WA9302-CS 980102 NATIONAL AMERICAN INSURANCE COMPANY
1008 Manvel Avenue
Chandler, Oklahoma 74834
1-800-822-7802
GENERAL FORMS STATUS INQUIRY
FEDERAL CASES TO BE
I' ') SUBMITTED IN DUPLICATE
Owner, DATE
Obligee CITY OF COPPELL 1/2/98 19,
or 255 PARKWAY BLVD. OUR BOND NO.
Originating COP.I)ELL, TX 75019
company
L / YOUR NO.
BIB NO. Ql195-02
CONTRACTOR
NORTH TEXAS MUNICIPAL CONSTRUCTIO:,' CO., IlIN(;.
ADDRESS
56~4 DYER STREET~ DALLAS, TX 75206
DESCRIPTION OF CONTRACT (INCLUDE LOCATION AND OWNER'S CONTRACT NUMBER)
VI!~LAGE PKWY PID,~P STATTON ADD_!T~ON PP, OJECT ~,~O. WA-9302
OWNER
CONTRACT PRICE BOND(S) I EFFECTIVE DATE
$ 9t~$1,09e99C}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.
CHAD GULLEY
National American Insurance Company
1. IF CONTRACT COMPLETED, PLEASE STATE: Surety Department
Approximate Completion Date ~ Approximate Date Completion Notice Filed Date Final Payment Made ~ Final Contract Price
Any Maintenance Provision If so, when will period expire?
~ Yes ~ No
2. IF CONTRACT UNCOMPLETED, PLEASE STATE:
Percent Completed Probable Completion Date ~ Paid to Date ~ Retainage
% $ $
Is Work Progressing Satisfactorily? Comments
ill Yes 21 No
3. ARE THERE ANY CLAIMS, ASSIGNMENTS OR LIENS ON FILE? ~ Yes i] 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 courtesy for the confidential use
of the surety and is merely an expression of opinion. It is
also agreed that in furnishing th is information, no guaranty
or warranty of accuracy or correctness 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 /
Owner F ! -) PLEASE RETURN ORIGINAL OF THIS INQUIRY TO:
i /; .' ! ' NATIONAL AMERICAN INSURANCE COMPANY
/,. (RETURN ENVELOPE ENCLOSED)
~ ,, The language of this form is acceptable to The Surety Association of America.
Phone No. '7;'/' *'-" -r'i~ ;:;;" ' :~.i [,i'9~_~ ADVANCEPRINTING-CHANDLER
..
FORM #2143 REV. 8/95
WHITE - ORIGINAL CANARY - RETAIN FOR YOUR RECORDS PINK - FOLLOW-UP COPY