Appendix 4-Contractor.pdf

This is a Contractor Damage Claim Contact Form (Appendix 4) that appears to be part of a larger contract document. The form is designed to collect contact information for both the contractor's representative and their insurance company representative who are designated to handle claims related to third party property damage and personal injury.

The form contains two main sections for information collection: one for the contractor's details (including contractor name, contact name, address, phone number, fax number, and email address) and another section for the insurance company information (including insurance company name, contact name, address, phone number, fax number, and email address). The form appears as page 105 of a larger document and consists of blank fields to be filled in by the relevant parties.