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SS9402A-CS 970611DALLAS FIRE INSURANCE COMPANY A Texns Stock Company Since 1962 ~ae 11, 1997 Kmneth M. ~; P. E. A.~nt City Manaser/City of Ensineer Depa.,tmmt of Public Works P. O. Box 478 Coppell, Texas 75019 Re: Dallas Fire Bond Numbe~. Principal/Contractor. Obli~ee: Project Number: Project Description: Date of Contract: RVE 551 River Valk~ Enterprises, Inc. cb o£Coppen SS9~02A Saaimy S~wer T~rovem~s for S~nion I, October 24, 1996 Dallas Fire Instmmce Company, as the surety for River Valk'y Enterprises, Inc. on the above captioned project, would appreciate the City fomishi~ it with the intmnagon requested on the attached form. In addition, please submit to Dallas F~re a oopy of the last approved pay application of River Valley Enterprises and a copy ofthe Cenitcate of Substantial Completion. since, ~ Dalhs F~e Inmrance Comp y ~ ~ ] by George G. McCarthy, h. ~ ~=~ Consulthg Attorney cc: 101353 C-MC/ph/1122/griffa~ doc Home Office 6112 McCart Avenue · Suite 200 · Fort Worth, Texan 76133 · 817-294-9064 · Fax 817-294-9055 1-800-533-0457 ' Fax 1-800-660-9065 · Metro 972-261-4801 III . BOND NUMBER: PRINCIPAL: PROJECT NUMBER: PROJECT DESCRIPTION: RVE 005510 River Valley Enterprises, Inc. SS94-02A Sanitary Sewer Improvements for Section I, Grapevine III B) Orii/nal Contract Price: Change Orders: Kevised Contract Price: Payment to Date: Contract Balances: Retainages: C) Percentage of Completion: ~Q D) Date of Completion Date of Acceptance: OR Anticipated Date of Completion: Iff the project has been completed and accepted please furnish to Dallas Fire a copy of the certificate or letter of acceptance and a copy of the Certificate of Substantial Completion. E) A copy of the last approved pay estimate, unless it is" periodical estimate no. Six", and the last unapproved pay estimate ifa.ny, submitted by the contractor. F) If, you are aware of any outstanding amounts claimed to be owed by a subcontractor or supplier, please furnish Dallas Fire w/th the following information: Name of Claimant: Amount Claimed: Are there any problems with the contractor's performance? Yes:. No: Iff Yes, please specify: Completed By: Title: Date: