WA9302A-CS 960401I
NATIONAL AMERICAN INSURANCE COMPANY
1008 Manvel Avenue
Chandler, Oklahoma 74834
1-800-822-7802
GENERAL FORMS STATUS INQUIRY
FEDERAL CASES TO BE
F '} SUBMITFED IN DUPLICATE
Owner,
CT'~¥ 0F COPPELL DATE.~ 7 C""/( 19,
Obligee 255 P_A..~LY-.~'A¥ 8T,VD ' '
or
COPPF.'r.L, TX 75019 OURBONDNO.
Originating
Company C 816368
L j YOUR NO.
8]:9 # Ql195-02
CONTRACTOR
NORTH TEXAS MUNICIPAL CONSTRUCTION COMPANY, TNC.
ADDRESS
5614 DYER STREET DAf,~.AS, TX 75206
DESCRIPTION OF CONTRACT (INCLUDE LOCATION AND OWNER'S CONTRACT NUMBER)
V!f.%AGS PK~nf PUY,2 STAT'rON ADD'N PRO5 #WA-9302
OWNER
CONTRACT PRICE I BOND(S) EFFECTIVE DATE
$ 933,000.00 $ 933,000.00 1 / 16/96
Dear Sirs:
This Company is surety 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.
KRISTIE HAMMOCK
National American Insurance Company
1. IF CONTRACT COMPLETED, PLEASE STATE: Surety Department
Approximate Completion Date J Approximate Date Completion Notice Filed Date Final Payment Made J Final Contract Price
Any Maintenance Provision If so, when will period expire?
Q Yes Q No
2. IF CONTRACT UNCOMPLETED, PLEASE STATE:
Percent Completed % r Probable completion Date ~ Paid to Date I Retainage
$ $
Is Work Progressing Satisfactorily? Comments
rn Yes Q No
3. ARE THERE ANY CLAIMS, ASSIGNMENTS OR LIENS ON FILE? Q Yes rn No (If yes, please explain in 4. below)
It Is understood that the Information contained hereIn Is 4, Remarks: (if any)
furnished as a matter of courteay for the confidential use
of the surety and Is merely an expression of opinion. It is
also agreed that In furnlahlng this Information, no guaranty
or warranty of accuracy or correctnasa Is made and no
responsibility Is assumed as a result of reliance by the
surety, whether such Information Is furnished by the
owner or by an architect or engineer as the agent of the
owner. Date ,19
Owner PLEASE RETURN ORIGINAL OF THIS INQUIRY TO.'
By NATIONAL AMERICAN INSURANCE COMPANY
(RETURN ENVELOPE ENCLOSED)
Title The language of this form is acceptable to The Surety Association of America.
FORM #2143 REV, 8/95
WHITE - ORIGINAL CANARY - RETAIN FOR YOUR RECORDS PINK - FOLLOW-UP COPY