WA9302A-CS 980215 NAT OI, .L AMER CAN INSURANCE I...jMP
Owner, I~ IN DUPLICATE
CTTY OF COPPELL
Obligee 25.5 PAI;~I4~.Y ~. ~8' 19,
or C~ ~ 75019 OURBONDNO.
Originating ~T~: GArY ~C~S, ~.~. C~16368
Company
L You,
5~D ~0. Ql195-02
CONTRACTOR
...... ~0~ T~S ~N~C~k~ C~S~UCT~ON 'CO. , ~NC. ·
ADDRESS
DESCRIPTION OF,CONTRACT (INCLUDE LOCATION AND OWNER'S CONTRACT NUMSER)
V~G~ ~ ~ STATZO~ ~l~T~O~ ~03~CT NO. ~A-9302
OWNER
CONTRACT PRICE BOND(S) } EFFECTIVE DATE
$ 133,000.00 $ 933,000.00 1/16/96
Dear Sirs:
This Company is s~Jrety on the bond(s) described above. Without affecting our liability under our bond(s) described above
we would appreciate the following information and return of this form at your early convenience.
Yours very truly.
CHAD GULLEY
National American Insurance Company
1. IF CONTRACT COMPLETED, PLEASE STATE: Surety Department
2. IF CONTRACT UNCOMPLETED, PLEASE STATE:
Percent Completed % Probable Completion Date I Paid to Date Retainage
Is Work Progressing Satisfactorily? Comments
· ~ Y~ ~ N9__
3. ARE THERE ANY CLAIMS:AS'SIGNME~TS"Oh 'LI~NS ON REE s-, (Lf yes, please explain in 4. below)
~ iS unde~tood that the information contain~ herein is 4. Remarks: (if any)
furnished as a ma~er of cou~esy for t~ conflde~lal
alsoagr~dthatinfurnishingthisinformation, noguaran~ ..... , -- -- ~ - -
responsibil~y is assumed as a ~sult of reliance by the /
surer, whether such information is furnished by t~ -
Owner ~7 ~[~t~//~ PLEASE RETURN ORIGINAL OF THIS INQUIRY TO:
/ ' NATIONAL AMERICAN INSURANCE COMPANY
By~~ ~ ~ (RETURN ENVELOPE ENCLOSED)
Till ~ ~ ~/~ ~: The language of this form is acceptable to The Sure~ Association of America.
FORM ~2143 REV.
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