Northlake BC-CS031117/EMC
Insurance Companies EMPLOYERS MUTUAL CASUALTY COMPANY
P.O. BOX 853906 RICHARDSON, TX 75085
CONTRACT BOND
GENERAL STATUS INQUIRY NOVEMBER 17, 2003
U-CON CONSTRUCTION, INC.
RE: Address: 1506 ROSS DRIVE
IRVING, TX 75061
CITY OF COPPELL
TO: CITY OF COPPELL
CITY ENGINEER
255 PARKWAY BLVD.
COPPELL, TX 75019
Date 04/21/03
Bond No. S296341
Amount $ $ ~ ~ 065
DALLAS, TX
Contract No. /Description:
RAPID BOND, 1 YR MAINTENANCE
INSTALL STORM DRAIN
W e are Surety on the above contrail In order to assess the contractors work load, follow his progress, and make a final premium
adjustment, it is necessary that we receive the information requested below from time to time, without prejudicing your rights or affecting our
liability under the band, we would appreciate such of the following information as is/n/ow~Iavailable.
Disclaimer It is understood that the information contained herein is furnished as matter of courtesy for the confidential use
of the surety and is merely an expression of opinion. It is also agreed that in furnishing this information, no
guarantee 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
1. If contract is completed, please state:
Approximate Completion Date Approximate Acceptance Date
Do you know of any claims against our
contractor for unpaid labor or material bills?
2. If contract Is not completed, please state:
Amount Completed
%or$
Amount of money paid contractor to date:
Increases or eMras allowed to date:
Final Contract Price
Yes ~ No
Amount of retained percentage withheld to date:
What is or will be the total contract price as known to date?
Estimated completion date _ Is the work progressing satisfactorily?
Remarks: ~
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G~ l/~
i~ ; Completed By:
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As of:
J~HE LANGUAGE~OF THIS,~ORM IS ACCEPTABLE TO THE
Form 7723 Rev. 10-78 / SURETY ASSOCIATION OF AMERICA