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Contractor: <br />Project: <br />---Attachment D' 10 <br />Noticeof i i • <br />Date: <br />Job No.: <br />This notice is to advise you, the prime Contractor pn the •above Contract, that an unsafe condition has been <br />observed (on the date shown above) on your Project by this representative of the Owner of the above-mentioned <br />project. 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 <br />CONDITIONS or assume any liability for the existence or correction thereof, for the unsafe conditions, or any <br />others that may have been unnoticed. <br />These conditions shall be remedied as soon as possible within a safe working period. If these corrections are <br />not made, the Owner will be forced to remove all field staff from the job. No payment shall be made for any <br />work installed after this date without fust examination of work in accordance with the GENERAL CONDI- <br />TIONS. <br />Representative of the Owner: <br />Title: <br />Received by: <br />Title: <br />Date: <br />Date: <br />11 <br />