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B(I AtMachment D <br /> ruts Notice of Unsafe Conditions <br /> Contractor Date <br /> Project Name Protea Number <br /> THIS NOTICE.._ <br /> This notice is to advise you, the prime Contractor on the above named Contract,that this Representative of the <br /> Owner of the above-mentioned Project has observed (on the date shown above) an unsafe condition on the Project <br /> These conditions are listed as follows: <br /> ITEM CONDITION <br /> By this Notice, the Owner or its Representatives shall not assume any responsibility under the GENERAL CONDITIONS or <br /> assume any liability for the existence or correction thereof,for the unsafe conditions, or any others that may have been <br /> unnoticed. <br /> These conditions shall be remedied as soon as possible within a safe working period. if these corrections are not made,the <br /> Owner will be forced to remove all field staff from the job. No payment shall be made for any work installed after this date <br /> without first examination of work in accordance with the GENERAL CONDITIONS. <br /> Signature of uTvne(s Representative <br /> Title Date <br /> RecL4w,d by(Signature of Cnrunaor's Representative) Title <br /> Date <br /> &rows,,,, Cc Do u Place a copy of completed form in project file <br /> ra-rn..NEV.w <br />