 554146,3t (9872) (89.16) (5.06) (41,84), (0.33) (85.42) (38.50) (128-53) 160-59 (2(g) 160-68(112.94) (25913575) 3441/ 160-71 (90.0 (51.66) (47.0)160-24 (98/25) 2029 10263 5701 (54,89) (100.12) 180-70 (73,09) 754) (99.42) 160-746735 (129.53) (92,0) 160-72/ (100:65) (58,50) 48-78) 160-67 (82:95) 754:45) 21 (92/0) 6853(106.21) (39/76) (26.054200) 913,33%(69.04) 185,89) 3941 (5%90) 7(49.17)160-857(65.26)- Mt Auburn St Dunster (29/74) (00.0)28760 (70.31) (104,87)(38,60) (100.9) 460-14 (98,75) 162-74 22248 (95.0) 74913 (86.26) (61.42)160-54 (76,08) (70,63) (94.83) (84 59) (138.66) (82:23) IT74-81160-1/8365 Y135.0) /460-38 g356 100.33) 15016) 3132. (75.33) 11565 578) (67,53) 162-11 (30-54) 160-55 (70 0) (87,93) (7963) (110.9842733) 70604)(5001500) P120,50) 162-69(133.04) (36.45) (50.35) (35.04) 923~462-18 (86.94) (28,0) 12-58 162-19 162-8343405, 77020) 531777) 0-0) 2960 -1016 (66:88) 119.44/180-83 69(51.551 17090) 162-85 / 160-36 (107.83) 160-84960 60-7 182-88(66/44) 2863 162-91(268) (28.78 182-87 (100.58) (68.89)(30.0) /62-54 3622 82-47 14506 162-26 1884(31 25) 152,50) 160-30 168:0). (86,33) 7528 /14347 180-53 37741)160-77 (78.12)(5),0)[phone removed] (T08.47) 6825 /982-10/64.50) 4369 3333 162-66(137.09) (111,96) 162-72 (01.33) 2707(65,8) Cambridge, MA Assessing Department Coule Willott Mirantar

OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] PAULA M. CRANE ANTHONY I. WILSON CITY CLERK DEPUTY CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT Date To Whom It May Concern: As Owner of Agent of Cambridge, of the Massachusetts, I do hereby declare my disapproval approval installment of: Canopy over the sidewalk entrance: Awnings over the windows: Projecting sign: of said property. _Date Signed: Address: ABUTTERS: PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION IN THE APPLICATION. SIGN/AWNING APPLICANT: PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS FORM) Print Reset Form

OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] PAULA M. CRANE ANTHONY I. WILSON DEPUTY CITY CLERK CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT Date To Whom It May Concern: As Owner of Agent of Cambridge, of the _approval Massachusetts, I do hereby declare my disapproval installment of: Canopy over the sidewalk entrance: Awnings over the windows: Projecting sign: of said property. _Date Signed: Address: ABUTTERS: PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION IN THE APPLICATION. SIGN/AWNING APPLICANT: PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS FORM) Print Reset Form

CAMBRIDGE HISTORICAL COMMISSION 831 Massachusetts Avenue, 2nd Fl., Cambridge, Massachusetts 02139 Telephone: [phone removed] Fax: [phone removed] TTY: [phone removed] E-mail: histcomm@cambridgema.gov URL: http://www.cambridgema.gov/Historic LIDGE HISTO Bruce A. Irving, Chair, Susannah Barton Tobin, Vice Chair; Charles M. Sullivan, Executive Director Joseph V. Ferrara, Chandra Harrington, Elizabeth Lyster; Jo M. Solet, Yuting Zhang, Members Gavin W. Kleespies, Paula A. Paris, Kyle Sheffield, Alternates COMMISSION CERTIFICATE OF NONAPPLICABILITY 6 Church Street Property: - Applicant: University Common RE, LLP, owner Taiyaki NYC/The Dough Club, tenant Attention: Ricky Zeng, CC Sign 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: Install a new zoning-compliant blade sign in the same location as the existing sign bracket. ISD #169889 All improvements shall be carried out as shown on the plans and specifications submitted by the applicant, except as modified above. Approved plans and specifications are incorporated by reference into this certificate. This certificate is granted upon the condition that the work authorized herein is commenced within six months after the date of within six months after the date of issuance or if such work is 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. Case Number: 4787 Date of Certificate: April 28, 2022 Attest: A true and correct copy of decision filed with the office of the City Clerk and the Cambridge Historical Commission on April 28, 2022. By Charles M. Sullivan slo, Executive Director. 10 I Iwenty days have elapsed since the filing of this decision. No appeal has been filed - • Appeal has been filed Date _ City Clerk

U.S. Postal Service™ U.S. Postal Service™™ CERTIFIED MAIL® RECEIPT CERTIFIED MAIL® RECEIPT Domestic Mail Only Domestic Mail Only For delivery information, visit our website at www.usps.com® For delivery information, visit our website at www.usps.com". 0055 Miomi: FL 33179 11690 Certified Mall Fee $3.75 Certified Mall Fee $3.75 4168 $0.00 $0.00 ru Extra Services & Fees (check box, add fee tappi ptiate) / Extra Services & Fees (check box, add fee plapjate) •Return Receipt (hardcopy) • Return Receipt (hardcopy) $0.200 • Return Receipt (electronlc) S00001 Postmark • Return Recept (electronic) • Certilled Mail Restricted Delivery 50.00 $0,00 • Certified Mail Restricted Delivery MAY 2 one 22 MAY 2 3Here 22 $0.00 • Adult Signature Required • Adult Signature Required 0000 $0,00 • Adult Signature Restricted Dellvery S • Adult Signature Restricted Dellvery S Postage Postage $0.58 $0.58 05/23/2022 05/23/2022 Total Postage and Eep: 33 1290 USPS Total Postage and Fog. 33 USPS Resting Partnership 1P a Per wotarian Church wiliam Marsecde 7020 cin sale 2i 20x 5660t INA 62138 Atlanta Cambrides See Reverse for Instructions PS Form 3800, April 2015 PSN 7530-02-C00-9047 PS Form 3800, April 2015 PSN 7530-02-000-9047 8 30343 a Roverse torinstructions U.S. Postal Service™ U.S. Postal Service™ CERTIFIED MAIL® RECEIPT CERTIFIED MAIL® RECEIPT Domestic Mail Only Domestic Mail Only For delivery information, visit our website at www.usps.com®. For delivery information, visit our website at www.usps.com 2900 Atlantar G3p0| AL wer/ester aris 02439 CY MA 02-11 69 Certified Mail Fee $3.75 Certied Mail Fee $3.75 00 M 10.000% ru Extra Services & Fees (check box, add fee perpriate) •Return Receipt (hardcopy) Postmark Extra Services & Fees (check box, add feo gs p? (pare) •Return Receipt (hardcopy) Postmark •Return Recelpt (electronio) Here • Return Receipt (electronic) S0.00 • Certified Mall Restricted Delivery • Certified Mail Restricted Delivery 23 2022 • Adult Signature Required 100 40.00/AN D00O • Adult Signature Required [Adult Signature Restricted Dellvery S 80.00 MAY 23 20222 • Adult Signature Restricted Delivery $ Postage Postage $0.58 $0.58 05/23/2022 05/23/2022 Total 1,290 $4.33 Total Postage and 44°.33 WOPS 169-100 USPS Sent KIRCHE, LLC C/O PRAGUE & COMPANY Siree z0z0 15 WALNUT ST., SUITE 150 City. 33179 WELLESLEY, MA 02481 Beech H Miam See Reverse for Instructions structions 02.000-9047 PS Formroovo, Apartmess do A Miami Gardens Dr. PS Form 3800, April 2015 PSN 7530.

QUINCY 47 WASHINGTON ST , MA 02169 QUINCY, [phone removed] 11:39 AM 05/23/2022 Price Product Qty Unit Price 4 $0.49 Envelope 6X9 $1.96 First-Class Mail® $0.58 Wellesley Hills, MA 0248 Weight: 0 lb 0.80 oz Estimated Delivery Date Wed 05/25/2022 Certified Mail® $3.75 Tracking #: 70201290000024630079 Total $4.33 1 $0.58 First-Class Mail® Letter Miami, FL 331/9 Weight: 0 lb 0.80 oz Estimated Delivery Date Fri 05/27/2022 Certified Mail® $3.75 Tracking #: 70201290000024630086 Total $4.33 First-Class Mail® 1 $0.58 Letter Cambridge, MA 02138 Weight: 0 lb 0.80 oz Estimated Delivery Date Wed 05/25/2022 Certified Mail® $3.75 Tracking #: 70201290000024630055 Total $4.33 1 $0.58 Lette-class Matie GA 30343 Aet ghta, 0 16 0.80 oz Weight: Estimated Delivery Date Fri 05/27/2022 $3.75 Certified Mail® Tracking #: 70201290000024630062 Total $4.33

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): I am a general contractor and I 1. • 1am 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. 2. • I am a sole proprietor or partner- These sub-contractors have 8. • Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. L Building addition comp. insurance.# [No workers' comp. insurance 10.L Electrical repairs or additions 5. We are a corporation and its required.] officers have exercised their 11. Plumbing repairs or additions 3. • I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. 12. Roof repairs c. 152, §1(4), and we have no insurance required.] + 13.• 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 hav mployees. If the sub-contractors have employees, they must provide their workers' comp. policy numbe 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: 6 Church St. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). 'ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of ine 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 fin 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. Date: 03/29/2022 Signature: Ricky Jeng [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 3OCity/Town Clerk 4.L Electrical Inspector 5_Plumbing Inspector 6.Other Contact Person: Phone #:

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, §25C(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." Additionally, 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-contractors) names), addresses) and phone numbers) along with their certificate(s) of 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 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

NEW CC SIGN INC. Tel: [phone removed] SIGNAGE INVOICE [phone removed] 259 Quincy Ave. Quincy, MA 02169 03587 E-mail: [email removed] Address: CLIENT: 6 Church St. Cambridge MA 02138 The Dough Club Contact Person: Telephone: [phone removed] Kelvin Loke Date: • Installation • Pick-up • Delivery 03/23/2022 Externally illuminated aluminum box blade sign: ANIYAKI NYO MARE ICE Cras 24" TOTAL$ 2700.00 TAX $ Supply & Installation included DEPOSIT $ • CASH C CREDIT CARD SIGNATURE OF CLIENT: elvin LOMBATE: 3/23/22 • CHECK NO. Permit Fee $ SONATURE OF TENERSON i bATE: 3/23/21 BALANCE $ DATE PAID IN FULL: Payment to be made as follows: 50% Deposit COLLECTED BY:

side view: 41" 49.50*- down lights ANITAKI 1.3.50° 2" x2"steel tube HARE ICE CALL 1° x1"steel tube 8"x12" steel plate - wire pass through 24" Specification: * 2" deep 040 white aluminum box w. 1"x1" galvanized tubing frame. side walk * Apply pink, orange, red and black vinyl. * Down lighted sign bracket, UL Listed. * 2" steel pipe welded on 8"x12"x3/16" steel plate Sign installed in location shown on attached photo. Proposed Existing This image is for general reference only, and may not accurately represent the actual product Blade Sign: The undersigned, in his or her individual and official capacity, hereby certifies that Address: 6 Church St. Customer: Kelvin Loke the quoted prices, designs, specifications, terms, and condions are accepted. New NEW CC SIGN CC Sign is authorized to perform the work as specified. Company: The Dough Club City: Cambridge 259 Quincy Ave. Quincy, MA 02169 TEL: [phone removed] / [phone removed] Phone: [phone removed] State/Zip: MA 02138 Fax: [phone removed] X File Name: The Dough Club Revision: Date Original: 03/28/2022 [email removed] Job No: 03587 Estimate($0 Means No Price): Print Name • NEW CC Sign ALL RIGHTS RESERVED I authorized New CC Sign Inc. to install the sign to the building. Amy Tetreault Landlord signature

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) $. Products/Completed Operations Aggregate Limit $ 1,000,000 Each Occurrence Limit $. 1,000,000 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 City Zip State Address 02127 MA South Boston No. 1 1 70 Colony Ave PREMIUM BASIS ADVANCE PREMIUM BATES Prod/Co Prod/Co All Other All Other 4. CLASS ** Code / Exposure 124.00 129.00 ig 1 Sesitications are Numbered, t vorage pies to the coresponding Localize No 4. No. 1 Bldg 1 98993 Sign Erection, Installation or Repair Included 48.00 120,000 Incl 0.396 s) No. 1 Bidg 1 58408 Printing - Other than Not-For-Profit 1 Included Incl 50.00 50.000 e) No. 1 Bidg 1 Additional Insured - CG2011 100% FULLY EARNED No. No. •II Classifications are Numbered, the coverage applies to the corresponding Location No TOTAL: $ 351.00 (c) total cost - per $1000 (m) admissions - per 1000 (e) each (s) gross sales - per $1000 (u) units area - per 1000 sq. ft. (o) other (a) (p) payroll - per $1000 see classification notes in company or ISO Commercial Lines Manual (t) 5. Policy may be AUDITABLE SPECIFIC GENERAL LIABILITY FORMS/ENDORSEMENTS 6. As per S1007 (12-00) This page alone does not provide coverage and must be 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 of 1 S2000 (06/01)

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Liberty Mutual. INSURANCE AR INFORMATION PAGE 175 Berkeley Street Boston, MA 02116 Issued by IM INSURANCE CORPORATION 27243 WC5-31S-389517-022 Policy Number Issuing Office 016C 03-23-22 WC5-31S-389517-021 RENEWAL OF: Issue Date Account Number 1-389517 Sub Account 0000 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 2. Policy Period: The policy period is from 04-04-2022 to 04-04-2023 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: 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 Bodily Injury by Accident $ 1,000,000 policy limit 1,000,000 Bodily Injury by Disease Bodily Injury by Disease each employee 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 Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates ar ating Plans. All information required below is subject to verification and change by aud Premium Basis Total Estimated Annual Code Rate per $100 Estimated Annual Remuneration Classifications Premium Number of Remuneration See Extension of Information Page 500 Total Estimated Annual Premium $ $ (MA) Minimum Premium 3,709 Premium will be billed ANNUAL Producer 0004-024848 TAM FINANCIAL LIC 200 LINCOLN ST STE 001 BOSTON MA 02111 © 1987 National Council on Compensation Insurance, Inc. WC 00 00 01 A WC 00 00 01 B (CA) Page 1 of 1 All Rights Reserved Ed. 07/01/2011 Insured Copy

CLU Fax: [phone removed] side walk ANITAKI NIO [email removed] TEL: [phone removed] / [phone removed] 259 Quincy Ave. Quincy, MA 02169 • NEW CC Sign ALL RIGHTS RESERVED NEW CC SIGN down lights 8"x12" steel plate -wire pass through 1" x1"steel tube 2" x2"steel tube Date This image is for general reference only, and may not accurately represent the actual product. 49.50"- side view: Print Name CC Sign is authorized to perform the work as specified. The undersigned, in his or her individual and official capacity, hereby certifies that the quoted prices, designs, specifications, terms, and conditions are accepted. New 03587 1.3.50" Address: 6 Church St. City: Cambridge File Name: The Dough Club State/Zip: MA 02138 Job No: U B * CREAM 24" 41" "АРАЖЕВЕ ІСВ TAIYAKI Revision: полос энд [phone removed] Sign installed in location shown on attached photo. Specification: * 2" deep 040 white aluminum box w. 1"x1" galvanized tubing frame. * 2" steel pipe welded on 8"x12"x3/16" steel plate * Down lighted sign bracket, UL Listed. * Apply pink, orange, red and black vinyl. Estimate($0 Means No Price): Phone: Original: 03/28/2022 Company: The Dough Club Customer: Kelvin Loke Blade Sign:

Proposed Existing