ST0702-CL100315Chem I L
ical ima
A Lhoist Group Company
03/15/2010
Colonial Am. Cas. and Surety
Bond Claim: 8977052
1400 AMERICAN LN, TWR I, 19TH
SCHAUMBURG IL 60196 -1056
Gentlemen:
Notice of Bond Claim
Job #: 202818
Job Address: JRJ -29100 COPPELL ROAD
SOUTH
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Supplier:
Chemical Lime Company
Amount Due:
Gentlemen:
Notice of Bond Claim
Job #: 202818
Job Address: JRJ -29100 COPPELL ROAD
SOUTH
We understand you are the Surety on a Payment bond covering the above referenced project
and that the Prime Contractor listed above is the Principal on the bond. If we are incorrect in
these understandings, please advise immediately Our company furnished materials for use on
the subject construction project. We hereby make claim for the balance due listed above
which is unpaid as of this date.
This notice is to perfect a bond claim under Chapter 2253 of the Texas Property Code on
behalf of our company. A copy of this notice is being sent to the Governmental Authority
who issued the contract on this project. The purpose of this letter is also to perfect a Claim
against said Government Agency in the event your Bond was not furnished in compliance.
Enclosed you will find the following:
1. Sworn statement of account
2. Invoice(s) identifying materials furnished.
The nature of the materials furnished was lime slurry. If you have any question concerning
the above, please call Alice Barboza, Credit Department at (817) 806 -1617.
NOTE: This claim letter is merely to protect rights on the job. We realize that end -of -month
shipments sometimes are on the following month's draw, thereby causing delay of payment.
Sincerely,
Alice Barboza
Credit Department
(817) 806 -1617
CMRRR:
JRJ PAVING LP
PO BOX 59934
DALLAS TX 75229
t ry yy �[t . t , 1
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cc: First Class Mail
CITY OF COPPELL
255 PARKWAY BLVD
COPPELL TX 75019 -2602
PO Box 985004, Fart Worth, TX 76185 -5004 3700 Hulen Street, Fort Worth, TX 76107
Tnl• A17717R1Ad r— R17717A(1Aq
COPPELL, TX 75019
Prime Contractor:
JRJ PAVING LP
Supplier:
Chemical Lime Company
Amount Due:
25,627.41
Delivery Months:
December 2009 ,
We understand you are the Surety on a Payment bond covering the above referenced project
and that the Prime Contractor listed above is the Principal on the bond. If we are incorrect in
these understandings, please advise immediately Our company furnished materials for use on
the subject construction project. We hereby make claim for the balance due listed above
which is unpaid as of this date.
This notice is to perfect a bond claim under Chapter 2253 of the Texas Property Code on
behalf of our company. A copy of this notice is being sent to the Governmental Authority
who issued the contract on this project. The purpose of this letter is also to perfect a Claim
against said Government Agency in the event your Bond was not furnished in compliance.
Enclosed you will find the following:
1. Sworn statement of account
2. Invoice(s) identifying materials furnished.
The nature of the materials furnished was lime slurry. If you have any question concerning
the above, please call Alice Barboza, Credit Department at (817) 806 -1617.
NOTE: This claim letter is merely to protect rights on the job. We realize that end -of -month
shipments sometimes are on the following month's draw, thereby causing delay of payment.
Sincerely,
Alice Barboza
Credit Department
(817) 806 -1617
CMRRR:
JRJ PAVING LP
PO BOX 59934
DALLAS TX 75229
t ry yy �[t . t , 1
3 9 0 1 � °� F '{ '7 t ° 4 6 1 f.J f i L
cc: First Class Mail
CITY OF COPPELL
255 PARKWAY BLVD
COPPELL TX 75019 -2602
PO Box 985004, Fart Worth, TX 76185 -5004 3700 Hulen Street, Fort Worth, TX 76107
Tnl• A17717R1Ad r— R17717A(1Aq
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am
A Lhoist Group Company
SWORN STATEMENT OF ACCOUNT
THE STATE OF TEXAS
COUNTY OF Tarrant
BEFORE ME, the undersigned authority, personally appeared Alice Barboza, who, upon oath,
stated that:
I am the Credit Analyst and authorized agent for Chemical Lime Ltd., partnership under the
laws of the State of Texas.
Pursuant to a contract and /or agreement with JRJ PAVING LP on the project known as
COPPELL, Texas, Chemical Lime Ltd. provided labor materials in connection with the
improvements to the project generally described as lime products.
The total price for the labor and /or materials provided by Chemical Lime Ltd. on the following
unpaid invoices is as follows:
Date of Invoice Approximated Date
Invoice Number Of Delivery Amount Unpaid
12/03/2009
301651 137
12/01/2009
14,132.40
12/07/2009
301654275
12/07/2009
10,139.50
12/10/2009
301657299
12/10/2009
1,355.51
Total Amount Due: 25,627.41
The amount claimed herein for such materials is just and correct and all and lawfuly offsets,
payments and credits known to Chemical Lime Ltd. have been allowed. True and correct
copies of the unpaid invoices, which reasonably identify the labor and /or materials provided,
the job and destination of delivery are attached hereto.
Alice Barboza
SUBSCRIBED and SWORN to BEFORE ME, this the day of 2010 to
certify which witness my hand and seal of office.
Notary Public in and for the State of Texas
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PO Box 985004, Fort Worth, TX 76185 -5004 3700 Hulen Street, Fort Worth, TX 76107
/; t North America
Lhoist Group
Remit To:
Chemical Lime, Ltd.
5274 Paysphere Circle
CHICAGO , IL - 60674
(800) 365 -6724
Bill -to: Customer No 121521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
PO BOX 59934
DALLAS TX 75229
Payment Terms:
Payment due on or before 01 /02/2010
Net Due 30 Days After Invoice
DUPLICATE
Invoice
1191414680 1 2/03/2009
Billing reference
301651 137 12/03/2009
Your PO Number
12603
Sold -to Customer 121521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
Contract Number
0070055030
Payer 121521
Currency: USD
BOL No
Item Date Ref No Mat No
1 12/01/2009 105711351
Ship -to:
1163
Unit
Material Description / Packaging Qty UoM Price Amount Tax
Shipping point: MCKINNEY Means of transport: Truck
202818 / JRJ -29100 COPPELL ROAD SOUTH
/ COPPELL TX 75019
Lime Slurry / Bulk 10.165 TON 122.87 1,248.97
Total 12/01/2009 105711351 10.165 1,248.97
2 12/01/2009 105711425 Shipping point: HURST Means of transport: Truck
1163 Lime Slurry / Bulk 10.466 TON 122.87 1,285.95
Total 12/01/2009 105711425 10.466 1,285.95
3 12/0112009 105711886 Shipping point: HURST Means of transport: Truck
1163 Lime Slurry / Bulk 10.636 TON 122.87 1,306.84
Total 12/01/2009 105711886 10.636 1,306.84
4 12/01/2009 105712864 Shipping point: HURST Means of transport: Truck
1163 Lime Slurry / Bulk 10.890 TON 122.87 1,338.06
Total 12/01/2009 105712864 10.890 1,338.06
5 12/01/2009 105713760 Shipping point: MCKINNEY Means of transport: Truck
Page 1 of 2
11hoist Notth America
Lhoist Group
Invoice
1191414680 12/03/2009
Billing reference
301651 137 12/03/2009
Currency: USD
BOL No
Unit
Item
Date
Ref No
Mat No
Material Description /
Packaging Qty UoM
Price
Amount Tax
1163
Lime Slurry / Bulk
10.506 TON
122.87
1,290.88
Total
12/01/2009
105713760
10.506
1 ,290,88
6
12/01/2009
105713839
Shipping point: MCKINNEY
Means of transport: Truck
1163
Lime Slurry / Bulk
10.506 TON
122.87
1,290.88
Total
12/01/2009
105713839
10.506
1,290.88
7
12/01/2009
105713970
Shipping point: MCKINNEY
Means of transport: Truck
1163
Lime Slurry / Bulk
10.515 TON
122.87
1,291.98
Total
12/01/2009
105713970
10.515
1,291.98
8
12/01/2009
105713994
Shipping point: HURST
Means of transport: Truck
1163
Lime Slurry / Bulk
10.501 TON
122.87
1,290.26
Total
12/01 /2009
105713994
10.501
1,290.26
9
12/01/2009
105714296
Shipping point: HURST
Means of transport: Truck
1163
Lime Slurry / Bulk
10.351 TON
122.87
1,271.83
Total
12/01/2009
105714296
10.351
1,271.83
10
12/01/2009
105714517
Shipping point: HURST
Means of transport: Truck
1163
Lime Slurry / Bulk
10.466 TON
122.87
1,285.95
Total
12/01/2009
105714517
10.466
1,285.95
11
12/01/2009
105714602
Shipping point: HURST
Means of transport: Truck
1163
Lime Slurry / Bulk
10.017 TON
122.87
1,230.80
Total
12/01/2009
105714602
10.017
1,230.80
ITEM
SUMMARY: Mat No Description
Qty UOM
1163 Lime
Slurry
115.019 TON
Sub Total
14,132.40
Tax
0.00
Total Due
14,132.40
Page
2 of
2
oist North America
Lhoist Group
Remit To:
Chemical Lime, Ltd.
5274 Paysphere Circle
CHICAGO , IL - 60674
(800) 365 -6724
Bill -to: Customer No 121521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
PO BOX 59934
DALLAS TX 75229
Payment Terms:
Payment due on or before 01/09/2010
Net Due 30 Days After Invoice
DUPLICATE
Invoice
1191414921 12/10/2009
Billing reference
301657299 12/10/2009
Your PO Number
12603
Sold -to Customer 121521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
Contract Number
0070055030
Payer 121521
Currency: USD
BOL No Unit
Item Date Ref No Mat No Material Description / Packaging Qty UoM Price Amount Tax
1 12/10/2009 105740568 Shipping point: MCKINNEY Means of transport: Truck
Ship -to: 202818 / JRJ -29100 COPPELL ROAD SOUTH
/ COPPELL TX 75019
1163 Lime Slurry / Bulk 11.032 TON 122.87 1,355.51
Total 12/10/2009 105740568 11.032 1,355.51
ITEM SUMMARY: Mat No Description Qty UOM
1163 Lime Slurry 11.032 TON
Sub Total
1,35
Tax 5 .5
0.00
Total Due 1,355.51
Page 1 of 1
hoist North America
Lhoist Group
Remit To:
Chemical Lime, Ltd.
5274 Paysphere Circle
CHICAGO , IL - 60674
(800) 365 -6724
Bill -to: Customer No 121521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
PO BOX 59934
DALLAS TX 75229
Payment Terms:
Payment due on or before 01/06/2010
Net Due 30 Days After Invoice
DUPLICATE
Invoice
1191414783 12/07/2009
Billing reference
301654275 12/07/2009
Your PO Number
12603
Sold -to Customer 1 21 521
JRJ PAVING LP
ATTN ACCOUNTS PAYABLE
Contract Number
0070055030
Payer 121521
Page 1 of 2
Currency: USD
BOL No
Unit
Item
Date
Ref No
Mat No
Material Description /
Packaging Qty UoM
Price
Amount Tax
1
12/0712009
104682342
Shipping point: HURST
Means of transport: Truck
Ship -to:
202818 / JRJ -29100 COPPELL
ROAD SOUTH
/ COPPELL TX 75019
1 163
Lime Slurry / Bulk
9.691 TON
122.87
1,190.73
Total
12/07/2009
104682342
9.691
1,190.73
2
12/07/2009
105722537
Shipping point: MCKINNEY
Means of transport: Truck
1163
Lime Slurry / Bulk
10.032 TON
122.87
1,232.64
Total
12/07/2009
105722537
10.032
1,232.64
3
12/07/2009
105727810
Shipping point: MCKINNEY
Means of transport: Truck
1163
Lime Slurry / Bulk
10.250 TON
122.87
1,259.43
Total
12/07/2009
105727810
10.250
1,259.43
4
12/07/2009
105729215
Shipping point: MCKINNEY
Means of transport: Truck
1163
Lime Slurry / Bulk
10.229 TON
122.87
1,256.83
Total
12/07/2009
105729215
10.229
1,256.83
5
12/07/2009
105729402
Shipping point: HURST
Means of transport: Truck
Page 1 of 2
Lhoist North America
Lhoist Group
Invoice
1191414783 12/07/2009
Billing reference
301654275 12/07/2009
Sub Total
Tax
Total Due
Page 2 of 2
10,139.50
0.00
10,139.50 I
Currency: USD
Item
Date
BOIL No
Ref No
Mat No
Material Description / Packaging Qty UoM
Unit
Price
Amount Tax
1 163
Lime Slurry / Bulk 11.652 TON
122.87
1,431.69
Total
12/07/2009
105729402
11.652
1,431.69
6
12/07/2009
105729505
1163
Shipping point: HURST Means of transport: Truck
Lime Slurry / Bulk 10.103 TON
122.87
1,241.36
Total
12/07/2009
105729505
10.103
1,241.36
7
12/07/2009
105729584
1163
Shipping point: HURST Means of transport: Truck
Lime Slurry / Bulk 10.397 TON
122.87
1,277.48
Total
12/07/2009
105729584
10.397
1,277.48
8
12/07/2009
105729686
1163
Shipping point: MCKINNEY Means of transport: Truck
Lime Slurry / Bulk 10.168 TON
122.87
1,249.34
Total
12/07/2009
105729686
10.168
1,249.34
ITEM
SUMMARY: Mat No Description
1163 Lime Slurry
Qty UOM
82.522 TON
Sub Total
Tax
Total Due
Page 2 of 2
10,139.50
0.00
10,139.50 I
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