SAMPLE - New Hampshire
SUBCONTRACTOR MASTER LISTFOR POSTING ON JOBSITE AND STATE WEBSITE(RSA 21-I:81-a and 21-I:81-b)Revision Date: 12/10/15Project Name: COOLING TOWER REPLACEMENT & HVAC UPGRADESProject Number: 80748 CONTRACT B General Contractor:TURNSTONE CORPORATION51 FRANKLIN STMILFORD, NH 03055CEO: STACY J CLARK51 FRANKLIN STMILFORD, NH 03055CFO:STACY J CLARK51 FRANKLIN STMILFORD, NH 03055NAME OF GENERAL CONTRACTOR, SUBCONTRACTOR, OR INDEPENDENT ENTITY WITH WHOM SUBCONTRACTOR OR INDEPENDENT IS CONTRACTED ENTITY PROVIDING WORKERS COMPENSATION COVERAGENAME & ADDRESS OF INSURANCE CARRIERTURNSTONE CORPORATIONState of New HampshireTURNSTONE CORPORATIONACADIA INSURANCERTH Mechanical Contractors, Inc.99 Pine Rd.Brentwood, NH 03833TURNSTONE CORPORATIONRTH Mechanical Contractors, Inc.MEMIC Indemnity261 Commercial St. P.O. Box 11409 Portland, ME 04104Granite State GlassTurnstone CorporationGranite State GlassRowley InsuranceConcord, NHEmpire Sheet MetalTurnstone CorporationEmpire Sheet MetalSigma-OneMJ Murphy & Sons, Inc.Turnstone CorporationMJ Murphy & Sons, Inc.Star Insurance Co.Concord Awning & CanvasTurnstone CorporationConcord Awning & CanvasGranite State WC Manufacturer'sSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & AddressSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & AddressSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & AddressSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & AddressSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & AddressSubcontractor/IndependentName & AddressGC or Subcontractor/Indep nameGC or Subcontractor/Indep nameName & Address ................
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