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,Ile Attachment D <br /> Notice of Unsafe Conditions <br /> Contractor Date <br /> Project Name Project Number <br /> THIS NOTICE... <br /> This notice is to advise you,the prime Contractor on the above-named Contracts that this Representative-ofthe.. . <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 ail 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 Owner's Representative Title Date <br /> Received by(Signature of Contractor's Representative) Title Date <br /> BROWN and cuoweu Place a copy of completed form in project file. MS-19hm REV.02 <br />