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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