DESIGNATED PRIME CONTRACTOR AGREEMENT by roq91753

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									School District No. 43 (Coquitlam)                             Contractor Management Safety Manual




APPENDIX E


    DESIGNATED PRIME CONTRACTOR AGREEMENT
Date                                                      Project:


                                                          Location:




The following Contractor shall be deemed the “Prime Contractor” for the work site under the
Regulations of the Workers’ Compensation Act and Occupational Health and Safety Regulation
and must fulfill all of the obligations required of a Prime Contractor. The Contractor shall be
responsible for safety management for all persons who are present within the boundaries of the
work site including but not limited to the Contractor’s workers, the Sub-contractor’s workers, the
School District or any other inspector or agent appointed by either of them and all other workers
coming into the workplace.




Contractor Name:                     _______________________________________________


Authorized Signature and Title:      _______________________________________________


Name of Designated Supervisor:       _______________________________________________


Date:                                _______________________________________________




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