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SUBCONTRACTOR/EMPLOYEE MASTER LIST

(RSA 21-I:81-a and 21-I:81-b)

Revision Date:

Project Name: Concord Bow Brook Drainage Project

Project Number: #80502B

General Contractor: NAME Weaver Bros. Const. Co., Inc.

ADDRESS PO Box 1326, Concord, NH 03302

CEO: NAME Mark Bates

ADDRESS PO Box 1326, Concord, NH 03302

CFO: NAME Mark Bates

NAME OF GENERAL CONTRACTOR, SUBCONTRACTOR, OR INDEPENDENT / EMPLOYEES EXPECTED TO WORK ON THE JOBSITE / ENTITY WITH WHOM SUBCONTRACTOR OR INDEPENDENT IS CONTRACTED / ENTITY PROVIDING WORKERS COMPENSATION COVERAGE / OSHA-10 CERT. ON FILE (Y/N) / NAME & ADDRESS OF INSURANCE CARRIER
General Contractor (GC) / -- / n/a / General Contractor / -- / Name & Address
Weaver Bros. Const. Co., Inc. / Peter Bates / State of NH / Acadia Ins / Yes / The Rowley Ins
Weaver Bros. Const. Co., Inc. / Dennis Towle / n / Acadia Ins. / Yes / PO Box 511--
Concord 03302
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
HTE-Northeast / Roger Keilig / Peerless Ins. / Lakeside Ins Agency
2 Cote Lane, Unit 1 / -- / Three Wall Street
Bedford, NH 03110 / -- / Windham, NH 03087
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
Associated Concrete Cutting / Paul Vigneault / --
476 Valley Street
Manchester, NH 03103 / -- / --
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
AJ Cameron / Alfred Cameron / Peerless Ins. / Wainwright Ins. Svcs.
PO Box 536 / PO Box 919
Farmington, NH 03835 / -- / Wolfboro NH 03894
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
John Brown & Sons / Steve Snook / Valiant Ins. / The Minuteman Group
14 B&B Lane / 90 Main Street
Weare, NH 03281 / -- / Nashua NH 03061
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
Suburban Paving / Jim Collins / Valiant Ins. / DeMerit Agency
85 River Road / -- / 6 Center Street
Bow, NH 03304 / -- / Exeter, NH 03833
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
CWS Fence & Guardrail / Craig Sliter / Acadia Ins. / Davis Towle Morrill & Everett
261 Franklin Highway / -- / PO Box 1260
Andover, NH 03216 / -- / Concord NH 03302
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
L&S Concrete Cutting / Andrew Stone / Travelers Ins. / Watson Ins. Agency
PO Box 142 / -- / PO Box 142
Barnstead, NH 03218 / -- / Barnstead, NH 03218
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
White Mountain Security / Doug Trottier / Western World Ins. / Cross Insurance-Agusta
PO Box 1205 / -- / 116 Community Drive
Belmont, NH 03220 / -- / Agusta, ME 04330
Subcontractor/Independent
Address / -- / GC or Subcontractor/Indep name / GC or Subcontractor/Indep name / -- / Name & Address
JCB Colby / Chris Colby / Guard Ins. Group / Poulos Ins. Inc.
PO Box 123 / -- / PO Box 4509
Lunenburg, VT 05906 / -- / St Johnsbury VT 05906