SAMPLE - New Hampshire
SUBCONTRACTOR MASTER LIST
FOR POSTING ON STATE WEBSITE
(RSA 21-I:81-a and 21-I:81-b)
Revision Date: Oct. 8, 2013 (Current as of 7/1/2014)
Project Name: Rochester Site Improvements
Project Number: 80715 R, Contract A
General Contractor: S.U.R. Construction, Inc.
P.O. Box 720
233 Chestnut Hill Rd.
Rochester, NH 03866
CEO: Wilfrid R. Creteau
233 Chestnut Hill Road, Rochester, NH 03866
CFO: Wilfrid R. Creteau
233 Chestnut Hill Road, Rochester, NH 03866
LLC Principals: n/a
|NAME OF GENERAL CONTRACTOR, SUBCONTRACTOR, OR |ENTITY WITH WHOM SUBCONTRACTOR OR INDEPENDENT IS |ENTITY PROVIDING WORKERS COMPENSATION COVERAGE |NAME & ADDRESS OF INSURANCE CARRIER |
|INDEPENDENT |CONTRACTED | | |
|SUR Construction, Inc. |State of New Hampshire |SUR Construction, Inc. |Firemen’s Ins Co of Wash |
| | | |d/b/a Berkley Underwriters |
| | | |Insurance Company |
| | | |One Acadia Commons |
| | | |Westbrook, ME 04098 |
|John C Brown & Sons, Inc. |SUR Construction, Inc. |John C Brown & Sons, Inc. |Commerce and Industry |
| | | |c/o Slawsby Insurance |
| | | |PO Box 487 |
| | | |Nashua, NH 03061 |
|A J Cameron Sod Farms, Inc. |SUR Construction, Inc. |A J Cameron Sod Farms, Inc. |Renaissance Insurance Agency c/o Cross |
| | | |Insurance |
| | | |PO Box 919 |
| | | |Wolfeboro, NH 03894 |
|Martineau Electric, Inc. |SUR Construction, Inc. |Martineau Electric, Inc. |Firemen’s Ins Co of Wash |
| | | |d/b/a Berkley Underwriters |
| | | |Insurance Company |
| | | |One Acadia Commons |
| | | |Westbrook, ME 04098 |
|Advanced Excavation & Paving, Inc. |SUR Construction, Inc. |Advanced Excavation & Paving, Inc. |Firemen’s Ins Co of Wash |
| | | |d/b/a Berkley Underwriters |
| | | |Insurance Company |
| | | |One Acadia Commons |
| | | |Westbrook, ME 04098 |
|Classic Curb, Inc. |SUR Construction, Inc. |Classic Curb, Inc. |Acadia Insurance Co. |
| | | |One Acadia Commons |
| | | |Westbrook, ME 04098 |
|Markings Inc |SUR Construction, Inc. |Markings Inc | Travelers Insurance Company |
| | | |C/O Burgin, Platner, Hurley Insurance |
| | | |Agency, LLC |
| | | |14 Franklin St |
| | | |Quincy, MA 02169 |
|GC/AAA Fence Inc. |SUR Construction, Inc. |GC/AAA Fences Inc & Granite State Gate Systems |The Hanover Insurance Co |
| | |Inc. |c/o Bernier Insurance |
| | | |PO Box 1268 |
| | | |Rochester, NH 03866 |
| | | | |
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|Stoney Ridge Environmental, LLC |SUR Construction, Inc. |Stoney Ridge Environmental, LLC |The Hanover Insurance Co |
| | | |c/o Davis Towle Morrill & Everett |
| | | |PO Box 1260 |
| | | |Concord, NH 03302 |
|Contractors Risk Management, Inc. |SUR Construction, Inc. | Contractors Risk Management, Inc. |MEMIC Indemnity Co |
| | | |c/o The Rowley Agency |
| | | |PO Box 511 |
| | | |Concord, NH 03302 |
|SW Cole Engineering, Inc. |SUR Construction, Inc. |SW Cole Engineering, Inc. |Acadia Insurance Group |
| | | |c/o Cross Insurance |
| | | |PO Box 1388 |
| | | |Bangor, ME 04401 |
|Renaissance Sign |SUR Construction, Inc |Renaissance Sign |Hartford Underwriters |
| | | |C/O HBL Group LLC |
| | | |187 Gonic Road |
| | | |Rochester, NH 03867 |
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