ST9302-CL010615GARY M. PRIDAVKA
Attorney and Counselor at
2001 Bryan Street, Suite 19
Dallas, Texas 75201 nfi
June 15, 2001
Firemen's Fund Insurance Company and
American Automobile Insurance Company
c/o Jerry P. Rose
Aon Risk Services of Texas, Inc.
2711 N. Haskell Avenue
Suite 800
Dallas, TX 75204
Ed Bell Construction Company
P. O. Box 540787
Dallas, TX 75354 -0787
JUN 2 0 2001
(214) 468 -0863
(214) 468 -0857
ITY OF COI:; L
VIA CERTIFIED MAIL
# 7000 1670 0006 3294 4412
RETURN RECEIPT REQUESTED
VIA CERTIFIED MAIL
# 7000 1670 0006 3294 4429
RETURN RECEIPT REQUESTED
Re: Notice of Claim
Project: Sandy Lake Drive - Paving, Drainage, and Water System
Improvements; Project No. ST 93 -02
Gentlemen:
We have been retained by Inlet Specialties, Inc., with respect to a claim against a Payment
Bond posted in connection with the above - referenced project. We are hereby notifying both of you
that our client, Inlet Specialties, Inc., has a claim in the sum of One Thousand Nine Hundred Twenty -
Six and 63/100 Dollars ($1,926.63) for labor performed and /or materials delivered during the month
of March, 2001 on the above - referenced project. The labor performed and /or materials furnished by
Inlet Specialties, Inc. are generally described on Exhibit "A" made a part of our client's Sworn
Statement attached hereto. Such labor performed and /or materials were furnished to Ed Bell
Construction Company pursuant to the Subcontract Agreement by and between Ed Bell Construction
Company, Contractor, and Inlet Specialties, Incorporated, Subcontractor, dated October 2, 1998, a
true and correct copy of which is attached as Exhibit "B" to our client's Sworn Statement attached
hereto.
C:\DATA \GMP \1191.02 \CLAIM.012
Firemen's Fund Insurance Company and
American Automobile Insurance Company
Ed Bell Construction Company
June 15, 2001
Page 2
This notice is sent in compliance with Chapter 2253, Texas Government Code. If you need
any additional information to process this claim or if you believe that this claim is defective in any
way, please notice us at once.
Very truly yours,
Gary M. Pridavka
Enclosure: Sworn Statement of Account and Attachments
Cc: City of Coppell VIA CERTIFIED MAIL
255 Parkway Blvd. # 7000 1670 0006 3294 4436
Municipal Complex RETURN RECEIPT REQUESTED
Coppell, TX 75019
C:\DATA \GMP\ 1191.02 \CLAIM.012
06/11/2001 10:19 972 - 913 -2701
05/16/0 W90'13:47 FAX _214 468 0857
STATE OF TEXAS
COUNTY OF DALLAS
INLET SPECIALTIES PAGE 02
GARY x. rxivAVAA 141003
§
§ SWORN STATEM%NT OF ACCOUNT
Before me the undersigned authority on this day personally appeared Patty Haeussler, who,
after being by me duly sworn did depose and say:
1. My name is Patty Haeussler; I am the vice president of Inlet Specialties, Inc.
("Claimant") and am authorized to make this Affidavit.
2. Claimant has a claim in the amount of One Thousand Nine Hundred Twenty- Six and
63/100 Dollars ($1,926.63) for labor performed and /or materials generally dei,cribed on the attached
Exhibit "A." Such labor performed and /or materials were furnished to Ed Bell Construction
Company during the month of March, 2001, pursuant to a written contract by and between Ed Belli
Construction Company and Inlet Specialties, Inc., attached hereto as Exhibit "B."
3. The amount of this claim is just and correct, and all lawful offsets, payments and
credits known to the undersigned claimant have been allowed.
4. The amount of any retainage applicable to the account on which the claim is made
which have not yet become due by virtue of the terms of the contract on which the above claim is
made is Ten Thousand Six Hundred Forty -Three and 75/100 Dollars ($10,043.75).
5. The invoice or statement attached hereto as Exhibit "A" is a true and correct copy of
the original of same which was sent to Ed Bell Construction Company.
INLET SPECIALITIES, INC.
r B
Patty aeussler
V ce President
Subscribed and sworn to before me this 5— day o , 2001.
K DENISE MANIS
MY COMMISSION EXPIRES
�" '►�� Deomber 1' 29M Notary Public in and for The State of Texas
C.ZXTA 1191.0zsW0" -S .012
05`09/2001 11:59 972- 913 -2101 INLET SPECIALTIES PAGE 02
INLET SPECIALTIES, INC..
PO BOX 360963 DALLAS TX 75330 -0963 Pty• s72 413 J7no r -ear M_4i -77n,
_ Monthly Estimate
Cofttact: 54 W1 / ( !!� ?n s� `�`? Invoice Gate:
Project Name: _5eAr,6 / L.fkE- 2D. Estimate #:
D
Location 8 Job. N O- From:
IJi1'1t
iI1VlT PRICE
UNE TOM!,
G L rrt Sit l `
A'
r
/
�
/
� /y�J
/—
A
_
_9610
v
T r.t
/f
� _.
_ _
—Z3_
,, lct o'
C*-
p
c
-
` ro ,i
`
ad: ��
h R ema
•
94-
�2_
4
e
c o
Z_�:DO
- 67D e_ `
fEt
.Z op
Total Amount Complete
Less Backcharyes
rn
Less Relainage
�7_
Amount Payable
Less Previous Pa +Hants
AttrtStlltt ty"M Thif L�stii� AM
li,
EXHIBIT a
09/16/99 14:17 FAX 214 f .2530 AON- DALLAS TX- U t.crc ey.. no't., 2143523201; -- --
Jul j9 7:59 A1.1; Page 2
�S 0 E
�a
SUBCONTRACT Ac REEmSIS('I'
(PublIC Works
POST OFFIC>EZ TIOX y40187
DALLAS, TEXAS 7S3S4 -M7
CO Tlw CTIO ll Al rlNla d (Lorain caLcJ 'Aa•acsom•) la anaAo arnl ualffYd icav w Or Min 2 day or OCI OBEJt 10 1 {_. aa4 btlMt to ED ISItLL
NSl1lUCTION 00► plD ( ct: ca)!.d 'C. .rrd rNLET STCCIALTIZS, INC-6st bRATHD — (I�ucu, c.11o�l -Julcoattuwr' 1 0 Par
of me Wotl oa &a cotlowlrtt Project: —
cornr p&n
PROJECT: SANDY LAKli DRIVE
PAVING. DFLALNAOB. AND WATER SYSTEM Im pgoVatyippITS
rROJEcT No. sT 93-02
ooYNeR: CITY Of COPPBLL
25� PARKWAY BLVD, MUNICIPAL COMPLEX
COMOLL. TRXA3
ARIICJ.R f
Sr:O�g OP WORK
1.01. ,�Dcoa�cl �yorll Sub..rauycu+r shall (urni711 all labor, caaNrlatc, fuel.
nccusary panuka; pay all uata alct u1ec, "A and rcdenl unc � . a�Ir. ulncWllcry. old uipp
�*cployIDoW hies, aid an f-dw (Licit ant rccr (�c[fcxTn all work: obtain all
P"*"4c aG rtgj"A —U—d— layour and'.".ylc% aN dr all ddnP Kceat+afy b,con 1 1330c1a1tC w1tL tAo a.ahannUacy labor of arattrlala;
atr Kt curWliara:c rill, d C Agmt:l t14ti,rmcnta Jcca:r il.oJ in n. Wk(G fir Itrlluwlc.K wort bfcNct cv[IA aU 1 r
(+r kkm 1.0_. Nclo%v, go - W 1 1 - PW IwN and Talaral work, in
ITEM
ITEM DESCI
39
CURB INLET R ECESS 6'
40
CURB INLET R ECESS 10'
41
CURB INLET RECESS 14'
42
CURB INLET STD 4'
d3
CUR6 INLET STD 10'
44
CURB I NLET STD 14'
d6
DROP INLET W /CONC AP
46
DROP INLET W /CONC AP
8 1 DROPINLETI
9 S7D 2 GRATE
8')(7'
5 ' X 4'
APRON 4 'X 4'
APRON 3
&ET YAR
^..►I UI(AIN M11
B S t - M DRAIN MH
CO
NT
Q TY
15.00
32.00
f �
('1
t' a
W
#,
UN =
$1,600.0()
S1, 0
$2
51, 350.00
31.025.00
S2, 008 008 00
51,800.
$1.600.
52 , 00 0.
i t,7 00.
$3.600.
S i sex]
ITEM T
$22,500.
$13,000
$1.360
$16.260
$S,200
- s Z
$1,900
$ 7.200
S3.200
34
9
$ 198,600.00
PRICES EXCLUDE BONDS, FURNISHING BARRICADPS
C�NO[NBgRINC COPCIROL(Eigy BALOS), TESTING.
, I1gUL OFF OP SPOILS_ GR , EROSION AD$ TO DRAIN. SODDING. S110RING, SPEU1NG, EXCAVATION OP
MANHOLES ANr) HFADWA(_LS. PRICES DO NOT 1NrLUgR RX(:AVATION IN RO('K.
such volt shall t. patio' dJI 4 'Subcocrract Wort. -
Subcontract Agtoocncnt (public Work.) Ira G c I
UNIT
EA .
-EA
EXHIBIT 8
ccrctvcn TI1AC ^CC IL 7 -1CDU
Vai lei as 1J lb fAX C14 a LSJU AON DALLAS 1A. 1Qj007i010
<1- ,JJCJGVI t(IL J tl:UUAM
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d.c unlu of du Con�lu Oocumcou. a
(J) TI.c $u contractor aprccA N Lc luur.J to to
this Adr «rout ccordinC to Il.c Lore lcln•. •A.1 c.ndlt„t (:anlrkao( Wrlcr
1f bound to the Own.cc , lade, tt.c ru et Ilrc C14Vra
Jull ail Lane Itr1d Cu.v c_1 (1' �•mcnf A. The Suggs tto(
perforul a)I of Chc oblipuiol.t Ind ref l..,nubl6t'c. 1( rl.c
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I.OI. _j• Cuou.ctor T).c Subcomnclo, - - --
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7 02. Sto a u(
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SUBCONT LACTOR ACCr:PTS �Ll Slfll `n ! ANDr i yy
CONDFT10N9 H NOT SUBCONT RACTOR A IVt�{IIIAMS 111S
Sl1) WORK,'
"3M LNS SUCH N R c APfP WAIVE$ ANY LnlMs
CNyA "f10N MR R)'FAIR ()k r I OR EXTM
OR ")R REPLACEMENT UP 111E SUi C(1KIRnC(wnRKS
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be dcdticlej (rum p.ymc"" d.,c \11hCnnirAC10(- Any svch 0,
be Mall
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3 03. Ti "'no JBjKPc CO((ERA I _TOR SI1n
fU 9UDCOf T1UW TOR L1. NOT BE unoLE'
1 r ( lP1lR(fT - IIUhLS TO SUBCOrr1RAcD c used 13Y ME
A
AC( NP-(I1.F,( -T (1R 1) FPAULT OF 'I'Ile OWf4 C U (hw S
REP ES EN I'AI ry E ltl . t BY REASOl" Of (1 R 0 OFIILR
CASUAI,I - Y. OR ON ACCOUNT OP Rlnrc OR STRU(I3S. ( ON
Ac'CUtINT UP ANY ACTS O[ (.OD (1R ANY (nncR 1 Allcft
DeYONll T116 I ;ONYRACTUR'S CO N' (1 VR ANY
CIRCUMSTANCE11 CAUSBD OR COf(� pU1 O TO t ANY
SUBCOtnRACYOR OR ANY nTFIF PAR 1 1
(1f HIE WORK 1,u1, Cnnt'Act.'r rill cc PERPORt'fING A PAR I
c•Ju'cc Ally }Iul cl,wl A `5'I'clalc w1ds SLbcowracror to
del. y. ('n.m •erny .hall r•;nyt r)1c Owner 1•r Owner'l ,,Prue OOner (crr
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ufnc}} rccr ll In ccnaecl10u with v, cl.,.n. •.,ur t<J „
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AIA. CInU,(S ACID CA OP ACTION AOAINSr C(IIITKA(
POR DAhfAOES Allf -M(. 011T OP I)f.1_AYC IhRANrtS ()W i
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ARTICI.e VI
N. U BAN('B AN(1 1Nf'T'l -� ITv
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ly NtKoatrlc Wt. v.vnlvcJ La M ifiry urew- 6, (( 1[ U Wrcc.
and/OC pluntb,irt Work) and Aulomr.l>,Ic Ilab -av Lc.u ' an d l- cic!1.,11:.1
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AGA IrISf ALL t' T NLS • DAMAGr1t. I.OSSIN ANO EXPPIISV AND
(NC1.UnMG BUT N�T LlMn - r3D TO ATTORNEY'S TTLS ARITIN(
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EXPRESS CD IKfIIN{ION OP 11119 VARlrr g IS 17{nT 17113
S MACTOR'S tNDeMI -n' y iiEkk1N %v
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PGOTECT ri1a t'OrfTl(A( -1 OR TIIH OYNER e AND 1 ARCtflTECT(ENOTNE6R FROM Tiie C0N3flQUHNCE9 Of, Titea(
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8 Ol TS ,�1
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u■ ..•hark l..<t ., u..la:. i,.ls ur
cyu n -e lf , alcld of QsL vfoprt yr I& y asd quuly_ or fail in any rcn(,u:t ut
l' • cuu Yuttun t,
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Includinf ""'O'st IC1W000n durcto all cll.t(lc) ctperucs, loitc.. ha
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f -ihat tv lat(vmt. (tv III .f,y I<lu(14Cy Ihrn dv< ut Ih.fcaltcf W bc,cli- Ileac to
u• S.da.nhlacOn wrJ.r this Agleen.enl
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S l,vncy A,( WRISA): end C ccup.riorul Safcry .,Id II,4II1l A:% u( 1970
(0MIA), At All iMef nurclur, SnL IS eaclunvcly
, c xyultdo for cortolarlt wit, thzlc rcpJ.Iyr. atxJ laws and for dc u(cly
ai uLcl,rArat•nr1 ct,.
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�•w1...1 n•K SuI ra�lor l C,n.(t -- In rc onlI{{ n( employe <. .•d
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a. p (� rovid0rw dlsrecd rffuca.i4 rc..e drag gad 'r:di,4rt w du Cutlinutvt lro l
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ARTICLE Xl
1.1ISCfiI .LANFC1t 1S
11 AI.Hutiva. All a0du,4 roqu4e4 10 be alreo actor stria Areeew.e.t
halt ba JcoSc3 '0'verC4 wbctl dcP0d(G4 i4 we V40 SutcA awau, rKu
class Posup FnPLId, addoacael w the rcciplcm at:
Cu(vncbr. ED BELL Ct7NSTRUc7nOK COMPANY
DALLAS_ TUXAS 7335443797
n14 35 -wi voice
(114) 352 -3101 PAX
�.It:cwrauelr. INLIE T' SPECIA)TIP3, IMr.
p_AvF=" V I6 u-)
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rtepc 4C aj d+e I-A taa"a- b-OW bave be" lrcollwcatd In 04 leant
1wcela dal/ acs A w t.( tsar timsm or eKw. AM en4ifSaationa a tldr
A[rOcnww stall he i n writt.a at......a a..
C"otrwt a^ la Yla'cvc" there Is a coonica berweeh 11u
Aptenizet jQVtta. prw. . a,r dJe Apc.«.Ir. as unw of /.w
11.01. In tbt everA drat the Cava.ruu is required do
stem ota It. 0c.cy to 4 wed 1131_ Afnoubcat of in W..d
..0
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i, Or CGUO crdaim Lriw,K 4r
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C-0--c atom be ea4004 a M"ycr the a,otney'a f ea and cow for attuJ,
'o ar4Adaw b Odor r� 's }o V'fAr +tt Caclrcaetor is roy14 ubac Tesu
1av . [+ Q.a great ebae the 344.x,nk►cmr b reyy(cC4 da ra.l(t dig sccvka of
au "*roar M ralWp &us A rctmcei w 9W d%c Sebo.,trrcter p rcvalts In
a3tardar a td crab_ ttMec d3fe AtreteaL ca the 6uw- 'a"'Jur that[ he
trdldod`w ur
t=ves esta"Ky's fees .w,1 e.w ca. in adiidM to odut
nm#,IL t m - bkk d.c S(3660awbcwt V caudal udder Teal lac.
•Iwavc. t1XPCUM to DALLAS C&Awy, Terri as of the date rids wri3(cn
c.0t4]!6r_'ffllt
BY: e0y rtAmm. 118Vet
Tn -E lRESMENT
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Suhcocuraet Agra na nt (Public Works) Page j
F Y N1 S' d lx t
GARYM. PRIDAVIC4
ATTORNEYAND COUNSELOR AT LAW
2001 BRYAN STREET, SUITE 1945
.DALLAS, TX 75201
L - - - - - - - - - - - - - - - - - - -
CERTIFIED Mq /L --------
q[blBlla�1911111n1��llllll�l
7000 1670 0006 3294 4436
RETU REC EIP T IP REQUESTED
255 PARKWAY BLVD. _
COPPELL, TX 75019
Q p.LL qS
JUN.15.01
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