Common use of Commercial Vehicle Operators Clause in Contracts

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia Department of natural Resources Environmental Protection Division (GNREPD), under the authorities of the federal Clean Water Act and the Georgia Water Quality Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of Georgia’s Water Control Act and Regulations for Water Quality Control, Chapter 391-3-6, as provided in Part VI.G of Permit No.(********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD to ensure the terms and conditions of Permit No.(********)are implemented. All co-permittees are subject to GNREPD enforcement actions if Permit No.(********)conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall make all contractor certifications available upon request to GNREPD. Certification as co-permittee with XXXXXX under the Georgia NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER NPDES GENERAL PERMIT FOR STORM WATER DISCHARGES FROM CONSTRUCTION ACTIVITIES THAT ARE CLASSIFIED AS “ASSOCIATED WITH INDUSTRIAL ACTIVITY” BY EPA REGULATION (PERMIT No.(********)) CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No.(********) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia NC Department of natural Environment and Natural Resources Environmental Protection Division (GNREPDDENR), under the authorities of the federal Clean Water Act and the Georgia Water Quality NC Sedimentation Pollution Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DENR enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of GeorgiaNorth Carolina’s Water Sedimentation Pollution Control Act and Regulations for Water Quality Control, Chapter 391-3-6Program, as provided in Part VI.G of Permit No.(********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DENR to ensure the terms and conditions of Permit No.(********)are implemented. All co-co- permittees are subject to GNREPD DENR enforcement actions if Permit No.(********)conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No.(********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No.(********) shall make all contractor certifications available upon request to GNREPDDENR. Certification as co-permittee with XXXXXX CROWN HEALTH CARE LAUNDRY SRVC under the Georgia North Carolina NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-000-0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator operator, whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Xxxxxxxx Xxxxxxxxx Discharge Elimination System (NPDES VPDES Permit No.(********)issued No. (********)) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES VPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are am legally accountable to the Georgia Virginia Department of natural Resources Environmental Protection Division Quality (GNREPDDEQ), under the authorities of the federal Clean Water Act and the Georgia Water Quality Control Virginia Stormwater Management Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DEQ enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of Georgia’s the Virginia Erosion and Sediment Control Law (ESC) (VA Code 62.1-44.15:51 et. seq.) and Storm Water Control Management Act (SWM) (VA Code 62.1-44.15:24) and Regulations for the Virginia Storm Water Quality Control, Chapter 391-3-6Management Program (VSWP) permit regulations, as provided in Part VI.G of Permit No.. (********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DEQ to ensure the terms and conditions of Permit No.(********)are No. (********) are implemented. All co-permittees are subject to GNREPD DEQ enforcement actions if Permit No.(********)conditions No. (********) conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No. (********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No. (********) shall make all contractor certifications available upon request to GNREPDDEQ. Certification as co-permittee with XXXXXX OWNER under the Georgia NPDES General VPDES Permit for Storm Water Discharges of Stormwater from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Virginia Pollutant Discharge Elimination System (NPDESVPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: all federal, state, and local employment verification laws. The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-0000 Project Manager Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project AddressAddress CODE DESCRIPTION OF WORK CONTRACT AMOUNT COMPLETED TO DATE 0.00 TOTAL 1. Original Contract Sum 1. $ 0.00 2. Net Chg by Change Orders 2. $ 3. Contract Sum to Date 3. $ (Line 1 + 2) 4. COMPLETED & STORED (a) Completed Work (b) Materials Stored

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR V ENDOR x X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No. (********)) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia SC Department of natural Resources Health and Environmental Protection Division Control (GNREPDDHEC), under the authorities of the federal Clean Water Act and the Georgia Water Quality SC Pollution Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DHEC enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of GeorgiaSouth Carolina’s Water Pollution Control Act and Regulations for Water Quality Control, Chapter 391Permits Regulation 61-3-69.122.22, as provided in Part VI.G of Permit No.(********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DHEC to ensure the terms and conditions of Permit No.(********)are No. (********) are implemented. All co-permittees are subject to GNREPD DHEC enforcement actions if Permit No.(********)conditions No. (********) conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No. (********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No. (********) shall make all contractor certifications available upon request to GNREPDDHEC. Certification as co-permittee with XXXXXX oWNER under the Georgia South Carolina NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR V ENDOR x X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager The Contractor is committed to the following, and the Subcontractor certifies that it will comply with all applicable provisions of the following: South Carolina Illegal Immigration Reform Act (ACT). The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-Sub- subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR V ENDOR x X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – 000.000.0000 | FAX 000- 000-0000 000.000.0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No. (********)) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia Virginia Department of natural Resources Environmental Protection Division Conservation and Recreation (GNREPDDCR), under the authorities of the federal Clean Water Act and the Georgia Water Quality Virginia Polluction Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DCR enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of Georgia’s Virginia Erosion and Sediment Control Law (ESC) (VA Code 10.1-560 et. seq.) and Storm Water Control Act Management Law (SWM) (VA Code 10.1-603 et. Seq.) and Regulations for the Virginia Storm Water Quality Control, Chapter 391-3-6Management Program (VSWP) permit regulations, as provided in Part VI.G of Permit No.. (********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DCR to ensure the terms and conditions of Permit No.(********)are No. (********)are implemented. All co-permittees are subject to GNREPD DCR enforcement actions if Permit No.(********)conditions No. (********)conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No. (********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No. (********) shall make all contractor certifications available upon request to GNREPDDCR. Certification as co-permittee with XXXXXX OWNER under the Georgia Virginia NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager The Contractor is committed to the following, and the Subcontractor certifies that it will comply with all applicable provisions of the following: South Carolina Illegal Immigration Reform Act (ACT). The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager NPDES GENERAL PERMIT FOR STORM WATER DISCHARGES FROM CONSTRUCTION ACTIVITIES THAT ARE CLASSIFIED AS “ASSOCIATED WITH INDUSTRIAL ACTIVITY” BY EPA REGULATION (PERMIT No.(********)) CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No.(********) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia NC Department of natural Environment and Natural Resources Environmental Protection Division (GNREPDDENR), under the authorities of the federal Clean Water Act and the Georgia Water Quality NC Sedimentation Pollution Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DENR enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of GeorgiaNorth Carolina’s Water Sedimentation Pollution Control Act and Regulations for Water Quality Control, Chapter 391-3-6Program, as provided in Part VI.G of Permit No.(********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DENR to ensure the terms and conditions of Permit No.(********)are implemented. All co-co- permittees are subject to GNREPD DENR enforcement actions if Permit No.(********)conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No.(********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No.(********) shall make all contractor certifications available upon request to GNREPDDENR. Certification as co-permittee with XXXXXX XXXX under the Georgia North Carolina NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. SUBCONTRACTOR M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager M. B. Xxxx Construction Co., Inc. (hereinafter, “Contractor”), pursuant to G.S. 44A-27(f) hereby provides the following statement in connection with the project described below. Please forward a copy of this Contractor’s Project Statement to all subcontractors and/or suppliers, and remote claimants that you contract with to provide services and/or materials for this project. 1. The name of the project: 2. The physical address of the project: 3. The name of the contracting body: 4. The name of the contractor: 5. The name, phone number, and mailing address of an agent authorized by the Contractor to accept service of the requests for payment bond, the notice of public subcontract, and the notice of claim on payment bond reference in G.S. 44A-27: 6. The name and address of the principal place of business of the surety issuing the payment bond required by G.S. 44A-26(a) for the construction contract: P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-000-0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address Address CODE DESCRIPTION OF WORK CONTRACT AMOUNT COMPLETED TO DATE 0.00 TOTAL 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $0.00

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager NPDES GENERAL PERMIT FOR STORM WATER DISCHARGES FROM CONSTRUCTION ACTIVITIES THAT ARE CLASSIFIED AS “ASSOCIATED WITH INDUSTRIAL ACTIVITY” BY EPA REGULATION (PERMIT No.(********)) CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No.(********) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia NC Department of natural Environment and Natural Resources Environmental Protection Division (GNREPDDENR), under the authorities of the federal Clean Water Act and the Georgia Water Quality NC Sedimentation Pollution Control Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD DENR enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of GeorgiaNorth Carolina’s Water Sedimentation Pollution Control Act and Regulations for Water Quality Control, Chapter 391-3-6Program, as provided in Part VI.G of Permit No.(********), are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD DENR to ensure the terms and conditions of Permit No.(********)are implemented. All co-co- permittees are subject to GNREPD DENR enforcement actions if Permit No.(********)conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No.(********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No.(********) shall make all contractor certifications available upon request to GNREPDDENR. Certification as co-permittee with XXXXXX XXXX under the Georgia North Carolina NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. M. B. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER Project Manager M. B. Xxxx Construction Co., Inc. (hereinafter, “Contractor”), pursuant to G.S. 44A-27(f) hereby provides the following statement in connection with the project described below. Please forward a copy of this Contractor’s Project Statement to all subcontractors and/or suppliers, and remote claimants that you contract with to provide services and/or materials for this project. 1. The name of the project: 2. The physical address of the project: 3. The name of the contracting body: 4. The name of the contractor: 5. The name, phone number, and mailing address of an agent authorized by the Contractor to accept service of the requests for payment bond, the notice of public subcontract, and the notice of claim on payment bond reference in G.S. 44A-27: 6. The name and address of the principal place of business of the surety issuing the payment bond required by G.S. 44A-26(a) for the construction contract: P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-000-0000 Vendor Id MBK Job Id Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project AddressAddress CODE DESCRIPTION OF WORK CONTRACT AMOUNT COMPLETED TO DATE .00 TOTAL 1. Original Contract Sum 1. $ .00 2. Net Chg by Change Orders 2. $ 3. Contract Sum to Date 3. $ (Line 1 + 2) 4. COMPLETED & STORED (a) Completed Work (b) Materials Stored Total Completed & Stored to

Commercial Vehicle Operators. Employees who operate commercial vehicles for the company are subject to testing as required for general employees. Drivers are also subject to testing as required by federal and state statutes. Refusal to submit to testing in any of the above circumstances, or a positive test, is grounds for termination. An employee may become eligible for rehire upon completion of the company’s Employee Assistance Program. B ackground Screening Subcontractor shall ensure that background checks are conducted in compliance with all applicable federal, state, and local laws and regulations. Subcontractor shall ensure that background checks are conducted on employees covering the counties, states, and/or countries in which the person was employed or resided for the past seven (7) to ten (10) years. Subcontractor shall require the same of independent contractor(s) or additional tiered subcontractor(s). Anyone on a sex offender registry is not permitted on M. B. Xxxx job-sites. Contractor reserves the right to verify that all employees, 1099 contractors of any subcontractor, and temporary laborers have been screened. Contractor may randomly select subcontractors on a quarterly basis and require an additional affidavit of compliance with the background screening procedures. Owner/Client Requirement: Additional background screening(s) may be required of subcontractors as required by owner/client. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER CO-PERMITTEE AGREEMENT All contractors and subcontractors of the owner/operator whose activities at the construction site may impact storm water discharges or controls at the construction site along the duration of the construction project, shall sign a copy of the certification statement given below: “I certify by my signature below that I accept the terms and conditions of the Storm Water Pollution Prevention Plan (SWPPP)as SWPPP) as required by the general National Pollutant Discharge Elimination System (NPDES Permit No.(********)issued No. (********)) issued to the owner/operator of the construction activity for which I have been contracted to perform construction related professional services. Further, by my signature below, I understand that I am becoming a co-permittee with the owner/operator and other contractors that have been co-permittees to the general NPDES permit issued to the owner/operator of the facility for which I have been contracted to perform professional construction services. As a co-permittee, I understand that I, and my company, as the case may be, are legally accountable to the Georgia Tennessee Department of natural Resources Environmental Protection Division Environment and Conservation (GNREPD), TDEC) under the authorities of the federal Clean Water Act and the Georgia TN Water Quality Control Pollution Act, to ensure compliance with the terms and conditions of the SWPPP. I also understand that GNREPD TDEC enforcement actions may be taken against any specific co-permittee or combination of co-permittees if the terms and conditions of the SWPPP are not met. Therefore, having understood the above information, I am signing this certification and am receiving co-permittee status to the aforementioned general permit.” The date of the signature, the title of the person providing the signature, and the name, address, and telephone number of the contracted firm, shall also be provided. In the event the SWPPP is amended by the owner, such amendments should be incorporated to the plan and the contractors and subcontractors should acknowledge by signature. The signatory requirements of Georgia’s Water Control Act and Regulations for Water Quality Control, Chapter 391-3-6, as provided in Part VI.G of Permit No.(********), ) are applicable to each contracted entity that must sign the contractor’s certification statement. Upon signing the certification, the contractor is a co-permittee and becomes accountable to GNREPD TDEC to ensure the terms and conditions of Permit No.(********)are No. (********) are implemented. All co-permittees are subject to GNREPD TDEC enforcement actions if Permit No.(********)conditions No. (********) conditions are not met. Enforcement actions may be taken against any specific co-permittee or combination of co-permittees, with consideration given to the party responsible for the violation. The owner/operator submitting the NOI shall retain all contractor certifications for at least three years after a contractor has completed work at the site. Copies of all contractor certifications and a copy of Permit No.(********)shall No. (********) shall be retained on the site of the construction activity. The owner/operator of the construction project covered by Permit No.(********)shall No. (********) shall make all contractor certifications available upon request to GNREPDTDEC. Certification as co-permittee with XXXXXX XXXXX under the Georgia Tennessee NPDES General Permit for Storm Water Discharges from Construction Activities that are classified as “Associated with Industrial Activity” by EPA Regulation (Permit No. ********). I certify under penalty of law that I understand the terms and conditions of the National Pollutant Discharge Elimination System (NPDES) permit that authorizes the storm water discharges associated with industrial activity from the construction project of the owner/operator identified as part of this certification. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER The Contractor is committed to the following, and the Subcontractor certifies that it will comply with the following: The Subcontractor will require all employees to complete an I-9 form, confirming identity and employment eligibility, within three days of hire. The Subcontractor will comply with all federal, state, and local employment verification laws. If federal funds are involved in this project, the Subcontractor will participate in E-Verify, the Internet-based system operated by the federal government that electronically verifies employment eligibility. The Subcontractor agrees to provide any documentation required to establish the applicability and compliance of these requirements to its Sub-subcontractor, and agrees to include in any contracts with its Sub-subcontractors language requiring those Sub-subcontractors to also comply with these requirements. S UBCONTRACTOR X . X. XXXX CONSTRUCTION CO., INC. Authorized Subcontractor’s Signature PROJECT MANAGER P O BOX 1179, COLUMBIA, SC 29202 PHONE 000-000-0000 – FAX 000- 000-000-0000 Vendor Id MBK Job Id ID Vendor Name SUBCONTRACTOR Project Name PROJECT Remit Address Project Address 1. Original Contract Sum 1. $ 2. Net Chg by Change Orders 2. $