SS0201-CS041206Fidelity
INSURANCE COMPANY
GENERAL FORM STATUS INQUIRY
December 1, 2004
City of Coppell
255 Parkway Blvd.
Coppell, TX 75019
RE: Fox Contractors, Inc.
Bond No:
Obligee:
Project:
TXIFSU0284519-00
City of Coppell
Coppell Road/Service Center 18" Sanitary Sewer Line,
Project #SS 02-01. Bid No. Q-0404-01
8144 Walr~ut Hill Lane
Suite 693
Dallas, TX 75231
(214) 361 1776 or
800-823-3039
Contract Price: $202,036.00 Bond Amount: $202,036.00 Effective Date: 5/19/2004
Without prejudicing your right or affecting our liability under our bond described above, we would appreciate
such of the following information as is now available.
Please fax the completed form at your earliest convenience to {214) 361-2926~ Attn: Donna Lynch.
Thank you for your assistance.
Sincerely,
INTERNATIONAL FIDELITY INSURANCE COMPANY
1. IF CONTRACT COMPLETED, PLEASE STATE:
Approximate date of completion of work (or final delivery):
Approximate acceptance date: /O/' ~/o ~
Final Contract Price:
2. IF CONTRACT UNCOMPLETED, PLEASE STATE:
Approximate percentage or dollar amount of contract completed:
3. Do you know of any unpaid bill for labor or materials?
If yes, please comment:
4. Remarks:
Date: /z9/~'~/' ~'~ Signature:
Title: