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sulf Insurance Company R~CEIV~D <br />t~OV 1 9 199~TaTUS mrQumY <br />CONTRACTOR - ~ 11/09/97 <br />Precision IndustrinlConstructors, Inc. -'_- RIS~.C MANArEMFN7' <br />0 <br />_ ~ <br />JOB DESCRIPTION - <br />SALEM COURTHOUSE, INC. ASBESTOS ABATEMENT OF ALL STRUCTU~tES <br />BOUNDED BY COURT STREET, CHURCH STREET & CHCMEKETA & HIG~STREET <br />A <br />BOND HOLDER u' <br />~ <br />MARION COUNTY, OREGON BOND Sf AE S921SOS SA <br />100 HIGH SIREET,N.E. EFFECTIVE DATE S/OSI~ <br />SALEM, OR 97301 -0000 <br />BOND AMOUNT $ 232,175.00 <br />CONTRACT AMOUNT $ 232,175.00 <br />CONTRACTII <br />TO HELP US SERVE YOU AND TO PRESERVE YOUR RIGHTS UNDER TE~ ABOVE CAPTIONED BOND, PLEASE COMPLETE AND RETURN <br />THIS FORM. <br />THIS INFORMATION NILL BE HELD CONFIDENTIAL BY SURETY. IT IS UNDERSTOOD THAT THE PROVIDING PARTY DOES NOT <br />GOARANTEE Tk~ ACCURACY OF THIS INFORMATION WFIETHER SUCH INFORMAT[ON IS FURNISHED BY THE OWNER OR ANY <br />AGENT OF THE OWNER. <br />Amoum billetl by our principal [o date$ 237_907.94 Current retainage heltl by you $ <br />CONTRACT HAS NOT BEEN COD4PLETED: <br />Slarl Dale <br />Anticipaled completion dale <br />CUffP,fl( contract amount <br />(Inclutling appmvetl change ortlers) <br />Tolal amount paid to dale <br /> i i <br /> / / <br /> <br />~ <br />$ <br />CONTRACT HAS BEEN CONIPLETED: <br />Date of complelion ~ 9 ~ ~ ~ ~ 9 ~ <br />Final coMract arnount <br />Qncluding approvetl change orders) <br />~ 237,907.94 <br />Has final payment been made? <br />IF yes, date of final payment <br />If no, expected date of final paymen[ <br />YES ~ NO Q <br />nq ~ ~~ ~ 9~ <br />/ <br />Has work progressed satisfaclool~/! <br />Have you received any liens, levies, attested accounts or olher withholding noUcesl <br />Are you aware of any payment problems or dispules belween our pnncipal and any ol his: <br />subcontraclors? <br />. . suppliers? <br />labor force or unions? <br />other conlractors? <br />Has our principal assigned any of his rights to conUact payments? <br />COMl1'~NTS _ _._ _ <br />YES ~ NO Q <br />YES Q NO ~ <br />YES ~ NO ~ <br />YES Q NO ~ <br />YES Q NO ~ <br />YES Q NO ~ <br />YES Q NO ~ <br />Please sic~n, date antl relurn this inquiry in Ihe enclosetl <br />envelOpe ~o: CENTURY SURETY UNDERVVRITERS <br />5550 WEST TOUHY AV ENUE - SU1TE 400 <br />SKOKIE, ILLIIJOIS 60077-3200 <br />PHONE (84'~ 992-9800 FAX (84~ 982-9816 <br />*BONDS AND THE ACCOMPANYIIJG POWERS OE ATTORNEY <br />FOR COMPLETED AND ACCEPTED CONTRACTS SHOULD <br />BE RETURNED TO THIS OFFICE (NOT TO OUR PRINCIPAL). <br />NAME f r ~ fl ~. Ofl <br />(P ASE PRINTj <br />SIGNATURE <br />TITLE 1 vn Lvon - Property Mgr. <br />DATE Peggy Mitchell - Property Cler <br />PHONEU ~ ~ ~26 9~ <br />~ 503 ) 588-5455 <br />F"x" ~ ~n~ ~ r,RA.r,49F <br />*NOT[CE: NO FINAL PAYMENT OR REDOCTION IN RETAINAGE SHOULD BE MADE WITHOUT PRIOR WRITTEN CONSENT OF SURETY. <br />1-0005123 30 048500 000 <br />