ST9302-CL010215 (2) GARY M. PRIDAVKA~ /., ;,r--~ ~T q bO ~
Attorney and Counselor at Law
2001 Bryan Street, Suite 1945
Dallas, Texas 75201
, ..! : ~: ~ Telephone: (214) 468-0863
~"~'~ .~,: Facsimile: (214) 468-0857
Febma~ 15, 2001
Firemen's Fund Insurance Company and VIA CERTIFIED MAIL. #Z 207 048 239
American Automobile Insurance Company RETURN RECEIPT REQUESTED
c/o Jerry P. Rose
Aon Risk Services of Texas, Inc.
2711 N. Haskell Avenue
Suite 800
Dallas, TX 75204
Ed Bell Construction Company VIA CERTIFIED MAIL #Z 207 048 240
P. O. Box 540787 RETURN RECEIPT REQUESTED
Dallas, TX 75354-0787
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 Eight Thousand Fifty and 99/100
Dollars ($8,050.99) for labor performed and/or materials delivered during the month of December,
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:\DATA\GMP\1191.02\CLAIM.009
Firemen's Fund Insurance Company and
American Automobile Insurance Company
Ed Bell Construction Company
February 15,200 l
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 #Z 207 048 241
255 Parkway Blvd. RETURN RECEIPT REQUESTED
Municipal Complex
Coppell, TX 75019
C:\DATA\GMP\ 1191.02\CLAIM.009
02/14/01 01:50 FAX 9729132701 INLETSPECIALTIES ~02
02/07/01 WED 11:29 FA~ 214 468 0857 GARY ~, PRIDAVEA ~003
STATE OF TEXAS §
§ SWORN STATEMENT OF ACCOUNT
COUN'rY OF DAT,I,&S §
Before me the undersii~ned authority on flus day personally appeared Patty Haeussler, who,
aRer being by me duly sworn did depose And say:
1_ My name is Patty Hacus~ler; I am the Vic_~ President of /.nlet Sp~-.Jalties, Inc.
("Claitnant") and am authorize~l to ttml~ this Af~d~vit.
2. Claimant has a claim in the &mount of Eight Thousand F~f~ and 99/100 Dollars
(S8,050.99) for labor performed and/or material~ generally described on the attached Exhibit "A_"
Such labor performed az~/or materials were furnished to Ed Bell Construction Company during the
month of Deoomber, 2000, pursum~t to a written contract by and between Ed Bell Construction
Company and Inlet Specialties, Inc., attached hereto as Exhibit '~B."
3. The amount of th~s claim is just and correct, and all lawful offsets, payments and
uredits 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 Eight Thousand Two Hundred N'mety-One and $8/100 Dollars ($$,291. gg).
$ The invoice or statement attached hereto as Exhibit "A" is a true and correct copy cC
the original of same which was sent to Ed Bell Construction Company.
INLET gPI~CIALITIEg, I~IC.
USPCI' M '
Vice President
Subscribed and sworn to before me this ]~t% day of February, 2001.
C:',I) ~.TA.XO M'Px t l ~ l..02gSXlVOR,.~-,ST.009
02/05/01 22:25 FAX 9729132701 INLETSPECIALTIES ~02
PO BOX 3a09~3 DALLAS TX 7'6338-0983 PH: 972-91~-~700 FAX 972-913-2701
!Monthly,Estimate
LocaUon & Job. No.: ~~ ~ ~ From:
I
Total Amounl Complete
Less Backcharges
Amounf Payable
Less Previous Payments
EXHIBIT
POST OFI~C~ [tO]( S40'/87
DALLAS. 'I'~KAS 7S354-0787
A 1,11( 1 ,R I
~R8 INLET R~ESS B'
~RB INLET R~ESS Io'
~RB INL~ RECESS t4-
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DROP I~ W~NC
STO 2 O~ DROP
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~H~CF ~MOUN r
~UDE OONOS. FURNIsIIING BARRICAO~. EROSt~ CO~RO~IIAy 8ALGSI T~TIN0.
~N~ HRknWAi.~ Pr~C~ ~ NOT IN~I.[I~ ~X(;AVATION IN ~.
' EXHIBIT
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GARY M. PRIDA VKA
2001 BRYAN STREET, SUITE
DA~L4S, TX 75201
CITY OF COPPELL
255 PARKWAY BLVD.
MUN~CXPAL COMPLEX
COPPELL, TEXAS 75019