ST0702-CL091215,q United
Rentals
525 Julie Rivers Dr., Suite 200, Sugar Land, TX 77478
Telephone (281) 340 -4800 . Fax (281) 240 -3905
12/15/09
Colonial American Casualty & Surety
1400 American Lane Tower I, 19th FL
Schaumburg, ILL 60196
CERTIFIED MAIL # 7009 1680 0001 2847 8665
RETURN RECEIPT REQUESTED
City of Coppell
255 Parkway Blvd
Coppell TX 75019
J R J Paving LP
P O Box 59934
Dallas TX 75229
Project: S. Coppell RD & Bethel Rd, Coppell TX
Dear Sir or Madam:
CERTIFIED MAIL # 7009 1680 0001 2847 8672
RETURN RECEIPT REQUESTED
CERTIFIED MAIL # 7009 1680 0001 2847 8689
RETURN RECEIPT REQUESTED
We understand Colonial American Casualty & Surety is surety on a public work payment bond pursuant to the
Government Code Chapter 2253, and that J R J Paving LP is the principal of said bond relating to the above
described construction project. If we are incorrect in these understandings, please advise immediately.
We are hereby notifying you that during the month(s) of September, October & November 2009, we furnished
rental equipment/supplies to Longhorn Utilities for use on the subject construction project. The total amount of
this claim is $ 1868.12 and, as of this date, remains unpaid and outstanding.
This notice is to perfect a bond claim under the Government Code Chapter 2253 on behalf of our company in the
amount of $ 1868.12.
Enclosed you will find the following:
cc: Longhorn Utilities
12801 COUNTY ROAD 1117
Cleburne TX 76033
1. Sworn statement of account
2. List of invoices identifying material furnished
Sincerel i
l my Walker
Public Longhorn Utilities 121509
CERTIFIEDMAIL #: 7009 1680 0001 2847 8696
RETURN RECEIPT REQUESTED
cc:
REVISED: 07/2003
-
United
Rentals
United Equipment Rentals Gulf, L. P.
525 Julie Rivers Dr., Suite 200, Sugar Land, TX 77478
Telephone (281) 340-4800 • Fax (281) 240-3905
SWORN STATEMENT OF ACCOUNT
THE STATE OF TEXAS §
COUNTY OF FORT BEND §
BEFORE ME, the undersigned Notary Public in and for the County and State aforesaid,
personally appeared Tammy Walker, who, being by me first duly sworn, upon oath states that he/she is
an agent of United Rentals, a corporation duly incorporated under the laws of the State of Texas, that
C�
he/she has knowledge of the facts herein set forth and is duly authorized to make this affidavit; that the
attached Statement of Account against Longhorn Utilities is true and correct; that there is now due from
Longhorn Utilites the sum of $ 1,868.12, and that the amount claimed is just and correct and all just and
lawful offsets, payments and credit known to the Affiant have allowed.
SUBSCRIBED AND SWORN TO BEFORE ME on this 15th day of December, 2009.
(Notary Seal)
'NOTARY PUBLIC, STAVE' OF TEXAS
PRINTED NAME OF NOTARY
jo:"'NNZ- I Pi'�Z�ICOMD
f-Ay Expires
24. 2011
MY COMMISSION EXPIRES:
5 Sworn Stmt TX - UR Gulf Revised: 07/2003
United
. _ Rentals
United Equipment Rentals Gulf, L. P.
525 Julie Rivers Dr. Suite 200 Sugar Land, TX 77478
Telephone (281) 340 -4800 Fax (281) 240 -3905
Exhibit "B"
STATEMENT OF ACCOUNT
LIST OF INVOICES
Acct No: 824712
Client: Longhorn Utilities
INVOICE #
83045479 -002
83859777 -001
84585655 -001
84584176 -001
Project: S. Coppell & Bethel Rd
Coppell TX
DATE
AMOUNT
9/27109
$
649.50
10/01/09
$
234.90
11/04/09
$
64.44
11/06/09
$
919.28
1,868.12
2 Exhibit B List of Inv - UR Gulf Revised: 07/2003