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An application was received from Donger Lei representing The Nudo Society, requesting permission for a projecting sign at the premises numbered 125 River Street. approval has been received from Inspectional Services, Department of Public Works, Community Development Department and abutter

APP 2020 #47·Council meeting Dec 14, 2020·24 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.

Page 1 of 4 Location Applicant Sign Permit 125 River St Bongerlei Cambridge, MA 02139 59891 C. [phone removed] * [email removed] Status: Activa Submitted: Nov 05, 2019 General Information Doscription of Proposed Work 1. install 30"x30" Double Sided Lightbox with 1-1/4" Metal Frame Estimated Cost of Sign(s) in dollars 3300 Describe any existing signs that will remain (Including the size of the remaining signs). There is no existing sign as you can see from the sign plan Cambridge City Council approval may be required. Will one or more of the proposed signs extend six (6) inches You must sumit a Projected Sign Application and Abutter's Form (https://vlewpolntcloud.bsob.core.winrfows.net/profile Into the public sidewalk? pictures/City_Clerk_Sign_Awning_Application_Wed_ Jan_02_2019_15:28:46_1 Yes {Coordinated_Unlversal_Time).pdf) to the City Clerk's Office. Sign Information Width of Sign (feet) Projection from the Bullding (inches) 3 36 Height from the ground to bottom of the sign (feet) 8 Sign Text 1. (1) 24"x 36" Back lit Channel Letter Sign (NUDO is back lit Chanel letters The & Society are: 112" Acrylic letters) 2. (1) 30"x 30"x 6" Double Sided Light box with 1-1/4" Metal Frame Height from the ground to the top of the sign (feet) Sign Material 10 aluminum Is the sign an accessory to a first floor store? Area of Sign (square feet) 6 No Height of Sign (feet) Weight of the sign (Ibs) 2 5 Width of Building Facade for Associated Use (feet) Type of Sign 8 Wall-Mounted Iflumination Internal Contractor Contractor Name CHRISTOPHER CHAN Address 12/10/2020 https://cambridgema.viewpointcloud.io/
Page 2 of 4 141 Peach st, Braintree MA 02184 E-mail Telephone [phone removed] [email removed] License Number License Expiration Date 08/29/2019 CS-086660 Contractor's Signature Date Signature of Licensed Contractor christopher chan 11/05/2019 Community Development Approval Sign requires a variance from the Board of Zoning Appeal Sign conforms to requirements of Article 7.000 - Comments Exempt under Article 7.000 City Clerk Internal Bond Number Attachments (13) =.. ... ....m. Abutter Forn 2.jpg Ahtters Form1.jpg Doc 04, 2020 Dec 04, 2020 par Drawing of Sign(s) Nov 05, 2019 pot Contract with Sign Company Nov 05, 2019 pat Proof of Insurance Nov 05, 2019 par Nudo Sign Plan.pdf Nov 05, 2019 pdf WC-pot Nov D5, 2019 pot 12/10/2020 https://cambridgema.viewpointcloud.io/
Page 3 of 4 769 Nudo.pdf Nov 05, 2019 pat An Xing Inc Nudo Society COlpdf Nov 06, 2019 pat 125 nudo.pdf Noy 14, 2019 pot AZSIG-1 Certificate-Nudo.pdf Now 17, 2020 pot Signage Pettion Cambridge 2020 The Nudo Society.potf Nov 17, 2020 pot 125 nudo.pdf Nov 30, 2020 Timeline • Original Submission Status: Issued November 5th 2019, 3:38 pm Review for Completeness Status: Completed November 7its 2019, 7:58 am Assignce: Branden Vigneast Branden Vigneault November 7th 2019, 7:58:20 am Please upload a wet signed/dated contract (using an ink pen or digital signature), and a wet signedidated building owner authorization lefter approving the sign to be added to the building. Community Development Plan Review Status: Completed November 14th 2019, 1:26 pm Assignce: Liza Paden Liza Paden November 14th 2019, 1:26:22 pm this certification covers the walt sign only, it does NOT include the projecting sign which should be listed as requiring City Council approval over the public sidewalk. undefined undefined November 18th 2019, 6:32:18 pm please review for projecting sign Liza Paden November 19th 2019, 9:12:59 am I have emailed the applicant (twice) to submit a separate projecting sign application in order to get at least the wall sign in place. City Clerk Review Status: Completed December 121h 2019, 10:30 am Assignee: Lori Perez Lori Perez December 12th 2019, 10:30:35 am per CDD does not need City Council Approval community development Status: Completed November 30th 2020, 8:41 am Assignee: Liza Paden Liza Paden January 3rd 2020, 10:19:01 am this sign application and certification does NOT include the projecting sign. dong lei November 17th 2020, 4:44:21 pm Hi, I had uploaded the Projected Sign Application and Abutter's Form In the attachment. Please let me know if you need more documents. Thank you. Liza Paden November 20th 2020, 12:09:05 pm is the existing signage internally illuminated? dang lei November 20th 2020, 12:39:27 pm Yes, the existing sign Is Internally illuminated. Liza Paden November 20th 2020, 12:55:19 pm I emailed a form to be filled out and returned to grandfather the internal iflumination on the projecting sign. Sign Permit Fee Status: Paid December 10th 2020, 10:31 am City Council Approval Status: In Progress Assignee: Lori Perez Lori Perez December 2nd 2020, 11:24:06 am The City Clerks Application and Abutters forms and proof of mailing is need to be completed, Once completed, all documents will have to be uploaded to the attachment section of the application. dong lei December 2nd 2020, 11:29:06 am I had uploaded the documents in the attachments. (Signage Pettion Cambridge 2020 The Nudo Society) Thanks 12/10/2020 https://cambridgema.viewpointcloud.io/
Page 4 of 4 Lori Perez December 2nd 2020, 11:53:23 am The Abutter's are the property or businesses on either side of the business for the Sign. I only see one abutter filled out by the applicant not the abutter. dong lei December 4th 2020, 9:55:10 am Abutters Form had uploaded in the attachments. dong lei December 7th 2020, 9:50:06 am Hi there, How is going with the projecting sign? Please let me know if you need more information. Thank you Department of Public Works Review Status: Pending • Building Inspector Review Status: Pending • Sign Permit Status: Pending 12/10/2020 https://cambridgema.viewpointcloud.io/
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] TTY/TDD [phone removed] ANTHONY I. WILSON PAULA M. CRANE DEPUTY CITY CLERK CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT To Whom It May Concern: Date 11/20/2019 The Nudo Society As Owner of Agent of Cambridge, Massachusetts, 1 do hereby declare my disapproval_ approval of the installment of: Canopy over the sidewalk entrance: Awnings over the windows: a blade light box sign Projecting sign: of said property. NOV 15, 2020 / Signed: _Date 1 Address: 125 River St, Cambridge MA, 02139 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) Reset Form Print
OFFICE OF THE CITY CLERK CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 PHONE [phone removed] FAX [phone removed] ANTHONY I. WILSON PAULA M. CRANE CITY CLERK DEPUTY CITY CLERK Cambridge, _ 2019 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 125 River St Cambridge, MA 02139 (ADDRESS) Type of Sign: Light Box Sign with LED (state whether electric or otherwise and material used in construction) Reading matter to go on Sign: The Nudo Seciety 30"x30" . 8 pounds Size: Weight: Public Way Obstruction: (Give exact distance sign is to extend over sidewalk) (Also exact distance from bottom of sign to sidewalk) Height Above Grade: Bottom: Top: NOTICE - REGULATIONS Section 1212.0 State Building Code - Projeeting Signs] [Section 12.08.010 Municipal Code - Encroachinents 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 und condition, at all times during his ownership, and to indemmify and save harmless the City against any and all damages, cost or expenses which it may sustain, or he 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] 263 Hicks St. #4, Brooklyn NY 11201 / (Property owner or authorized agent) (Address) (Tel. No.) #2watertowon MA 02473 [phone removed] l4 WonG Ct. (Address) (Business owner) (Tel. No.) Reset Print
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 on a personal computer. Inspectional Services Department is located at 831 Massachusetts Avenue, [phone removed]. Items that must be scanned and attached to online application: 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 (I) - (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 Ipercz@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 houd 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 Revised December 11, 2017
OFFICE OF THE CITY CLERK CITY OF CAMBRIDGE [phone removed], FAX [phone removed] tty/TDD [phone removed] DONNA P. LOPEZ INTERIM CITY CLERK ABUTTERS FORM FOR SIGN/AWNING PERMIT 12/3/20 Date To Whom It May Concern: _ Cambridge, * As Ownerof Agentof Resudest of 123 River st _ of the Massachusetts, I do hereby declare my disapproval sproval installment of: Canopy over the sidewalk entrance: _ Awnings over the windows: Projecting sion: A Blade Light Box Sign of said property. charlotte Date 1212/3/2020 * Signed: * Address: 123 River St, Cambride MA 02379 02159 ABUTTERS: INCLUSION IN THE APPLICATION. SIGN/AWNING APPLICANT: PLEASE MILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS FORM) CITY HALL, 795 MASSACHUSETTS AVENUE CAMBRIDGE, MASSACHUSETTS 02139 :
OFFICE OF THE CITY CLERK CITY OF CAMBRIDGE [phone removed] FAX [phone removed] ty/TDD [phone removed] DONNA F. LOPEZ INTERIM CITY CLERK ABUTTERS FORM FOR SIGNAWNING PERMIT 12/3/20 Date To Whom It May Concern: As Owner of Agent of Katherine Gaken heads, _of the Massachusetts, I do hereby deciare my disapproval (approval) installment of Canopy over the sidewalk entrance: Awnings over the windows: • Projecting sign: A Blade Light Box Sign of said property. Signed: Dao 12/3/2020 "Address: Hereid t Cambride 11A0259 ABUTTERS: INCLUSION IN THE APPLICATION. SIGN/AWNING APPLICANT: PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS FORM) CITY HALL, 795 MASSACHUSEITS AVENUE CAMBRIDGE, MASSACHUSETTS 02179
Order 11/4/2019 AZSIGNS 33 Newport Avenue Suite C Quincy, MA 02171 Tel: [phone removed] Bill To: The Nudo Society Ship To: 125 River st, Cambridge 02139 [phone removed] Phone: Fax: SALESPERSON P.O. NO. SHIPPING JOB NO. ORDER DATE DELIV. DATE | TERMS 723 ASAP PRICE QUANTITY DESCRIPTION $1400.00 24'x48' Wall Sign 1 (NUDO is back lit channel letters, The & Society are 1/2" acrylic letters) $800.00 $300.00 Manufacture and Installation Fee Sign Permit Fee $1655.00 SUBTOTAL $2500.00 Comments: SALES TAX $87.50 $2587.50 TOTAL $1655.00 DEPOSIT $932.50 Balance DUE This is a legal binding contract under MA General Laws. All materials are guaranteed to se as specified. all work is to be completed in a workmanlike manner according to standard oractices. One year limited warrant covers repair or exchanges of installed defective parts vith same or less value parts. All sale are final. No exchanges after 7 days of retail purchase ull pavment is due upon the arrival of the installation personnel.Past du mounts are subjec • 15% APR interest. Client agrees to carry necessary insurances, verify spelling and pay for a balance due, legal fee and all other costs incurred due to late payments or collection. Payment Terms: 50% Deposit. Balance Due Before Installation. Fees associated with hiring an electrician for electrical wiring is THANK YOU FOR YOUR BUSINESS! NOT included.
Order 11/4/2019 AZSIGNS 33 Newport Avenue Suite C Quincy, MA 02171 Tel: [phone removed] Ship To: Bill To: The Nudo Society 125 River st, Cambridge 02139 [phone removed] Phone: Fax: | SHIPPING P.O. NO.. DELIV. DATE ORDER DATE | SALESPERSON JOB NO. TERMS ASAP 723 PRICE QUANTITY DESCRIPTION $680.00 Double sided light box 30'x30" $1400.00 24'x48' Wall Sign (NUDO is back lit channel letters, The & Society are 1/2" acrylic letters) $800.00 $300.00 Manufacture and Installation Fee Sign Permit Fee SUBTOTAL $ 3180.00 Comments: SALES TAX $130.00 TOTAL $ 3310.00 $1655.00 DEPOSIT Balance DUE $1655.00 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. One year limited warrant covers repair or exchanges of installed defective parts with same or less vaiue 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 colfection. Payment Terms: 50% Deposit. Balance Due Before Installation. Fees associated with hiring an electrician for electrical wiring is THANK YOU FOR YOUR BUSINESS! NOT included.
59891 CITY OF CAMBRIDGE Community Development Department IRAM FAROOQ SIGN CERTIFICATION FORM Assistant Cily Manager for COVER SHEET Community Development SANDRA CLARKE Deputy Director Na Do Sign Text:_ Chief of Administration Tocation of sigo: 125 five St KHALIL MOGASSABI (103 Rever S) Deputy Director Chief of Planning Applicant: [phone removed] Donger Lei Zoning Distict: BA - 3 Overlay District: _ Area of Special Planning Concern: (Sec. 19.46 & 19.42.1) _ Application Date: 11/14/19 Sketch of sign enclosed: Yes. No PLEASE NOTE: All signs must reccive 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 unti. 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; a bond must be posted with the City Clerk. The Sign Ordinance iș available online under Article 7.000 at https://www.cambridgema.gov/CDD/zoninganddevelopment/7.oning/Ordinance Contact Liza Paden at [phone removed] or Ipaden@cambridgema.gov for further information. 344 Broadway Cambridge, MA 02139 Voice: [phone removed] Fax: [phone removed] TTY: [phone removed] www.cambridgema.gov
Proposed WALL Sign 244 36" Dimensions: Area in Square feet: Natural Illumination: _ Internal _ External fright (from ground to the top of the siga: 10 gut 1. COMPLETE WHEN SIGN IS ACCESSORY TO A FIRST FLOOR STORE _ Area of signs allowed accessory to store: Length in feet of store front facing street: (a) TY MC • Area of all existing signs on _ behind windows (0.5 x a) outside (1 x a) 74₽ • Area of additional signs the store front to remain (including any freestanding sign): 68฿ permitted: 2. COMPLETE FOR ANY OTHER SIGN _ Area of signs allowed accessory to Length in feet of building facade facing street: (a). Area of the building facade: outside (1 X a) , behind windows (0.5 x a). all existing signs on the building facade to remain (including any freestanding sign): Area of additional signs permitted: SUMMARY OF KIMITATIONS FOR WALL SIGNS (see reverse side for more general summary of the sign regulations; review Article 7.000 of the Zoning Ordinance for all zoning requirements.) AREA: 60 square feet maximum. HEIGHT ABOVE THE GROUND: 20 feet but below the sills of second floor windows. ILLUMINATION: Natural or external, or internal illumination with significant limitations. NUMBER: No truit. COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION NO Sign conforms to requirements of Article 7.000: YES Sign requires a variance from the Board of Zoning Appeal: YES Relevant sections: _ COMMANS: us does NOT entase the profice pen. showw in the chaurg.
36 36 -30*" 30 " 1.25 " 36 THE THE THE -24 " NUD: NUD NuD SOCIETY SOCIETI SOCIETY (1) 24"x36" Back lit Channel Letter Sign NUDO is back lit channel letters (1) 30"x30"x6" Double Sided Lightbox with 1-1/4" Metal Frame The & Society are 1/2" acrylic letters concrete Anchors NuD= concrete Anchors 30 30 _—17 Customer: Address: City: Company: State/ZIP: 2 SIGNS & STOREFRONTS Phone: Job No.: Estimate: * 1M-33-9 | [phone removed] 33 NEWPORT AVENUE, SUITE C, QUINCY, MA 02171 Date: Print Name
59891 CITY OF CAMBRIDGE Community Development Department IRAM FAROOQ SIGN CERTIFICATION FORMI Assistant City Manager for COVER SHEET Community Development SANDRA CLARKE Deputy Director Sign Text: NaDo Chief of Administration Location of Sign: 125 RiNer St KHALIL MOGASSABI Deputy Director Chief of Plenning [phone removed] Applicati donger lei Overiay District: BA-3 Zoning District: Area of Special Plabning Concern: (Sec. 19.46 & 19.42.1) Application Date: " |az/20 Sketch of sign enclosed: Yes No... PLEASE NOTE: 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; a bond must be posted with the City Clerk. The Sign Ordinance is available online under Article 7.000 at https://www.cambridgema.gov/CDD/zoninganddevelopment/Zoning/Ordinance Contact Liza Paden at [phone removed] or Ipaden@cambridgema.gov for furtber information. 344 Broadway Cambridge, MA 02139 Voice: [phone removed] Fax: [phone removed] TTY: [phone removed] www.cambridgema.gov
36 36 "- -30 "- -30 ". 1.25 " 36 " THE THE 24 " NUD: NUD NuD SOCIETY SOCIETY SOCIETY (1) 24"x36" Back lit Channel Letter Sign NUDO is back lit channel letters The & Society are 1/2" acrylic letters (1) 30"x30"x6" Double Sided Lightbox with 1-1/4" Metal Frame concrete Anchors concrete Anchors NuD= 130 30 Address: Customer: to quaded pro, a hire here, and onions ed authorized to perform the work an specile City: Company: State/ZIP: AZ SIGNS & STOREFRONTS Phone: Job No.: * Estimate: **#-#*- | [phone removed] Date: 33 NEWPORT AVENUE, SUITE C, QUINCY, MA 02171 Print Name
SIGN CERTIFICATION FORM COMMUNITY DEVELOPMENT DEPARTMENT Sign Text: Nu Do Society _Dong Lei Applicant (name and adress) 33 Newport Ave, Suite C, Quincy MA 02171 _Signature [phone removed] FAX: _[phone removed] Telephone: Location of Premises: 125 River St, Cambridge MA 02139 _Overlay District:.. Zoning District: 11/20/2020 Date Application Submitted: _No _ Yes Sketch of Sign Enclosed: PLEASE NOTE: All signs must receive a permit from the Iuspectional Services Department (ISD) before installation. Community Development Department (CDD retion does NOT constituțe issuance of a permit or certification that all other cod requirements have been met. Do not contract for the fabrication of a sign until all permits have been issued including approval from the City Council, if necessary (see below)! _Historical Com. Applicant CDD 1. Copies: ISD i. City Clerk* *Auy sigu or portion of a sign extending more than six (6) inches into the public idewalk, must receive approval from the Cambridge City Council; & bond must be osted with the City Clerk. Forms for that approval are obtained at the Office o the City Clerk. NOTE: PLEASE PROVIDE ALL REQUESTED INFORMATION FOR EACA SIGN PROPOSED. FAILURE TO DO SO WILL ONLY DELAY CERTIFICATION.
Existing Legally Established NONCONFORMING Sign 2.5' 2.5 _Dimensions:_ Area in Square feet:6.25 st Illumination: Natoral. Internal i External.__ Height (from ground to the top of the sign): 12' 1. TYPE OF SIGN a. wall c. freestanding _ ..b. projecting 2. REASON FOR NONCONFORMITY a. dimensions. b. illumination L. c. other _ 3. NATURE OF ALTERATIONS c. other a replacement of plastic face — b. repainting of face I certify that the above referenced sign was legally exected and in conformance with the requirements of Article 7.000 at that time and further that the altexations now proposed, and any others made within the last three (3) years, do not exceed fifty (50%) percent of the current replacement value of the sign.). Date:11/20/2020 Applicant signatore: COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION _ NO. Sign conforms to requitements of Article 7.000: YES. Sign requires a variance from the Board of Zoning Appeal: YES. Relevant sections: COMMENTS: Dato! 130/20 CD Representative. Elim. Pala
DATE (MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 11/05/2019 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. /PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorse SURROGATION IS WAIVED, subiect to the terms and conditions of the policy, certain policies may require an endorsement. A statement o this certificate does not confer rights to the certificate holder in lieu of such endorsements). Walter Kwan Insurance Agency PRODUCER PHONE AC, No): [phone removed] PH. No. EX:[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 INSURER B: INSURED INSURER C: AN XING INC DBA: A Z SIGNS INSURER D: 33 NEWPORT AVE, SUITE 3 INSURER E : QUINCY, MA 02171 INSURER F: 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. $1,000,000 ANBP006534 A PREMISES (Ea occurrence) $1,000,000 CLAIMS-MADE OCCUR $5,000 MED EXP (Any one person) sIncluded PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: RO PRODUCTS - COMP/OP AGG $2,000,000 LOC POLICY OTHER: $ AUTOMOBILE LIABILITY $ ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS ONLY NON-OWNED $ HIRED AUTOS ONLY AUTOS ONLY EACH OCCURRENCE UMBRELLA LIAB OCCUR CLAIMS-MADE EXCESS LIAB AGGREGATE RETENTION$ DED WORKERS COMPENSATION [STATUTE ORH AND EMPLOYERS' LIABILITY Y/ N $ E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/ A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) scribe unc E.L. DISEASE - POLICY LIMIT $ -SCRIPTION OF OPERATIONS bel 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL The Nudo Society ACCORDANCE WITH THE POLICY PROVISIONS. 125 River St Cambridge, MA 02139 " 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 November 05, 2019 at 05:40PM
DATE (MM/DD/YYYY) ACORD® 11/17/2020 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 Walter Kwan Insurance Agency PRODUCER PHONE FA, No: 17-482-7318 C.No, Ex: [phone removed] Walter Kwan Insurance Agency Inc E-MAIL ADDRESS: 200 Lincoln Street, Suite 202 INSURERS) AFFORDING COVERAGE NAIC # Boston, MA 02111 INSURER A Guard Insurance INSURER B: INSURED INSURER C: AN XING INC DBA: A Z SIGNS INSURER D: 33 NEWPORT AVE, SUITE 3 INSURER E: QUINCY, MA 02171 INSURER F: REVISION NUMBER: CERTIFICATE 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. [ADDL SUBR] LIMITS INSR TYPE OF INSURANCE POLICY NUMBER LTR INSD WYD $1,000,000 COMMERCIAL GENERAL LIABILITY | 08/28/2021 EACH OCCURRENCE 08/28/2020 DAMAGE TO RENTED A ANBP197551 $1,000,000 PREMISES (Fa occurrence) OCCUR CLAIMS-MADE $5,000 MED EXP (Any one person) sincluded PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 PRODUCTS - COMP/OP AGG LOC POLICY OTHER: OMBINED SINGLE LIM $ AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) $ SCHEDULED OWNED X AUTOS AUTOS ONLY NON-OWNED HIRED Per rider DAMAGE AUTOS ONLY AUTOS ONLY UMBRELLA LIAB EACH OCCURRENCE OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTIONS STATUTE TO WORKERS COMPENSATION 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) E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NOTICE WILL BE DELIVERED IN THEREOF, THE EXPIRATION DATE ACCORDANCE WITH THE POLICY PROVISIONS. The Nudo Society 125 River St Cambridge, MA 02139 " 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 November 17, 2020 at 04:24PM
The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Legibly Applicant Information Name (Business/Organization/Individual): A Z signs Address: 33 Newport Ave Phone #: [phone removed] City/State/Zip: Quincy MA> 01271 Are you an employer? Check the appropriate box: Type of project (required): employees (full and/or part-time) * 121 am a employer with 7. • Now construction 2.M] 1 am a sole proprielor or partnership and have no employecs working forme in 8. L Remodeling any capacity. [No workers" comp insurance required.] 9. • Demolition I am a homcowner doing all work mysclf. [No workers' comp. insurance required.| t 10 D Building addition am a homeowner and will be hiring contractors to conduct all work on my properly. I Wi sure that ail contractors either have workers' compensation insurance or are sol 11.E Electrical repairs or additions proprietors with no employees. 12.C Plumbing repairs or additions 11 am a general contractor and I have hired the sub-contractors listed on the atlached sheet 13. Roof repairs These sub-contractors have employees and have workers' comp. insurance. 14. Other Signs We are a corporation and its officers have exercised their right of exemption per MGL, c 152. 81(4), and we have no employees. No workers' comp. insurance reguired.! 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.l.M Mutuai Insurance Company Expiration Date: 03/20/2021 Policy # or Self-ins. Lic. #: VWG-100-6019927-2017A Job Site Address: 125 River St City/State/Zip: Cambridge MA 02139 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). 'ailure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to SL,500.0 ind/or onc-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. T do hereby certify under the pains and penatties of perjury that the information provided above is true and correct. Date: Signature: Phone #: [phone removed] Official use only. Do not write in this aren, to he completed by city or town official. Permit/License # City or Town: Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. 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 "m.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 therefo 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 necessary, supply sub-contractor(s) namc(s), address(es) and phone number(s) along with their certificate(s) of 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 Departinent at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate fine. 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 infornation (if necessary) and under "Job Site Address" the applicant should write "all locations in The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114 Tel. # [phone removed] ext. 7406 or I-877-MASSAFE Fax # [phone removed] www.mass.gov/dia Revised 02-23-15
5" aluminum return Clear polycarbonate back Mounting Aluminum Face Clinched and Back Lit Channel Letter caulked seam Sealtite connector LED illumination Drain hole Papertemplate• Paper lampiste, Spacar PVC Backing LED Lead Wire ("Whip") 5" Aluminum Return Plug Screw PVC backing, 1" Trim Cap- Pass Through Grommet- Power Supply Step 2 Step 1 LED illumination How to install: Step 1: Put 1:1 paper installation template in desired position. Step 2: Put PVC backing in proper position, drill holes on the wali. SIDE VIEW FLUSH MOUNT
36 " 36 -30 " 30* 1.25" 36 THE THE NuD NUD NUD SOCIETY SOCIETY SOCIETY (1) 24"x36" Back lit Channel Letter Sign NUDO is back lit channel letters (1) 30"x30"x6" Double Sided Lightbox with 1-1/4" Metal Frame The & Society are 1/2" acrylic letters concrete Anchors concrete Anchors NuD= 30 30 -89. AddresS. Customer: City: Company: State/ZIP: Phone: AZ SIGNS & STOREFRONTS JOD NO.. Estimate: * -N#-5 | [phone removed] Date: 33 NEWPORT AVENUE, SUITE C, QUINCY, MA 02171 Print Name