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An application was received from Stuart Pitchel representing Petunia, requesting permission for a projecting sign at the premises numbered 73 Mount Auburn Street approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter
⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.
January 14, 2025
City of Cambridge, MA
Primary Location
1144049
Applicant
71 Mt Auburn St
Sign/Awning Permit
• Stuart Pitchel
Status: Active
Cambridge, MA 02138
[phone removed]
Submitted On: 11/21/2024
@[email removed]
Owner
1Ar 236 Pearl Street
HARVARD STUDENT AGENCIES,
Somerville, MA 02145
INC
67 MT. AUBURN ST CAMBRIDGE,
MA 02138
General Information
What option best describes this application?*
Sign(s)
Description of Proposed Work*
Refacing (1) non-illuminated blade sign to new tenant "Petunia" at 73 Mt Auburn
St. Permitting system does not recognize 73 and had to input 75 Mt Auburn St.
Was told to do this by Inspectional Services
Estimated Cost of Sign(s) in dollars *
3151.56
Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).*
No existing sign to remain
Cambridge City Council approval may be required.
Will one or more of the proposed signs extend six (6)
inches into the public sidewalk?*
Yes
You must submit a Projected Sign Application and Abutter's Form to the City
Clerk's Office.
Sign Information
Sign Text*
Petunia
Illumination*
Type of Sign*
Natural
Projecting
Width of Sign (feet)*
Height of Sign (feet)*
3
3
Area of Sign (square feet)*
Height from the ground to the top of the sign
(feet)*
9
14.6
Sign Material*
Height from the ground to bottom of the sign
(feet)*
Aluminum & Acrylic
11
Projection from the Building (inches)
Weight of the sign (Ibs)*
41.5
25
Is the sign an accessory to a first floor store?*
Width of Building Facade for Associated Use
(feet)*
Yes
16.5
Contractor
Contractor Name*
STUART R PITCHEL
Address*
30 FREEMAN ST
E-mail*
Telephone*
[phone removed]
[email removed]
License Number*
License Expiration Date*
12/20/2026
CS-091230
Contractor's Signature
Date*
Signature of Licensed Contractor*
Stuart Pitchel
11/21/2024
Community Development Approval
& Sign requires a variance from the Board of Zoning
& Sign conforms to requirements of Article 7.000
Appeal
-
-
• Comments
a Exempt under Article 7.000
-
City Clerk Internal
A Bond Number
Attachments
REQUIRED
Drawing of Sign(s)
Petunia_Blade_v1.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM
REQUIRED
Contract with Sign Company
Est_4857_from_SRP_Sign_Corporation_11292.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM
Proof of Insurance
REQUIRED
SRP Sign Corp COl.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM
Signed contract between property owner and applicant
REQUIRED
Petunia sign letter.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:04 PM
73MtAuburnSt_SignedCertForm_2024.11.21.pdf
73MtAuburnSt_SignedCertForm_2024.11.21.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:05 PM
Petunia sign application.pdf
Petunia sign application.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:05 PM
OFFICE OF THE CITY CLERK.pdf
OFFICE OF THE CITY CLERK.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:06 PM
WorksComp_Signed.pdf
WorksComp_Signed.pdf
Uploaded by Stuart Pitchel on Nov 21, 2024 at 2:08 PM
71-73 Mt Auburn St CNA reface existing blade sign.pdf
71-73 Mt Auburn St CNA reface existing blade sign.pdf
Uploaded by Sarah Burks on Jan 8, 2025 at 12:30 PM
Record Activity
Stuart Pitchel started a draft Record
11/21/2024 at 1:57 pm
11/21/2024 at 2:04 pm
Stuart Pitchel added file Petunia_Blade_v1.pdf
Stuart Pitchel added file Est_4857_from_SRP_Sign_Corporation_11292.pdf
11/21/2024 at 2:04 pm
Stuart Pitchel added file SRP Sign Corp COl.pdf
11/21/2024 at 2:04 pm
11/21/2024 at 2:04 pm
Stuart Pitchel added file Petunia sign letter.pdf
11/21/2024 at 2:05 pm
Stuart Pitchel added file 73MtAuburnSt_SignedCertForm_202411.21.pdf
Stuart Pitchel added file Petunia sign application.pdf
11/21/2024 at 2:05 pm
Stuart Pitchel added file OFFICE OF THE CITY CLERK.pdf
11/21/2024 at 2:06 pm
11/21/2024 at 2:08 pm
Stuart Pitchel added file WorksComp_Signed.pdf
Stuart Pitchel submitted Record 1144049
11/21/2024 at 2:09 pm
OpenGov system altered approval step Community Development Plan
11/21/2024 at 2:09 pm
Review, changed status from Inactive to Active on Record 1144049
OpenGov system altered approval step Review for Completeness, changed
11/21/2024 at 2:09 pm
status from Inactive to Active on Record 1144049
OpenGov system assigned approval step Review for Completeness to
11/21/2024 at 2:09 pm
Branden Vigneault on Record 1144049
OpenGov system assigned approval step Community Development Plan
11/21/2024 at 2:09 pm
Review to Teal Delys on Record 1144049
Branden Vigneault approved approval step Review for Completeness on
12/09/2024 at 5:46 pm
Record 1144049
Teal Delys approved approval step Community Development Plan Review on
12/12/2024 at 12:35 pm
Record 1144049
OpenGov system altered approval step Department of Public Works Review,
12/12/2024 at 12:35 pm
changed status from Inactive to Active on Record 1144049
OpenGov system altered approval step Historical Commission, changed
12/12/2024 at 12:35 pm
status from Inactive to Active on Record 1144049
OpenGov system assigned approval step Historical Commission to Eric Hill
12/12/2024 at 12:35 pm
on Record 1144049
OpenGov system assigned approval step Department of Public Works Review
12/12/2024 at 12:35 pm
to Brian McLane on Record 1144049
Eric Hill unassigned approval step Historical Commission from Eric Hill on
12/13/2024 at 10:34 am
Record 1144049
Eric Hill assigned approval step Historical Commission to Sarah Burks on
12/13/2024 at 10:34 am
Record 1144049
Brian McLane approved approval step Department of Public Works Review
12/18/2024 at 7:02 am
on Record 1144049
Sarah Burks approved approval step Historical Commission on Record
01/08/2025 at 12:22 pm
1144049
OpenGov system altered approval step City Clerk Review, changed status
01/08/2025 at 12:22 pm
from Inactive to Active on Record 1144049
OpenGov system assigned approval step City Clerk Review to Lori Perez on
01/08/2025 at 12:22 pm
Record 1144049
Sarah Burks moved Record 1144049 from 75 Mt Auburn St, Cambridge MA
01/08/2025 at 12:26 pm
02138 to 71 Mt Auburn St, Cambridge MA 02138
Sarah Burks added file 71-73 Mt Auburn St CNA reface existing blade sign.pdf
01/08/2025 at 12:30 pm
to Record 1144049
Timeline
Due
Label
Status
Activated
Assignee
Completed
Date
12/9/2024,
Branden
V Review for
11/21/2024,
Completed
-
Completeness
5:46:55 PM
2:09:04 PM
Vigneault
/ Community
12/12/2024
11/21/2024,
Completed
Development
Teal Delys
-
2:09:04 PM
12:35:47 PM
Plan Review
/ Historical
Sarah
12/12/2024,
1/8/2025,
Completed
-
12:22:38 PM
12:35:47 PM
Commission
Burks
/ Department
Brian
12/12/2024,
12/18/2024
Completed
of Public Works
-
7:02:32 AM
12:35:47 PM
McLane
Review
/ City Clerk
1/8/2025,
Active
-
-
Lori Perez
12:22:38 PM
Review
City Council
Inactive
-
-
Approval
Inactive
-
V Bond
Stuart
$ Sign Permit
Inactive
Fee
Pitchel
/ Building
Inactive
-
Inspector
Review
Inactive
-
E Sign Permit
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
DIANE P. LEBLANC
PAULA M. CRANE
DEPUTY CITY CLERK
CITY CLERK
10/31
Cambridge,
→ 2024
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 Petunia
(NAME OF BUSINESS)
be granted permit to erect a sign of the following specifications in front of premises located at
73 Mount Auburn St
(ADDRESS)
Type of Sign: Non-luminated Projecting Blade Sign
(state whether electric or otherwise and material used in construction)
Reading matter to go on Sign:
"Petunia"
36" Х 36"
25
Size:
Weight:
Public Way
Obstruction:
в. 132"
A. 41-1/2"
(Give exact distance sign is to extend over sidewalk)
(Also exact distance from bottom of sign to sidewalk)
132"
Top: 168"
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.
[phone removed]
MA 0238,
1 PM, AuloRN
Tort Persey
GM/C5o
(Property owner or authorized agent)
(Tel. No.)
(Address)
(Business owner)
(Tel. No.)
(Address)
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
TTY/TDD [phone removed]
DIANE P. LEBLANC
PAULA M. CRANE
CITY CLERK
DEPUTY CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
To Whom It May Concern:
Date Nor 6, 2024
(BOSTON RAMEN COMPANY)
As Owner of Agent of
Cambridge,
Boston Ramen
Compry
_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
Nor 6, 2024
Signed:
Address:
24 Hilyale St, Cambridge ut 02138
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)
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL., 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
DIANE P. LEBLANC
TTY/TDD [phone removed]
CITY CLERK
PAULA M. CRANE
DEPUTY CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
To Whom It May Concern:
Date
11/1/24
As Owner of Agent of
Playa B
owls 71 Mt Auburn ST
Cambridge,
Massachusetts, I do hereby declare my disapproval
_approval
of the
installment of:
Canopy over the sidewalk entrance:
Corner Hollyake st and Alf Album
Awnings over the windows:
Projecting sign:
- 1/7/24
Playa Baals 21 Mt /burn st Cambridg Mh.
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)
CAMBRIDGE HISTORICAL COMMISSION
831 Massachusetts Avenue, 2nd Fl., Cambridge, Massachusetts 02139
Telephone: [phone removed] E-mail: histcomm@cambridgema.gov
URL: https://www.cambridgema.gov/historic
MIDGE HISTO
Chandra Harrington, Chair; Susannah Barton Tobin; Vice Chair; Charles M. Sullivan, Executive Director
Joseph V. Ferrara, Elizabeth Lyster; Jo M. Solet, Yuting Zhang, Members
Gavin W. Kleespies, Paula A. Paris, Kyle Sheffield, Alternates
COMMISSION
CERTIFICATE OF NONAPPLICABILITY
71/73 Mt. Auburn Street
Property:
Harvard Student Agencies
Applicant:
Attention: Stuart Pitchel, sign contractor
The Cambridge Historical Commission hereby certifies, pursuant to the
Massachusetts Historic Districts Act and the Cambridge Historical
Commission Ordinance, that the work described below does not involve
any activity requiring issuance of a Certificate of Appropriateness or
Hardship:
Reface an existing round blade sign for new tenant, Petunia.
ISD #1144049
This certificate is granted upon the condition that the work
authorized herein is commenced within six months after the date of
issuance. If the work authorized by this certificate is not commenced
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.
Case
Number:
5249
Date of Certificate: January 8, 2025
Attest: A true and correct copy of decision filed with the
office of the City Clerk and the Cambridge Historical Commission
on January 8, 2025.
By Chandra Harrington/SLB, Chair.
••..
Twenty days have elapsed since the filing of this decision.
• Appeal has been filed
No appeal has been filed
Date
_ City Clerk
CITY OF CAMBRIDGE
Community Development Department
DECOR
City Hall Annex, 344 Broadway, Cambridge, MA 02139
SIGN CERTIFICATION APPLICATION
Please fill out this application to indicate the number, type, and dimensions of signage for your building. If
you are unsure of the type of sign and/or allowable dimensions, please review the following pages of this
application and Article 7.000 of the Zoning Ordinance. Please note the following additional requirements:
• All signs must receive a permit from the Inspectional Services Department (ISD) before
installation. Community Development Department certification action does NOT constitute issuance
of a permit or certification that all other code requirements have been met. Do not contract for the
fabrication of a sign until all permits have been issued, including City Council approval if necessary,
for signs in the public way.
• Any sign or portion of a sign extending more than six (6) inches into the public way/sidewalk must
receive approval from the Cambridge City Council and a bond must be posted with the City Clerk. For
questions or additional information, please contact cddzoning@cambridgema.gov.
APPLICANT INFORMATION
Applicant Name: SRP Sign Corporation
Phone: [phone removed]
Email:
[email removed]
Sign Address: 73 Mount Auburn St
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
PROPOSED SIGN
Please fill out the information below and attach a sketch of the proposed sign to the application. Each proposed sign
requires an individual form to be filled out. For further information on sign types, see the below page.
Sign text: Petunia
Sign type: Projecting Sign (including awnings)
Area in square feet: 9
Dimensions:
L
36"
H
× 36"
Placement height in feet: 132'
Depth from façade: 41.5"
Illumination: Natural (no illumination)
Sign frontage in feet: 16.5
Area of existing signs to remain: 0
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
FOR INTERNAL USE ONLY
Sign conforms to requirements of Article 7.000: Yes
Sign requires a variance from the Board of Zoning Appeals: No
The sign is located in the Harvard Square Overlay, which allows for flexibility of
regulations in Article 7, and is thus approved. The sign conforms to requirements in
Article 7.
Comments:
Signature:
11/21/24
Date
CDD Representative
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
NATURAL
ILLUMINATION
AND EXTERNAL
WITH CONDITIONS
INTERNAL ILLUMINATION
SQ FT
DING
SIGN
MAX
AROVE
GROUND
2 SIGNS PER LOT
FREESTANDING SIGN
any other structure.
self-supporting structure and is not attached to
A free standing sign is attached to or part of a
EXTERNAL
NATURAL AND
ILLUMINATION-
RULL DING
OF SIGNS PER
UNLIMITED #
SIGN FRONTAGE - -
PARALLEL TO STREET-
_LENGTH OF BUILDING
WALL SIGN
MAX 60
ABOVE
GROUND
WALL SIGN
OVERVIEW BY SIGN TYPE
sign area is parallel to the plane of the building.
A wall sign is affixed so its exposed face and all
APPROVE
IF PROJECTION
COUNCIL MUST
EXCEEDS 6*, CITY
MAX
SIGN FRONTAGE-
ABOVE
PARALLEL TO STREET
LENGTH OF BUILDING
GROUND
SO FT
MAX 131
ONE SIGN PER
GROUND FLOOR
ESTABLISHMENT
CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
ONLY
-EXTERNAL
ILLUMINATION
NATURAL AND
PROJECTING SIGN
advertisement, announcement, or direction and which is designed to be seen from the outside of a building. For further information on specific
Please note that this guide is intended to provide an overview of requirements by sign type. Sign shall mean and include any permanent or
requirements, consult Article 7.000 of the Zoning Ordinance.
temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an
awning mounted signs.
A projecting sign is attached to and projects from
a building face, including marquee, canopy, and
estimate
Estimate #
SRPSIGN
Date
CORPORATION
4857
9/9/2024
236 pearl street. somerville, ma 02145
t. [phone removed] f. [phone removed]
AK
Rep
Name / Address
Ship To
Petunia
Petunia
Tamara Neyra
73 Mount Auburn St
73 Mount Auburn St
Cambridge, MA
Cambridge, MA
Item
Cost
Total
Description
Qty
1
Blade Sign Re-Face
Sign
1,225.00T
1,225.00
3/8" Acrylic Name "Petunia" Flush Mounted w/ VHB
1/4" Acrylic Tag Line " in Harvard Square" Flush Mounted w/ VHB
Remove Existing Acrylic Logo
Sand, Prime & Paint Sign
Apply New Logo
Installation
Open shop installation during normal business hours
1,850.00
1,850.00
Includes (1) Install Trip to Remove Sign
MA Sales Tax
76.56
6.25%
Terms: 50% deposit required to begin.
Delivery: 4 - 6 weeks from receipt of all required approvals.
Total
$3,151.56
Estimates are valid for 30 days
Police details, municipal license or permit fees and/or aquisition expenses incurred by SRP Sign Corp., and sales or use taxes where applicable or
required are additional charges which shall be born by the Purchaser.
Sign permit at face value plus $85.00 per hour to obtain with a minimum 1 hour added to final invoice
Dated:_ 10/18/2024
This contract in accordance with terms stated is hereby accepted. signed tamaRa Neyra
DATE (MM/DD/YYYY)
ACORD®
CERTIFICATE OF LIABILITY INSURANCE
01/24/2024
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.
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).
Nicole Bobocea
Risman Insurance Agency, Inc.
. [phone removed]
(AC, No): [phone removed]
689 Fellsway
[email removed]
ADDRESS:
NAIC #
INSURERS) AFFORDING COVERAGE
Medford
MA 02155
24082
Ohio Security Insurance Co.
INSURER A :
INSURED
Norfolk & Dedham Mutual Ins Co
23965
INSURER B:
Srp Sign Corp
Ohio Casualty Insurance Co.
24074
INSURER C:
236 Pearl St
INSURER D:
INSURER E:
Somerville
MA 02145
INSURER F:
CL2412360071
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.
INSR
TADDL SUBRI
POLICY EFF
TYPE OF INSURANCE
_TR
LIMITS
POLICY NUMBER
INSD WVD
COMMERCIAL GENERAL LIABILITY
X
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
$ 300,000
PREMISES (Ea occurrence)
MED EXP (Any one person)
$ 15,000
01/20/2024
01/20/2025
A
BKS60819504
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 2,000,000
GENERAL AGGREGATE
LOC
POLICY
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
$ 1,000,000
(Ea accident)
BODILY INJURY (Per person)
ANY AUTO
SCHEDULED
OWNED
BODILY INJURY (Per accident)
01/20/2025
91970387A
B
01/20/2024
AUTOS
AUTOS ONLY
HIRED
PROPERTY DAMAGE
NON-OWNED
X
AUTOS ONLY
(Per accident)
AUTOS ONLY
$
UMBRELLA LIAB
X
• OCCUR
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAB
5,000,000
USO60819504
01/20/2025
01/20/2024
CLAIMS-MADE
$
AGGREGATE
DED
X RETENTION $ 10,000
WORKERS COMPENSATION
OTH-
ER
X STATUTE
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
$ 1,000,000
E.L. EACH ACCIDENT
WE190737A
IN/ A
01/20/2025
OFFICER/MEMBER EXCLUDED?
01/20/2024
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
$ 1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required
Insurance verification:
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
SRP Sign Corp.
236 Pearl St.
AUTHORIZED REPRESENTATIVE
Somerville
MA 02145
-Vicole Bobocca
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03)
The ACORD name and logo are registered marks of ACORD
00033115
AGENCY CUSTOMER ID:
LOC#:
of
Page
ACORD®
ADDITIONAL REMARKS SCHEDULE
AGENCY
NAMED INSURED
Risman Insurance Agency, Inc.
Srp Sign Corp & Goodpitch LLC & 234 Pearl Street Realty Trust
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM TITLE: Certificate of Liability Insurance
FORM NUMBER: 25
Liability per forms CG8810 04/13 (ongoing operations) and CG8611 10/16 (completed operations) and Umbrella Liability per form CU6002 04/21.
10a 3, of abily perform A -2 or 05, and umbrela act to perm 4 120 and signed contract i regard to General Liability per form C8810
dditional insured status is primary and non-contributory subject to requirement in written and signed contract in regard to General Liability per form CG88
4/13. General Liability aggregate applies per project per form CG8870 12/08
Please refer to actual policy for all other terms, conditions and exclusions.
ACORD 101(2008/01)
© 2008 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
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): SRP Sign Corporation
Address: 236 Pearl St
Phone #: [phone removed]
City/State/Zip: Somerville, MA 02145
Are you an employer? Check the appropriate box:
Type of project (required):
8
4. • I am a general contractor and I
1.-
I am a employer with
6. L New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7. • Remodeling
2. L
I am a sole proprietor or partner-
These sub-contractors have
ship and have no employees
8. • Demolition
employees and have workers'
working for me in any capacity.
9. • Building addition
comp. insurance.*
[No workers' comp. insurance
10.• Electrical repairs or additions
5.
We are a corporation and its
required.]
officers have exercised their
11.• Plumbing repairs or additions
I am a homeowner doing all work
3.0
right of exemption per MGL
myself. [No workers' comp.
12. Roof repairs
c. 152, 81(4), and we have no
insurance required.] *
13.• Other Signage
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
employees. If the sub-contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Risman Insurance Agency, Inc.
Policy # or Self-ins. Lic. #: WE190737A
Expiration Date: 01/20/2025
Job Site Address: 73 Mt Auburn St
City/State/Zip: Cambridge
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.
11/21/2024
Date:
Signature:
[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 2L Building Department 3LCity/Town Clerk 4.L Electrical Inspector 5LPlumbing
Inspector 6.Other
Contact Person:
Phone #:
HARVARD
STUDENT
AGENCIES
Date November 6, 2024
Dear City of Cambridge,
1 am writing this letter to document my approval of the proposed blade sign for "Petunia" to be located outside their
retail establishment located at 73 Mt Auburn Street, Cambridge, MA.
The property in question is owned and operated by The Harvard Student Agencies and I am the General Manager &
CEO of The Harvard Student Agencies.
Please let me know if there are any questions.
Sincerely,
GM/CEO The Harvard Student Agencies
Harvard Student Agencies, Inc.
Burke-McCoy Hall • 67 Mount Auburn Street • Cambridge, MA • 02138
www.hsa.net
T 617. 495.3030 • F [phone removed]
DATE 10-31-2024
1½"
EcT: BLADE SIGN
DDRESS: 73 MT AUBURN ST., CAMBRIDGE, MA
RAWN BY: ADAM KNAUER
QUENT PETUNIA
LE LOCATION: Clients Petunia/Blade Signi Petunia, Blade yt polf
DESCRIPTION. EXTERIOR SIGNAGE
44½"
[phone removed]
236 PEARL STREET
SOMERVILLE, MA 02145
12"
CORPORATION
SRPSIGN
11%"
36"
41½"
Petunic
Black
TBD
Pink TBD
30" Dia. x 2"
3/8" Acrylic Flush Mounted w/ VHB
Non-Illuminated Blade Sign
Qty. (1)
DATE: 10-31-2024
DRESS: 73 MT AUBURN ST., CAMBRIDGE, MA
CONCI: BLADE SIGN
LE LOCATION. CanaDate Blade Siont Paturia Blade v1 pet
RAWN BY: ADAM KNAUER
ESCRIPTION: EXTERIOR SIGNAGE
CUENT: PETUNIA
[phone removed]
236 PEARL STREET
SOMERVILLE, MA 02145
CORPORATION
SRPSIGN
36" Dia x 1-1/2" Fabricated Sign Panel
1/2" Flush Mounted Acrylic Logo Flush
1" Dia x 11-3/8" Aluminum Support Tube
2" x 2" x 41-1/2" Aluminum Mounting Arm
29" x 9" x 3/8" Aluminum Mounting Bracket
Black
TBD
Pink TBD
3/8" Acrylic Flush Mounted / VHB
Qty. (1)
Non-Illuminated Blade Sign
30" Dia. x 2"
DATE 10-31-2024
Brick Facade
3/8" Aluminum Gussets
_ 29" x 9" x 3/8" Aluminum Mounting Bracket
ACT: BLADE SIGN
- Mechanical Hardware Penetrates at Mortar Joint
- 2"x 2" x 41-1/2" Aluminum Mounting Arm
CRIPTION, EXTERIOR SIGNAGE
ODRESS: 73 MT AUBURN ST., CAMBRIDGE, MA
RAWNBY ADAM KNAUER
CUENT: PETUNIA
FILE LOCATION: Clients Petunia Blade Sign Petunia, Blade vt pat
([phone removed]
236 PEARL STREET
SOMERVILLE, MA 02145
CORPORATION
SRESIGN
Black
TBD
Pink TBD
3/8" Acrylic Flush Mounted w/ VHB
Non-Illuminated Blade Sign
30" Dia. x 2"
Qty. (1)
MOg
DATE 10-31-2024
BLADE SIGN
RESS 73 MT AUBURN ST., CAMBRIDGE, MA
CRIPTION. EXTERIOR SIGNAGE
RAWNEY ADAM KNAUER
LENT PETUNIA
([phone removed]
236 PEARL STREET
COMERVILLE MA 02145
CORPORATION
SRESIGN
Potuna
Proposed Conditions
132"
A.F.F.
Existing Conditions
Black
TBD
Pink TBD
30" Dia. x 2"
3/8" Acrylic Flush Mounted w/ VHB
Non-Illuminated Blade Sign
Qty. (1)