ST9302-CS010503 M. PRIDAVlCA
Attorney and Counselor at Law
2001 Bryan Street, Suite 1945
Dallas, Texas 75201
Telephone: (214) 468-0863
Facsimile: (214) 468-0857
May 3, 2001
Firemen's Fund Insurance Company and VIA CERTIFIED MAIL
American Automobile Insurance Company # 7000 1670 0006 3294 4443
c/o Jerry P. Rose RETURN RECEIPT REOUESTED
Aon Risk Services of Texas, Inc.
2711 N Haskell Avenue
Suite 800
Dallas, TX 75204
Ed Bell Construction Company VIA CERTIFIED MAIL
P. O. Box 540787 # 7000 1670 0006 3294 4450
Dallas, TX 75354-0787 RETURN RECEIPT REQUESTED
Re: Notice of Claim
Project: Sandy Lake Drive - Paving, Drainage, and Water System
Improvements; Project No. ST 93-02
Gentlemen:
We have been retained by Inlet Specialties, Inc., with respect to a claim against a Payment
Bond posted in connection with the above-referenced project. We are hereby notifying both of you
that our client, Inlet Specialties, Inc., has a claim in the sum of Fourteen Thousand One Hundred
Thirty-Three and 75/100 Dollars ($14,133.75) for labor performed and/or materials delivered during
the month of February, 2001 on the above-referenced project. The labor performed and/or materials
furnished by Inlet Specialties, Inc. are generally described on Exhibit "A" made a part of our client' s
Swom Statement attached hereto. Such labor performed and/or materials were furnished to Ed Bell
Construction Company pursuant to the Subcontract Agreement by and between Ed Bell Construction
Company, Contractor, and Inlet Specialties, Incorporated, Subcontractor, dated October 2, 1998, a
true and correct copy of which is attached as Exhibit "B" to our client's Sworn Statement attached
hereto.
C:~DATAXGMP\1191.02\CLAIM.011
Firemen's Fund Insurance Company and
American Automobile Insurance Company
Ed Bell Construction Company
May 3,2001
Page 2
This notice is sent in compliance with Chapter 2253, Texas Government Code. If you need
any additional information to process this claim or if you believe that this claim is defective in any
way, please notice us at once.
Very truly yours,
/
Gary M. Pridavka
Enclosure: Sworn Statement of Account and Attachments
cc: City of Coppell VIA CERTIFIED MAIL
255 Parkway Blvd. # 7000 1670 0006 3294 4467
Municipal Complex RETURN RECEIPT REQUESTED
Coppell, TX 75019
C:XDATA\GMP\ I 191.02\CLAIM.011
05/03/2001 09:34 972-913-2701 INLET SPECIALTIES PAGE 02
04/25701 WIZB 11f29 FA..[ 214 4'68 0857 G.-~.RY M- PRIDAYK& ~003
STATE OF 'FF3CAS §
§ SWORN STATEM-EINT OF ACCOUNT
COUNTY OF DALLAS §
Before me the undersigned authority on this day personally appeared Patty Haeusslcr, who,
slier being by me duly sworn did depose a,nd say:
1. My name is Patty Haeussler; I am the Vice President of Inlet Specialties, Inc.
("Claimant") and am authorized to make this Affidavit.
2. Claimant has a claim in the mount of Fourteen Thousand One Hundred Thirty-Three
and 75/100 Dollars ($14,133.75) for labor porformed and/or materials gumerally described on thc
attached Exhibit "AJ' Such labor performed and/or matedais were furnished to Ed Bell Construction
Company during the month of February, 2001, pursuant to a written contract by and between Ed Bell
Construction Company and Inlet Specialties, Inc., attached hereto a~ Exhibit '~B."
3, The amount of ti.is claim is just and correct, and all lawful offsets, payments and
credits known to thc undersigned claimant have been allowed.
4. The amount of any retairmge applicable to the account on which the claim is made
which have not yet become due by virtue or,he terms of the contract on which the above claim is
made is Ten Thousand Pour Hundred Sixty-Six and 88/100 Dollars ($10,466.8g).
5. The invoice or statement attached hereto as Exhibit "A" is a mae and correct copy of
the original of same which was sent to Ed Bell Construction Company.
INLET SPECIALITIES, INC_
Vice President
Subscribed and sworn to before me this ~. day of~ 200[.
Notary Public in and for The State of Texas
C:~DATA[OMPM 191.02'~ WOR2q-iiT.O 11
04/~6/2001 09:01 972-913-2701 INLET SPECIALTIES PAGE 02
,:~ ........ :, .......... .,,: , .......... · .........................
I
INLET SPECIALTIES INC
I
PO B0~ 360983 DALES TX 75330-09.3 PH: 972-913-2700 PAK 9T~-gf3-2701
Projec~ Name: ~V ~-~ ~0. Esfi/.a[e ~:
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.. 09/16/99 14:17 FAX 214 i ,2530 AON-DALLAS TX. .. ~/~006/010
,~4~t ely;. ~O'~.~; ---' · ....
: 2143523~01; Jul-, ~9 7: 59AM; Page
SUBCO~CT AG~E~F
(~bHc Wor~)
~LL CON'RUCtION COMp~
PO~T OFFI~ BOK ~87
DALLY, TE~S 75354~7
PROJ~: SANDY ~ D~VE
~5 PA~WAY ~LVD. ~NIC~
ARI~CI ~ {
~ZOPB OF WORK
1.01. ~cl ~. $~c~ ~ ~ ~lt ~, ~i~. ~. ~. ~,, ~. a[~ ~o~; ~d~ ~li ~ ~ all
I~ DEGCRIP~IO~ UNIT O~ UNIT ~ JTEa TOTAL
CURB INL~ RECESS 6' ~ 15.~ S1,600.0~ S22~
CURB INLET RECESS 10' -' '
~ 32.~ S 1.~7~00 $~,~0.~
CURB INLET RECESS t4' .~ ~ .
CURB INL~ STD 4' 5.0( S2,~o.oo $13,~0.00
'CURB IN~ET ST~ 10' '~ .
_ $1.36o.oo1
INL~ 8TD 14' ~ 2.~ S2.O~.O0
DROP INLET W/CONC ~, ~ 1.00 Sl,O~.~ $1,900~0ul
INLET WICONC ~RON 4'X 4' ~ -' 4.~ - $1,0~.~ S?.200.00
L~ W/CONC APRON 3'X 3' '~ 2.~ S 1,6~.O0 'S3,200.O0
2 G~TE DROP I~ET YARD' ~ l.OI S2.O~.O0 S2,~0.OO
~ O 8~M D~IN MH--- ~" 13.0( ' S3.6~.0~ ~6,6~.00
C H~W~L .~ -
~CT AMOUNT _ - 2.00 $1.500.00 $3,~0.00
- S~g8,800.00
PRIC~ ~CLUDH BONDS, FURNISHING BARRiCAD~, EROSION CO~ROL(liAY BALHS), T~TINO,
~NOIN~RING, iiAUL O~ DP SI~I~. O~DE ~ D~IN. SODDING. SltORING, S~EDINO. EXCAVATION
MANHOLES AND HEADWAL~. PRICEq DO ~OT IHCI.tIOp. ~XCAVATION IN
Subcomxacc ABt'e~o~m {]~uhlic W¢,rk.~) Pagc I
' EXHIBIT
U~/lb/~ 14: J.~ bAA. gl4 ~ Z830 AON-DALLA$ 'I').. 1~]007/010
(:,"-J~coiu, i -JUL- :J~J U:UUAM; Pacje 3/G
tc~ ~ ~mol~ ant' . t~(W,,,~ Su~ot~¢~m( i ~h~k. St~CON~A~)~ ~GREOS TO COblPLY
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......... A('COIJNT OP ~y A~-IS OD C~D. OR ANY ()~t~'(~'~l.~
D~mc~. . . hh (-ufm~l AR]lCLE IV
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09/16/99 14:19 FAX 214 I 2530 AON-DALLAS TX. ~008/010
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