ST0001-CL020615e5T00o1
I ` ■
r
r.
7200 JACK NEWELL BLVD. SO.
FORT WORTH, TEXAS 76118
TEL. 817 -595 -8885
FAX 817 -590 -0285
HIGHWAY TECHNOLOGIES
June 15, 2002
Customer #: 43474
Owner or Reputed Owner:
City of Coppell
Attn: Engineering Dept.
255 Parkway Blvd.
Coppell, Texas 75019
Certified Mail #: 7099 3400 0014 8074 3678
Original Contractor:
Infrastnrcture Service
2365 Houston Street
Grand Prairie, Texas 75050
Certified Mail #: 7099 3400 0014 8074 3661
Amount of Claim $ 1,000.01
(see attached Itemized invoice list or invoice copies)
Surety:
Travelers Casualty & Surety Co.
One Tower Square
Hartford, CT 06183 -6014
Certified Mail #: 7099 3400 0014 8074 3654
RE: Notice of Claim
PROJECT: Creekview / Freeport
Bid Job
BOND #:
Dear Gentleman:
We are hereby notifying both of you that our company, United Rentals Highway
Technologies, formerly Lectric Lights Co, has a claim in the sum of ONE THOUSAND
DOLLARS AND ONE CENTS ($1,000.01) for labor performed and/or materials delivered
during the month(s) of March 2002, on the referenced project. The labor performed and or
materials furnished by us are generally described as follows: see attached. Such labor performed
and/or materials were furnished to Infrastructure Service pursuant to Dallas County.
Attached hereto is our Sworn Statement of Account.
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 notify us at once.
Sincerely,
Rob Odom, Branch Manager HT230
0 United
Rentals
HIGHWAY TECHNOLOGIES
7200 Jack Newell Blvd So.
Fort Worth, Texas 76118
Phone (817) 595 -8885
www.unitedrentals.com
STATE OF TEXAS
COUNTY OF DALLAS SWORN STATEMENT OF ACCOUNT
Before me the undersigned authority of this day personally appeared Rob Odom, who,
after being duly sworn did depose and say:
My name is Rob Odom; I am the Branch Manager of United Rentals Highway
Technology and am authorized to make this affidavit;
Claimant has a claim in the amount of ONE THOUSAND DOLLARS AND
ONECENTS ($1,000.01) for labor performed and/or materials generally described as
follows: see attached. Such labor performed and/or materials were furnished to
Infrastructure Service, during the month of March 2002.
The amount of this claim is just and correct, and all just and lawful offsets,
payments and credits known to the undersigned claimant have been allowed.
The invoices or statements attached hereto are true and correct copies of the
originals of same, which were sent to Infrastructure Se ce.
1"
Rob Odom, Branch Manager HT230
Subscribed and sworn to before me this 15 day of June 2002.
o m IA A. MOLLOHAN NOTARY PUBLIC OF TEXAS r;,la. EXa. 09 -Ot -2004
Please mail response to :
United Rentals Highway Technologies
Attn: Pamela Clark
c
Notart Public in and for The State of Texas
7200 Jack Newell Blvd. So.
Fort Worth, Texas 76118
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817- 590 -0285
Page 001 of 004
RENTAL INVOICE
3/25/02
4/24/02
3/25/02
4/24/02
3/25/02
3/25/02
4/24/02
4/24/02
3/25/02
3/25/02
3/25/02
4/24/02
4/24/02
4/24/02
3/25/02
1 CC
1 CC
4 E007
4 E007
8 K007
10 K007
8 K007
10 Kek V).
2 Kw 6
3 K036
4 K03E
2 K03E
3 K03E
4 K03E
40 IN
00
00
00
00
00
00
00
00
00
00
00
CONTRACT BILLING 1/25/02
ING 1/25/02 1 30 1 923.79
CONTRACT BILL
IRS
HI ULTRAPNL
3/22/02
IRS
VP1S
IRS
HI ULTRAPNL
3/22/02
4
30
VP,
HI ULTRAPANEL
W/ BASE
2/12/02
VP,
HI ULTRAPANEL
W/ BASE
3/15/02
VP,
HI ULTRAPANEL
W/ BASE
2/12/02
8
30
VP
: ,F[.Z.. ULT L
WfEAS$
3�15f£72
8'
DF T3 EG 1X8
BDS.......
1/25./02
STk` `.....
8
DF T3 EG 1X8"
BDS
2/12/02
8'
DF T3 EG 1X8"
BDS
2/12/02
8'
DF T3 EG 1X8"
BDS
1/25/02
2
30
8'
DF T3 EG 1X8"
BDS
2/12/02
3
30
8'
DF T3 EG 1X8"
BDS
2/12/02
4
30
BARREL, 4" HI W/O BASE 1 2/12/02
W/O BASE
00
00
00
00
00
00
TOTAL:
923.79
.00
.00
.00
A LARGCH rUMI uvrT yr me ,�nn,u ...... .... •............
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817 - 590 -0285
Page 002 of 004
RENTAL INVOICE
4/24/02
40
N 00
BARREL, 4" HI W/O BASE
2/12/02
40
30
.00 D
.00
3/25/02
2
P300 66
EG UP & OVER LEFT
2/12/02
3/25/02
4
P300 66
EG UP & OVER LEFT
2/13/02
4/24/02
2
P300 66
EG UP & OVER LEFT
2/12/02
2
30
.00 D
.00
4/24/02
4
P300 66
EG UP & OVER LEFT
2/13/02
4
30
.00 D
.00,
3/25/02
2
P300 67
EG M.P.H. 20
2/12/02
4/24/02
2
P300 67
EG M.P.H. 20
2/12/02
2
30
.00 D
.00
3/25/02
2
83.0.6 .64
DET A: IGHT ,:
2f 12/42
4/24/02
2
P
.PBTOM$tl HT
1 /d
30
.00 D
.00
3/25/02
2
AEIk 7E'Y
DET43UF2 ;L$FT
2/12(02
4/24/02
2
P300 - 70
DETOUR LEFT -
2/12/02
°" 2
30
.00 D
.00
3/25/02
4
P301 68
EG ROAD CLOSED
2/12/02
4/24/02
4
P301 68
EG ROAD CLOSED
2/12/02
4
30
.00 D
.00
3/25/02
6
S530 00
BCADE LEG, 12'
1/25/02
3/25/02
4
S530 00
BCADE LEG, 12'
2/12/02
3/25/02
10
5530 00
BCADE LEG, 12'
2/13/02
TOTAL:
I SIGNATU DATE NAME PRINTED
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILA13LL UFUN HtUUts I.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817 - 590 -0285
Page 003 of 004
Im
RENTAL INVOICE
3/25/02
.00
00 D
1
5530 00
.00
BCADE LEG, 12'
3/13/02
00 D
.00
4/24/02
.00
00 D
6
5530 00
.00
BCADE LEG, 12'
1/25/02
6
30
4/24/02
4
5530 00
BCADE LEG, 12'
2/12/02
4
30
4/24/02
10
5530 00
BCADE LEG, 12'
2/13/02
10
30
4/24/02
1
S530 00
BCADE LEG, 12'
3/13/02
1
30
3/25/02
6
5530 06
BCADE LEG, 10'
1/25/02
4/24/02
6
S530 06
BLADE LEG, 10'
1/25/02
6
30
3/25/02
1
U400 ..... ,..,.,4.0
HI TWO WAY TRAFFIC ARROWS
3/13/02
4/24/02
1
U9 tl:4 T10
HI TWO::: WAY 'i'f(A' FSZC ARitOW.4
3. /13/QZ.
2
:s :,30
3/25/02
3
M 4Q3 ; D3
HI ,ROAD. WORK AHEAD
1/25
.,
4/24/02
3
U9 d:1 : .R9
HI ROAD WORK.MA EAD 48._::.
1/25102
3
30
3/25/02
3
U401 04
HI END ROAD WORK
1/25/02
4/24/02
3
U401 04
HI END ROAD WORK
1/25/02
3
30
3/25/02
60
Z 00
SANDBAG
1/25/02
3/25/02
16
Z 00
SANDBAG
2/12/02
3/25/02
20
Z 00
SANDBAG
2/13/02
3/25/02
10
Z 00
SANDBAG
3/13/02
IATURE' -DATE NAME PR INTED
00 D
.00
00 D
.00
00 D
.00
00 D
.00
00 D
.00
00 D
.00
00 D
.00!
00 D
.00
TOTAL:
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST.
United Rentals # 230
Formerly Lectric Lites
7200 Jack Newell Blvd., South
Fort Worth, TX 76118
Phone: 817 - 595 -8885
Fax: 817 - 590 -0285
Page 004 of 004
RENTAL INVOICE
DATE
> QUANTITY
ITEM
NUMBER
DeL1PU.
NUMBER
PRODUCT
DESCRIPTION
ORIOINAI
DATE
NO.
UNIT
No.
oays
UNIT PRICE
AMOUNT
ON
O, DAY YR,
DEL.
RET.
HAND
4/24/02
60
Z 00
SANDBAG
1/25/02
60
30
.00 D
.00
4/24/02
16
Z 00
SANDBAG
2/12/02
16
30
.00 D
.00
4/24/02
20
Z 00
SANDBAG
2/13/02
20
30
.00 D
.00
4/24/02
10
Z 00
SANDBAG
3/13/02
10
30
.00 D
.00
3/29/02
1
Z974 00
8064
SERVICE JOB
1
.00
.00
4/10/02
1
Z974 00
14125
SERVICE JOB
1
.00
.00
Subtotal
923.79
10TAL
T
76.22
THE MERCHANDISE LISTED HERE HAS BEEN PRODUCED IN ACCORDANCE WITH THE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED.: TOTAL: 1,000.01
TERMS; NET 30 RAYS. This account is subject to a LATE CHARGES for late payment. This charge is computed at an annual percentage rate of 16% (periodic monthly rate of 1 112 %).
i t is that will be liable for reasonable attorney fees as determined
on the total past due balaoce over $0 days. n the event that suit is necessary to collect the eccouRt, agreed purchaser
by the Court.
READ BEFORE SIGNING: The Individual signing below as or on behalf of the Lessee: 1) has read, understands, and agrees to all of the terms and conditions of the from and back of this Rental
21 acknowledges receipt of the equipment in good working order and, ;31 is fully fanu6ar with its operation and use.
Agreement, including an agreement that releases us from liability for our negligence,
X'
CUSTOMER SIGNATURE i DATE NAME PRINTED:: i DELIVERED BY DATE
A LARGER FONT COPY OF THE TERMS AND CONDITIONS 15 AVAILABLt UPON HCl1Utb I.