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An application was received from Donger Lei representing FUPO CAFE, requesting permission for an awning at the premises numbered 359 Huron Avenue. Approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutters

APP 2025 #12·Council meeting Mar 17, 2025·36 pages·📄 Original PDF (city portal)

⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.

March 12, 2025 City of Cambridge, MA Primary Location Applicant 1148493 359 Huron Ave Sign/Awning Permit • Donger Lei [phone removed] Status: Active Cambridge, MA 02138 Submitted On: 1/13/2025 [email removed] Owner 20 Branch St NAJARIAN, MARC, L. JAMES Unit 1 NAJARIAN Quincy, MA 02169 165 BALDPATE HILL ROAD NEWTON, MA 02459 General Information What option best describes this application?* Sign(s) and Awning(s) Description of Proposed Work* 1. Replace the existing wall signage with a larger sign 30" × 120" aluminum panel sign; 2. replace existing awning fabric (141.5"L × 36" W × 40" H) 3. Add signage to the awning valence Estimated Cost of Awning(s) in dollars * Estimated Cost of Sign(s) in dollars * 1350 1150 Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).* none
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* FUPO CAFE Illumination* Type of Sign* Natural Wall-Mounted Width of Sign (feet)* Height of Sign (feet)* 8 1.5 Area of Sign (square feet)* Height from the ground to the top of the sign (feet)* 12 14 Height from the ground to bottom of the sign Sign Material* (feet)* Aluminum, vinyl 11.5
Weight of the sign (Ibs)* Projection from the Building (inches) 1 45 Is the sign an accessory to a first floor store?* Width of Building Facade for Associated Use (feet)* Yes 15.5 Sign Text* Fresh Healthy Delicious Illumination* Type of Sign* Natural Projecting Height of Sign (feet)* Width of Sign (feet)* 5 7.06 Area of Sign (square feet)* Height from the ground to the top of the sign (feet)* 3.53 8.76 Height from the ground to bottom of the sign Sign Material* (feet)* acrylic 8.1 Weight of the sign (Ibs)* Projection from the Building (inches) 36 10
Width of Building Facade for Associated Use Is the sign an accessory to a first floor store?* (feet)* Yes 14.5 Awning Information Width of Awning (feet)* Height of Awning (feet)* 11.8 3.3 Height from the ground to bottom of the awning Height from the ground to the top of the awning (feet)* (feet)* 8 11.5 Weight of the awning (Ibs)* Awning Material* 90 Sunbrella Fabric Projection from the Building (inches)* 36 Contractor Contractor Name* CHRISTOPHER CHAN Address* 141 PEACH ST
E-mail* Telephone* [phone removed] [email removed] License Number* License Expiration Date* CS-086660 08/29/2025 Contractor's Signature Date* Signature of Licensed Contractor* 01/13/2025 Donger Lei Community Development Approval & Sign conforms to requirements of Article 7.000 & Sign requires a variance from the Board of Zoning Appeal - - • Comments @ Exempt under Article 7.000 - City Clerk Internal A Bond Number
Attachments REQUIRED Drawing of Sign(s) FUPO CAFE_Sign Plan.pdf Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM REQUIRED Signed contract between property owner and applicant 20250112-Landlord-Signed-Fupo.pdf Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM Certificate (3).pdf Certificate (3).pdf Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM COI - FUPO CAFE.PDF COI - FUPO CAFE.PDF Uploaded by Donger Lei on Jan 13, 2025 at 3:58 PM f-aff-builders (4) pdf f-aff-builders (4).pdf Uploaded by Donger Lei on Jan 13, 2025 at 3:59 PM AZ Sign-Contract1718-Fupo-Signed.pdf AZ Sign-Contract1718-Fupo-Signed.pdf Uploaded by Donger Lei on Jan 13, 2025 at 3:59 PM Sign Certification Form template.pdf Sign Certification Form template.pdf Uploaded by Mason Wells on Jan 14, 2025 at 1:54 PM Sign_Certification_Form_FUPO CAFE.pdf Sign_Certification_Form_FUPO CAFE.pdf Uploaded by Donger Lei on Jan 14, 2025 at 2:06 PM FUPO CAFE_Sign Plan_Revised.pdf FUPO CAFE_Sign Plan_Revised.paf Uploaded by Donger Lei on Jan 22, 2025 at 10:47 AM
Sign_Certification_Form_FUPO CAFE_Awning-pdf Sign_Certification_Form_FUPO CAFE_Awning.pdf Uploaded by Donger Lei on Jan 22, 2025 at 10:52 AM Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf Uploaded by Donger Lei on Feb 6, 2025 at 4:51 PM FUPO CAFE_Sign Plan_Revised_02.06.2025.pdf FUPO CAFE_Sign Plan_Revised_02.06.2025.pdf Uploaded by Donger Lei on Feb 6, 2025 at 4:52 PM Sign_Certification_Form_FUPO CAFE_Awning.pdf Sign_Certification_Form_FUPO CAFE_Awning.pdf Uploaded by Donger Lei on Feb 6, 2025 at 4:58 PM Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf Sign_Certification_Form_FUPO CAFE_Wall Sign.pdf Uploaded by Donger Lei on Feb 6, 2025 at 4:58 PM 359huronave_approvedsigncertificateWALL_20250206.pdf 359huronave_approvedsigncertificateWALL_20250206.pdf Uploaded by Grant Perry on Feb 6, 2025 at 5:02 PM 359huronave_approvedsigncertificateAWNING_20250206.pdf 359huronave_approvedsigncertificateAWNING_20250206.pdf Uploaded by Grant Perry on Feb 6, 2025 at 5:02 PM Building Owner Authorization Letter_Final-Signed.pdf Building Owner Authorization Letter_Final-Signed.pdf Uploaded by Donger Lei on Feb 11, 2025 at 10:36 AM 1718 FUPO CAFE_Updated-AZSign-Signed.pdf 1718 FUPO CAFE_Updated-AZSign-Signed.pdf Uploaded by Donger Lei on Feb 11, 2025 at 10:37 AM City Clerk Application and Abutters Forms.pdf City Clerk Application and Abutters Forms.pdf Uploaded by Donger Lei on Feb 24, 2025 at 3:20 PM
Record Activity Timeline Due Status Label Activated Assignee Completed Date / Review for Branden 2/18/2025, 1/13/2025, Completed 3:25:54 PM Completeness 3:59:26 PM Vigneault / Community Grant 2/6/2025, 1/13/2025, Completed Development 5:03:52 PM 3:59:26 PM Perry Plan Review V Department Brian 2/19/2025, 2/18/2025, Completed of Public Works McLane 10:35:02 AM 3:25:54 PM Review / City Clerk 2/19/2025, Active - Lori Perez 10:35:02 AM Review V City Council Inactive Approval Inactive / Bond $ Sign Permit Inactive Donger Lei Fee V Building Inactive Inspector Review Inactive B Sign Permit
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL., 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed]) FAS [phone removed] 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 Fupo Cafe (NAME OF BUSINESS) be granted permit to crect a sign of the following specifications in front of premises located at 359 Huron Ave, Cambridge, MA 02138 (ADDRESS) Type of Sign: (state whether electric or otherwise and material used in construction) Reading matter lo go on Sign: Change new fabric for the existing awning sign(keep the existing frame and structure) 70lbs Weight: _ 141.5°L x 36"W40"H Size: л. 36" (Also exact distance from bottom of sign to sidewalk) (Give exnet distance sign is in extend over sidewalk) 98" Top: 138" Height Above Grade: Bottom: Section /2/2.0 State Building Code - Projecting Signs) [Section /2.08.070 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./2.220 provides in part "every owner who maintains a ... structare 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 sume and the covers thereof in good repair and condition, at all times during his ownership, and to indemnify and save harmless the Cir against an and all dumages, cost or expenses which it may sustain, or he required to pay by reason of such..structurc." PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HISHEK KNOWLEDGE AND T DERSTANDING TINDER PAINS AND PENALTY OF PERSERY. 617485 9578 (Tel. No.) 165 Bullfate Hill Newton (Address) ed ngent) (Property owner or author Than Nuy am (Business owner) 359 Karan Are, Cambridge MA 0238 181412-8208
UFFICE UF THE CY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] DEPUTY CITY CLERK CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT . To Whom It May Concern: Date 221/25 SKA Cambridge, As Owner of Agent of 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. Signed: _Date 2/21/25 Infa TURON AVE Address: 357 ABUTTERS:
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] CITY CLERK DEPUTY CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT Date 2/21/25 To Whom It May Concern: As Owner of Agent of Quimillie Cambridge, X of the Massachusetts, I do hereby declare my disapproval approval installment of: Canopy over the sidewalk entrance: _ Awnings over the windows: V Projecting sign: of said property. 2/21/25 _Date maddres Signed: Address: Sle heron Ave _ Cambridge: MA 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)
INVOICE 02/06/2025 AZSIGNS 20 Branch Street #1 Quincy, MA 02169 Tel: [phone removed] Bill To: FUPO CAFE Ship To: SAME 359 Huron Ave, Cambridge, MA 02138 Phone: [phone removed] Fax: SALESPERSON ORDER DATE DELIV. DATE JOB NO TERMS SHIPPING P.O. NO. ASAP 1718 QUANTITY DESCRIPTION PRICE $1200.00 Existing Awning Change New Fabric 1 - Keep the Existing Frame & Structure - Fabric: Sunbrella Burgundy Fabric S1050.00 1 18" x 96" Black Aluminum Panel Sign with White Vinyl Lettering - Material: .040" Matte Black Alum. - Lettering: White Vinyl Lettering - Thickness: 1" Depth - Non-illuminated Installation & Labor Sign Permit Application(Sign Permit Fee will be Paid by Client) Comments: Not include ANY Electrical Permits, Special Permits & Others SUBTOTAL $2250.00 Not include ANY Stamped & Signed by MA Registered Design Professional SALES TAX $50.00 Lighting if Needed Responsibility of Customer TOTAL $2300.00 Signature: Date: 02/09/2025 PAYMENTS $1500.00 Print Name: - Zhang BALANCE DUE wyan $800.00 This is a legal binding contract under MA General Laws. All materials are guaranteed to be as specified. all work is to be completed in a workmanlike manner according to standard practices. Six months limited warrant covers repair or exchanges of installed defective parts with same or less value parts. All sale are final. No exchanges after 7 days of retail purchase. Full payment is due upon the arrival of the installation personnel.Past due amounts are subject to 15% APR interest. Client agrees to carry necessary insurances, verify spelling and pay for all balance due, legal fee and all other costs incurred due to late payments or collection. Payment Terms: 60% Deposit. Balance Due Before Installation. Fens acenriated with hirina an electrician for electrical wirina is
BOIOVAI C31 Q050 240123 Tálame HONE earsg AM vaniug Het ЗМАЗ 180 AM 8058-S P1 00
Building Owner Authorization Letter hereby authorize 1, We, _ Mara Najarian (Property Owner(s) --- Please Print) _ representative for AZ Signs_ Donger Lei (Company. Firm, Organization) (Applicant's Name) To make application for a SIGN PERMIT to install a 18" × 96" aluminum panel sign and change new fabrie for the existing awning(141.5"L x 36" W x 40"H) at 359 Huron Ave, Cambridge, MA 02138. Назий 2/10/25 Date Property Owner's Signature Address: 165 Bald pate Hill Rd Newton, Ma. Phone: [phone removed] E-Mail:_
IS NOVIS CITY OF CAMBRIDGE Community Development Department 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: AZ Signs/ Donger Lei Phone: [phone removed] Email: [email removed] Sign Address: 359 Huron Ave, Cambridge, MA 02138 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: Fresh Healthy Delicious Sign type: Projecting Sign (including awnings) Area in square feet: 3.5 L Dimensions: 6" H × 84.91" Placement height in feet: 8.2 Depth from façade: 3 Illumination: Natural (no illumination) Sign frontage in feet: 15.5 Area of existing signs to remain: 0 COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION FOR INTERNAL USE ONLY Sign conforms to requirements of Article 7.000: Choose option. Sign requires a variance from the Board of Zoning Appeals: Choose option. Awning will need City Council Approval. Comments: Signature: 02/06/2025 Grant Perry Date CDD Representative CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
AND EXTERNAL WITH CONDITIONS INTERNAL ILLUMINATION MAX 30 STAN- SIGN DING MAX ABOVE GROUND 2 SIGNS PER LOT FREESTANDING SIGN self-supporting structure and is not attached to any other structure. A free standing sign is attached to or part of a ONLY CYTERNAL LLUMINATION NATURAL AND BUILDING UNLIMITED # OF SIGNS PER SIGN FRONTAGE.- PARALLEL TO STREET _LENGTH OF BUILDING SQ FT MAY 60 MAX 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 GROUND LENGTH OF BUILDING SQ FT MAX 13 1 ONE SIGN PER GROUND FLOOR ESTABLISHMENT CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION ONLY SYTERNAL NATURAL AND ILLUMINATION 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 temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an requirements, consult Article 7.000 of the Zoning Ordinance. a building face, including marquee, canopy, and A projecting sign is attached to and projects from awning mounted signs.
CITY OF CAMBRIDGE Community Development Department 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: AZ Signs / Donger Lei Phone: [phone removed] Email: [email removed] Sign Address: 359 Huron Ave, Cambridge, MA 02138 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: FUPO CAFE Sign type: Wall Sign Area in square feet: 12 H × 8 1.5 Dimensions: Placement height in feet: 11.5 Depth from façade: 1" Illumination: Natural (no illumination) Sign frontage in feet: 15.5 Area of existing signs to remain: 0 COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION FOR INTERNAL USE ONLY Sign conforms to requirements of Article 7.000: Choose option. Sign requires a variance from the Board of Zoning Appeals: Choose option. Comments: 02/06/2025 Signature: Grant Perry Date CDD Representative CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION
ILLUMINATION AND EXTERNAL WITH CONDITIONS INTERNAL ILLUMINATION STAN- SIGN -DING MAX AROVE GROUND 2 SIGNS PER LOT FREESTANDING SIGN self-supporting structure and is not attached to A free standing sign is attached to or part of a any other structure. ONLY EXTERNAL NATURAL AND ILLUMINATION- RUIT DING UNLIMITED # OF SIGNS PER SIGN FRONTAGE. - PARALLEL TO STREET- LENGTH OF BUILDING 5Q FT MAX 60 MAX 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 EXCEEDS 6*, CİTY COUNCIL MUST MAX ABOVE CIEN CONTACE. PARALLEL TO STREET LENGTH OF BUILDING GROUND SQ FT MAX 13 | ONE CIGN DER GROUND FLOOR CITY OF CAMBRIDGE • CDD • SIGN CERTIFICATION APPLICATION ESTABLISHMENT 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 temporary structure, device, letter, words, model, banner, pennant, insignia, trade flag, or representation used as, or which is in the nature of, an requirements, consult Article 7.000 of the Zoning Ordinance. a building face, including marquee, canopy, and A projecting sign is attached to and projects from awning mounted signs.
20 BRANCH STREET, UNIT 1, QUINCY, MA 02169 1000 [phone removed] AZ SIGNS & STOREFRONTS - Material: .040" Matte Black Alum.; 1" × 1" Metal Tubing - Size: 18" × 96" - Lettering: White Vinyl Lettering - Total Area: 12 SF - Thickness: 1" Depth 2. Install a New Aluminum Panel Sign (Non-illuminated) 1. Replace the Existing Signage Specification: Existing Date 96" 85.12" The undersigned, in his or her individual and official capacity, hereby certifies Print Name the quoted prices, designs, terms, and conditions are accepted. AZ SIGNS is authorized to perform the work as specified. Delicious FUPO CAFE Fresh Healthy Date: 02/06/2025 Address: 359 Huron Ave City: Cambridge State/ZIP: MA 02138 Job No.: •FUPO CAFE 1 8 359 Huron Ave, Cambridge, MA 02138 Proposed Company: FUPO CAFE Customer: Phone: [phone removed] Estimate:
20 BRANCH STREET, UNIT 1, QUINCY, MA 02169 * 1 21-00-9 | [phone removed] 36" AZ SIGNS & STOREFRONTS Existing Awning Change New Fabric Specification: - Lettering: White Polyester Insignia Cloth - Fabric: Sunbrella Burgundy#6031 Fabric - Total Lettering Area: 3.5 SF - Keep the Existing Frame & Structure Existing Delicious Print Name is authorized to perform the work as specified. the quoted prices, designs, terms, and conditions are accepted. AZ SIGNS The undersianed, in his or her individual and official capacity, hereby certifies Delicious 141.5" 84.91 " 358 Healthy FUPO CAFE Fresh Healthy State/ZIP: MA 02138 Date: 01/15/2025 Address: 359 Huron Ave City: Cambridge Job No.: •Fresh Phone: [phone removed] Customer: Company: FUPO CAFE Proposed Estimate: 359 Huron Ave, Cambridge, MA 02138
INVOICE 01/07/2025 AZSIGNS 20 Branch Street #1 Quincy, MA 02169 Tel: [phone removed] Bill To: FUPO CAFE Ship To: SAME 359 Huron Ave, Cambridge, MA 02138 Phone: [phone removed] Fax: ORDER DATE JOB NO. : SALESPERSON SHIPPING TERMS DELIV. DATE P.O. NO. 1718 ASAP QUANTITY DESCRIPTION PRICE 1 Existing Awning Change New Fabric $2450.00 - Keep the Existing Frame & Structure - Fabric: Sunbrella Burgundy Fabric 30" × 120" Black Aluminum Panel Sign with White Vinyl Lettering - Material: .040" Matte Black Alum. - Lettering: White Vinyl Lettering - Thickness: 1" Depth - Non-illuminated Installation & Labor Sign Permit Application(Sign Permit Fee will be Paid by Client) SUBTOTAL Comments: Not include ANY Electrical Permits, Special Permits & Others $2450.00 Not include ANY Stamped & Signed by MA Registered Design Professional SALES TAX $50.00 Lighting if Needed Responsibility of Customer TOTAL $2500.00 Xuyang Than Signature: $0.00 PAYMENTS _ Date: 01/08/2025 Print Name: Хлуана BALANCE DUE $2500.00 Zhang This is a legal binding contract under MA General Laws. All materials are guaranteed to be as specified. all work is to be completed in a workmanlike manner according to standard practices. Six months limited warrant covers repair or exchanges of installed defective parts with same or less value parts. All sale are final. No exchanges after 7 days of retail purchase. Full payment is due upon the arrival of the installation personnel.Past due amounts are subject to 15% APR interest. Client agrees to carry necessary insurances, verify spelling and pay for all balance due, legal fee and all other costs incurred due to late payments or collection. Payment Terms: 60% Deposit. Balance Due Before Installation. Fees associated with hiring an electrician for electrical wiring is THANK YOU FOR YOUR BUSINESS! NOT included.
MADICE 0 00 85052 1Gt . ESUCU A5102 [phone removed] N· 03438 BAMEMIS
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 Applicant Information Please Print Legibly Name (Business/Organization/Individual): AZ Signs Address: 20 Branch St Phone #: [phone removed] City/State/Zip: Quincy, MA 02169 Are you an employer? Check the appropriate box: Type of project (required): 4. I am a general contractor and I I am a employer with 3 1.0 New construction 6. have hired the sub-contractors employees (full and/or part-time).* listed on the attached sheet. 7. Remodeling 2.0 I am a sole proprietor or partner- These sub-contractors have Demolition ship and have no employees 8. employees and have workers' working for me in any capacity. Building addition 9. comp. insurance.* [No workers' comp. insurance Electrical repairs or additions 10.L 5. We are a corporation and its required.] officers have exercised their 11.L 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 & Awning 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: A.I.M. Mutual Insurance Policy # or Self-ins. Lic. #: VWC10060199272024A Expiration Date: 03/20/2025 Job Site Address: 359 Huron Ave City/State/Zip: Cambridge, MA 02138 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. Date: 01/09/2025 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 3City/Town Clerk 4. Electrical Inspector 5Plumbing Inspector 6.DOther 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 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 _(city or policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in 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 (i.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
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ACORD 01/08/2025 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 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 policyies) 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). Walter Kwan Insurance Agency Walter Kwan Insurance Agency Inc (AIC. No. Ext): [phone removed] FAC, No): [phone removed] 200 Lincoln Street, Suite 202 ADDRESS: INSURERS) AFFORDING COVERAGE Boston, MA 02111 NAIC # 42390 INSURER A Guard Insurance INSURED INSURER B: AN XING INC DBA: A Z SIGNS INSURER C: 20 Branch St#1 INSURER D: 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. INSR ADDL SUBR OLICY EFI POLICY EXP LIMITS TYPE OF INSURANCE INSD WAD. MM/DD/YYYY| (MM/DD/YYY POLICY NUMBER COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE 08/20/8024 08/28/2025 $1,000,000 A X X ANBP560591 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $1,000,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY sincluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY (Per person) SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS ONLY HIRED NON-OWNED PROPERTY DAMAGE per accident AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ WORKERS COMPENSATION STATUTE AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S ESCRIPTION OF OPERATIONS belo E.L. DISEASE - POLICY LIMIT $ 08/28/2024 08/28/2025 ANBP560591 Business Personal Property $70,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sign Manufacturing/Industrial Design Services CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN THE EXPIRATION DATE THEREOF, FUPO CAFE ACCORDANCE WITH THE POLICY PROVISIONS. 359 Huron Ave, AUTHORIZED REPRESENTATIVE Cambridge, MA 02138 Wendy Chin © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by PLY on January 09, 2025 at 03:17PM
DATE (MM/DD/YYYY) 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 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). CONTACT Janet Li RICHARD SOO HOO INSURANCE AGENCY No, Ext): [phone removed] FAC, No): E-MAIL ADDREss: [email removed] 123 Beach St INSURER(S) AFFORDING COVERAGE NAIC # BOSTON MA 02111 33758 INSURER A: AIM MUTUAL INS CO INSURED INSURER B: AN XING INC INSURER C: INSURER D: 20 BRANCH ST 1 INSURER E : MA 02169 QUINCY INSURER F: CERTIFICATE NUMBER: 1080072 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 POLICY EFF ADDL SUBR LTR LIMITS TYPE OF INSURANCE POLICY NUMBER INSD WVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED OCCUR CLAIMS-MADE $ PREMISES (Ea occurrence) $ MED EXP (Any one person) N/A PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: LOC POLICY $ PRODUCTS - COMP/OP AGG OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED BODILY INJURY (Per accident) N/A AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB N/A CLAIMS-MADE $ AGGREGATE DED RETENTION S WORKERS COMPENSATION STATUTE AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 N/AN/A VWC10060199272024A A 03/20/2024 03/20/2025 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above policy precedes the issue date of this ertificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification Search tool at www.mass.gov/lwd/workers compensation/investigations/. Continuation of above Named Insured: AZ SIGNS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NOTICE WILL BE DELIVERED IN EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POLICY PROVISIONS. FUPO CAFE 359 Huron Ave AUTHORIZED REPRESENTATIVE Cambridge MA 01238 Daniel M. Crowley, CPCU, Vice President - Residual Market - WCRIBMA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Building Owner Authorization Letter I, We,_ _ hereby authorize Marc Najarian (Property Owners) --- Please Print) Donger Lei _ representative for _ AZ Signs_ (Applicant's Name) (Company. Firm, Organization) To make application for a SIGN PERMIT to install a 30" × 120" aluminum panel sign and change new fabric for the existing awning(141.5"L x 36"W x 40"H) at 359 Huron Ave, Cambridge, MA 02138. 1/12/25 Can Majin Date Property Owner's Signature Address: Ma. 165 Baldpate Hil/ Rd Newton Phone: 6/7 485 9578 E-Mail: