ST9302-CL001013GARY M. PRIDAVKA
Attorney and Counselor at Law
2001 Bryan Street, Suite 1945
Dallas, Texas 75201
OCT 1 8 2000
HUMAN RESOURCES
Telephone: (214) 468-0863
Facsimile: (214) 468-0857
October 13, 2000
Firemen's Fund Insuranc~ Company and
American Automob~surance Company
c/o Jerry P. Rose///
Aon Risk Se~ees of Texas, Inc.
2711 N.~skell Avenue
Suite/a00
Daffas, TX 75204
VIA CERTIFIED MAH, #Z 207 048 211
p~TURN RECEI]'T REOUESTED
Ed Bell Con~ction Company
P. O. B/0x~540787
D/~TX 75354-0787
Re: Notice of Claim
Project:
VIA CERTIFIED MAIL #Z 207 048 212
R]~ RECEIPT REOUESTED
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 Seventeen Thousand Nine Hundred
Eighty-Four and 25/100 Dollars ($17,984.25) for labor performed and/or materials delivered during
the month of July, 2000 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:kDATA~'MP~I 191.02\CLAIM.007
Firemen's Fund Insurance Company and
American Automobile Insurance Company
Ed Bell Construction Company
October 13, 2000
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 you(,~
Gary M. Pridavka
Enclosure: Sworn Statement of Account and Attachments
CCi
/
City of Coppell ,/
255 Parkway Blvd.
Municipal Complex
Coppell, TX 75019
VIA CERTIFIED MAIL #Z 207 048 213
RETURN RECEIPT REOUESTED
C:~DATA~OMP~1191.02~2LAIM.007
I I T " I
10/12/00 09:30 FAX 9729132701
10/03/00
INLETSPECIALTIES
CARY M. PRIDAVKA ,~
~]o2
STATE OF 'IT_JtAS
COU~VY OF DALLAS
SWORN STATEMENT OF ACCOI]~Y
Beffore me the undersized authority on this day personally appeared Patty Haeussler, who,
after being by me duly .~vom dM depose snd say:
1. My name is Patty Haeussle~. I am the Vice President of Inlet Specialties. Inc.
("Claimant") and am authorized to make this AtTtdavit.
2, Clalmam has a claim in the ~nount of Seventesm ~ l~ll,te Hundred F. ighty-Four
and 25/100 Dollar~ ($17.984,25) for labor performed ancot materials generally described on the
auach~ Exhibk "A." Such labor performed and/or mateiials were furnished Io Ed Bell Consutmtion
Company during the month of Yuly, 2000, pursuam to a written contract by and b~twa Ed Bell
Conslrucfion Company and Inlet Spec/ali.. Inc,, attached hereto as F~.hibit
3. The amount of this claim is just and correct, and ali lawful offsets, payments
credits known to the undersigned da/ma~ have been allowed,
4. The amouaz of any r~inal~ appliceblc to the account on which zhe 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 Six Thousand Three Hundred Thirw-Eight and 131100 Dollars ($6,338.13).
5. Thc invoic~ or statement a~ hereto aa Bxhibit "A" is a true and correct copy of
the original of santo which was sent to Ed Bell Construction Company.
INLET SPECIALrr~-S, INC.
P ~tl-y Haeusslcr
Vice President
Subscribed and sworn to before me this _~ day of October. 20(10. /
,. ;~..'* ---Szaa~r~ Notary P-bbc tn and ~'or The State o
~.~DATA~3MP~I I91.D2'~WO'R-N-ST.0~17
. ET SPECIAL INC.
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SUD COh'TR, AC'T AGREE~I'
(Public 9/orlcs)
ED BELL CO~UC,*'FION (~MPANY
POST OF1qC'[C IXOX $40'78T
DALLAS. TI]:XA$ ?S354-0787
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ITEM
ITEM DESCRIPTION
CUR8 INLET RECESS
CURB INLET RECESS tO'
CURB INLET RECESS 14'
CURB INLET STD 4'
RB ~ S so'
IIROP INLET W/OC)NC 4'
4'
3'
sm 2 or~ onoe ,-~r ¥^RO'
TY G HEADWALL
COklI~CI' AMOUNT
UNIT QTY UNIT 1 ITEM TOTAL
EA S22
$2
$1
· RICES EXCLUDE OONOS. PURNI$11ING 6ARRICAOBS. EROSION CONTROL(II&Y BALGSI. TGSTINO.
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