An application was received from Dong Lei Representing Shining Star Daycare Center, requesting permission for a projecting sign at the premises numbered 1001 Massachusetts Avenue approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter

Location Applicant Sign/Awning Permit 1001 Massachusetts Ave & Dong Lei 174688 Cambridge, MA 02138 & [phone removed] @[email removed] General Information What option best describes this application? Sign(s) Description of Proposed Work Refacing with the existing light box sign and blade sign Estimated Cost of Sign(s) in dollars 1641.5 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings). The existing lightbox sign is 25" × 116"; the blade sign is 37" x 49-3/4" Cambridge City Council approval may be required. Will one or more of the proposed signs extend six (6) inches into the public sidewalk? No Sign Information Sign Text ShiningStar Childcare Center/ Infant, Toddler, Pre-K, AfterSchool / www.Dikishiningstar.com (//www.Dikishiningstar.com) / 617- 764-0630 Illumination Type of Sign Internal Wall-Mounted Width of Sign (feet) Height of Sign (feet) 9.6 2 Height from the ground to the top of the sign (feet) Area of Sign (square feet) 10 19.2 Sign Material Height from the ground to bottom of the sign (feet) 12 Acrylic, Vinyl Projection from the Building (inches) Weight of the sign (Ibs) -- 80 Is the sign an accessory to a first floor store? Width of Building Facade for Associated Use (feet) Yes 14

Sign Text Shiningstar Childcare Center Illumination Type of Sign Internal Projecting Width of Sign (feet) Height of Sign (feet) 4.2 3 Height from the ground to the top of the sign (feet) Area of Sign (square feet) 9.5 12.6 Sign Material Height from the ground to bottom of the sign (feet) Acrylic, Vinyl 12.5 Projection from the Building (inches) Weight of the sign (Ibs) 50 - Is the sign an accessory to a first floor store? Width of Building Facade for Associated Use (feet) Yes 14 Contractor Contractor Name CHRISTOPHER CHAN Address 141 PEACH ST E-mail Telephone [phone removed] [email removed] License Expiration Date License Number 08/29/2023 CS-086660 Contractor's Signature Date Signature of Licensed Contractor 05/11/2022 Donger Lei

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 Cambridge, 05-19 _, 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 AZ Signs (NAME OF BUSINESS) be granted permit to erect a sign of the following specifications in front of premises located at 1001 Massachusetts Avenue, Cambridge, MA 02138 (ADDRESS) Type of Sign: Wall Sign & Projecting Sign (state whether electric or otherwise and material used in construction) Reading matter to go on Sign: Refacing the existing wall sign and projecting sign. Keep the existing frame. 37" × 49-3/4" Weight: 50lbs Size: Public Way 56" A. Obstruction: в. 9.5' (Also exact distance from bottom of sign to sidewalk (Give exact distance sign is to extend over sidewalk) 9.5 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 PERJUR [email removed] 701 / 890 5855 Wal as agent for M.r. Am 997 NoMIna Trust (Tel. No.) ner or authorized agent) (Address) Property g [phone removed] 3076 41st St, Astoria, NY 11103 (Tel. No.) (Address) (Business owner)

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 05/19/2022 To Whom It May Concern: Cambridge, As Owner of Agent of Mass Are 997 Nomine Truet of the Massachusetts, I do hereby declare my disapproval _approval installment of: Canopy over the sidewalk entrance: _ Awnings over the windows: refacing the existing blade sign Projecting sign: of said property. Date 5/23 / 2021 Address: do tripal Rel Estate los Auduban Ra wakefall ma 01830 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)

DATE (MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 04/29/2022 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), AUTHORIZE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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). NANTACT Walter Kwan Insurance Agency [FAC, No): [phone removed] Walter Kwan Insurance Agency Inc NExt:[phone removed] 200 Lincoln Street, Suite 202 INSURERS) AFFORDING COVERAGE Boston, MA 02111 INSURER A Guard Insurance INSURED INSURER B: INSURER C: AN XING INC DBA: A Z SIGNS INSURER D: 20 Branch St#1 INSURER E: QUINCY, MA 02169 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. OLYe ADDL SUBR INSR LIMITS POLICY NUMBER TYPE OF INSURANCE INSD WVD LTR EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY 08/28/2021 08/28/2022 ANBP280499 A DAMAGE TO RENTED PREMISES (Ea occurrence) X OCCUR $1,000,000 CLAIMS-MADE $5,000 MED EXP (Any one person) PERSONAL & ADV INJURY sincluded GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS - COMP/OP AGG LOC $2,000,000 JECT POLICY $ OTHER: COMBINED SINGLE LIMI $ AUTOMOBILE LIABILITY -a accident $ BODILY INJURY (Per person) ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS ONLY PROPERTY DAMAGE JON-OWNED HIRED $ (Per accident) AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB EACH OCCURRENCE OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTIONS WORKERS COMPENSATION STATUTE AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE N/ A OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) •s. cescoe un E.L. DISEASE - POLICY LIMIT$ SCRIPTION OF OPERATIONS be DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sign Manufacturing/Industrial Design Services CANCELLATION CERTIFICATE HOLDER NOTICE WILL BE DELIVERED IN Shining Star Childcare Center CORDANG PIN PREPOLE PRONORE WRITE AN EARED TE 1001 Massachusetts Ave Cambridge, MA 02138 BENA Chin WCC © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25(2016/03) Printed by WCC on April 29, 2022 at 05:04PM

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/29/2022 ACORD 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(ies) 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 COMFACT Walter Kwan Insurance Agency [AC, No): [phone removed] PH No, Ext: [phone removed] Walter Kwan Insurance Agency Inc E-MAIL ADDRESS: 200 Lincoln Street, Suite 202 NAIC# INSURERS) AFFORDING COVERAGE Boston, MA 02111 INSURER A Guard Insurance INSURED INSURER B: INSURER C: AN XING INC DBA: A Z SIGNS INSURER D: 20 Branch St#1 INSURER E: QUINCY, MA 02169 INSURER F: CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES 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. OLICY EF POLICY EXP ADDL SUBR INSR LIMITS MM/DD/YYYY)|(MM/DD/YYYY TYPE OF INSURANCE LIR POLICY NUMBER INSD WVD $1,000,000 EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY 08/28/2021 08/28/2022 ANBP280499 DAMAGE TO RENTED A OCCUR CLAIMS-MADE PREMISES (Ea occurrence) $1,000,000 $5,000 MED EXP (Any one person) PERSONAL & ADV INJURY sincluded GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: LOC PRODUCTS - COMP/OP AGG $2,000,000 POLICY OTHER: OMBINED SINGLE LIM Ea acciden AUTOMOBILE LIABILITY BODILY INJURY (Per person) ANY AUTO SCHEDULED BODILY INJURY (Per accident) $ OWNED AUTOS AUTOS ONLY PROPERTY DAMAGE NON-OWNED HIRED (Per accident) AUTOS ONLY AUTOS ONLY CA CA UMBRELLA LIAB EACH OCCURRENCE OCCUR AGGREGATE EXCESS LIAB CLAIMS-MADE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDEDY N/ A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) E.L. DISEASE - POLICY LIMIT S SCRIPTION OF OPERATIONS belo DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sign Manufacturing/Industrial Design Services CANCELLATION CERTIFICATE HOLDER ACCORDANCE WITH THE POLICY PROVISIONS. Shining Star Childcare Center 1001 Massachusetts Ave Cambridge, MA 02138 WCC Weidi, chin © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25(2016/03) Printed by WCC on April 29, 2022 at 05:04PM

Building Owner Authorization Letter Mass Ave 997 Nominee Trust, hereby authorizes Dong Lei, representative for AZ Signs. To make application for a SIGN PERMIT to a 25" × 116" lightbox sign and 37" x 49- 3/4" blade sign refacing at 1001 Massachusetts Ave, Cambridge, MA 02138. 5/12/2022 Will the Date As agent for 997 Mass Ave Nominee Trust Address: 997 Mass Ave Nominee Trust, c/o Eastport Real Estate, 107 Audubon Road, Wakefield. MA 01880 Phone: [phone removed] E-Mail: [email removed]

2 Yoga 20 BRANCH STREET, UNIT 1, QUINCY, MA 02169 1-0-09 | [phone removed] HOME MADE GOOD NOONI AZ SIGNS & STOREFRONTS VETHSHONS [phone removed] Sign Refacing Specification: - Keep the existing frame 25" × 116" Lightbox Sign Refacing - Material: 3/16" Acrylic with Graphic Print ЗА AL Existing Date 05/10/2022 Sushi Hot Pot 116" Chinese Cuisine Tsering Diki Aulli [phone removed] is authorized to perform the work as specified. Print Name The undersigned, in his or eris, and Condions ale acepted, Az signites • Infant • Toddler • Pre-K • After School www.bikishiningpta.com www.Dikishiningstar.com Shinke lar Childcare Center Shining Star Childcare Center Chiningstan Job No.:1143 City: Cambridge State/ZIP:MA 02138 Date:05-05-2022 Address:1001 Mass. Ave HOME MADE COOL NIONI Dhi 1001 Massachusetts Ave, Cambridge, MA 02138 Company:ShiningStar Childcare Center Estimate: Customer:Diki Phone:[phone removed] ALI Proposed

* 1-0-80 [phone removed] 20 BRANCH STREET, UNIT 1, QUINCY, MA 02169 AZ SIGNS & STOREFRONTS 49.75 " 05/10/2022 Shiningston Childcare Center Hot Pot Chinese (uisine Sign Refacing Specification: 37" × 49-3/4" Blade Sign Refacing - Keep the existing frame - Material: 3/16" Acrylic with Graphic Print Existing Tsering Diki Ambi is authorized to perform the work as specified. Print Name The undersigned, in his or ering, and condions ale aired a series City: Cambridge State/ZIP:MA 02138 Address:1001 Mass. Ave Date:05-04-2022 Job No.:1143 PAL Shintngriop Childcare Center INDIAN FOOD SINGH'S DHABA 1001 Massachusetts Ave, Cambridge, MA 02138 Customer:Diki Phone:[phone removed] Estimate: Proposed Company:ShiningStar Childcare Center

The Commonwealth of Massachusetts Department of Industrial Accidents TINE Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111 TA LINEATAT www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Please Print Legibly Applicant Information Business/Organization Name: AZ Signs Address: 20 Branch St Phone #: [phone removed] City/State/Zip: Quincy, MA 02169 Are you an employer? Check the appropriate box: Business Type (required): 5. • Retail I am a employer with 2 employees (full and/ 1.0 6. • Restaurant/Bar/Eating Establishment or part-time).* 2.0 I am a sole proprietor or partnership and have no 7. L Office and/or Sales (incl. real estate, auto, etc.) employees working for me in any capacity. 8. • Non-profit [No workers' comp. insurance required] Entertainment 9. We are a corporation and its officers have exercised 3.D their right of exemption per c. 152, §1(4), and we have 10. Manufacturing no employees. [No workers' comp. insurance required]** 11. Health Care 4. _ We are a non-profit organization, staffed by volunteers, 12. Other Sign with no employees. [No workers' comp. insurance req.] *Any 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: A.I.M. Mutual Insurer's Address: 1001 Massachusetts Ave City/State/Zip: Cambridge, MA 02138 Expiration Date: 03/20/2023 Policy # or Self-ins. Lic. #VWM10060199272022A Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). failure to secure coverage as required under § 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine uj 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 t $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. 05/11/2022 Date: Signature: Donger Lei [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): 1. Board of Health 2. Building Department 3• City/Town Clerk 4.OLicensing Board 5. Selectmen's Office 6. Other Contact Person: Phone #: www.mass.gov/dia

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 your insurance company's name, address and phone number along with a certificate 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 (it necessary). 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 (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this 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] Form Revised 7/2019 www.mass.gov/dia

DATE (MMIDDYYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject t he 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). NAMEACT Cindy Chang [AC, No): RICHARD SOO HOO INSURANCE AGENCY (AC, No, Ext): [phone removed] ADDRESS: [email removed] 123 Beach St NAIC # INSURERS) AFFORDING COVERAGE MA 02111 33758 BOSTON INSURERA: AIM MUTUAL INS CO INSURED INSURER B: INSURER C: AN XING INC INSURER D: AZ SIGNS 20 BRANCH ST 1 INSURER E: MA 02169 INSURER F: QUINCY CERTIFICATE NUMBER: 769870 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 NDICATED. 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. TYPE OF INSURANCE EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ OCCUR CLAIMS-MADE PREMISES (Ea occurrence) MED EXP (Any one person) N/A PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ LOC PRODUCTS - COMP/OP AGG POLICY PROT OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) $ BODILY INJURY (Per person) ANY AUTO SCHEDULED ALL OWNED BODILY INJURY (Per accident) S N/A AUTOS AUTOS VON-OWNED AUTOS HIRED AUTOS EACH OCCURRENCE UMBRELLA LIAB OCCUR EXCESS LIAB N/A AGGREGATE CLAIMS-MADE RETENTIONS OTH- FR WORKERS COMPENSATION X STATUTE T AND EMPLOYERS' LIABILITY $ 500,000 E.L. EACH ACCIDENT NYPROPRIETOR/PARTNER/EXECUTI OFFICER/MEMBEREXCLUDE 03/20/2022 03/20/2023 VWC10060199272022A E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS belov N/A DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Clams tor Bennis to employe in lates other han Mascist ne sure lies, as fred nose en poe i re alasatue aven to pay sue ate is crice of surance) The sales is overage can real a aley are in the rio a rage or ease reas Search tool at www.mass.gov/lwd/workers-compensation/investigations/ CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Shining Star Childcare Center 1001 Massachusetts Ave AUTHORIZED REPRESENTATIVE MA 02138 Cambridge © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25(2014/01)