CNA Surety 8-2-04 001
RECEIV Eu
CNAsURErr AUG 0 2 ti CONTRACT STATUS INQUIRY
Please complete the information below, sign and return to Surety Company:
Surety Company and Address Date Mailed: 07/29/2004
Western Surety Company
701 5th Avenue, Suite 1100 Original Contract Price: $187,078.00
Seattle, WA 98104 Bond Number: 22704143
Effective Date: 12/18/20031"~~l^t~cr
Underwriter: GJH Office: WA Ad4312k5C'
Contractor's Name and Address Obligee or Contact
A. M. James Company, Inc. City of Yelm
P. O. Box 815 P.O. Box 479
Gig Harbor, WA 98335 Yelm, WA 98597
Approved for Payment.
Date
Project:
BARS #
Description of Contract
BAR
%
City Hall Improvements
1. If contract is completed, please state:
Date of Completion Date of Acceptance Final Contract Price
2. If contract is uncompleted, please state:
Anticipated completion date: q. J' L)U1
Approximate % or dollar amount of contract completed or delivered: n70 (Y/I~ ~91
3. Do you know of any unpaid bills for labor or material? ?Yes ~No ~ CVlAnti r k U. SC) f-
4. Additional Comments: al cf as ~-L
(
( o-(q
Without prejudicing your right or affecting our liability under our bond(s) described above, we would appreciate as
much of the above information as is now available.
It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use of the
surety and is merely an expression of opinion. It is also agreed that in furnishing this information, no guaranty or
warranty of accuracy or correctness is made and no responsibility is assumed as a result efreHaoce by the surely,
whether such information is furnished by the owner or by an architect or engineer as the agent of the owner.
Nam Title ~71~h1$T/'Q7ef Dale
Phone &;G ~ O-e'