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� GENERAL FORM _ THE IETNA CAS�IPLTY AND SURETY COMPAN� <br /> • STATUS INUUIRY Hartfoi �onnecticut 0617b <br /> ur�aa�su�uv <br /> Jeauars 30. , �s78 . <br /> Contractor: MIs`PROPOLITAH C09STRIICTION COMPANY. INC. <br /> Address: �rliptt. Waehinaton <br /> Owner. Cit' of fi�erett <br /> Addressee: <br /> rHuilding Dspar�ent � (Owner's or Obligee s Name&Address) <br /> City Of E�+erett � <br /> �erett City Hall <br /> L�+erett, Waehington <br /> �- J Our Bond �o. e1 SB 01�'/22 HCA <br /> Description ot Contracr. ��lieh er�d clear the buildiiue(e) at 2115 E. Grsnd Everett, Waehingtwl <br /> Ilnclutlo �oc�Uon antl Owner's Cunbnct Wumbcel <br /> Contract Price$2��7li,p�i►M Bond�s) S 2,174•oo*+t Eftective Date October 24. 19�'/ <br /> Without prejudicing your right or affecting our liability under our bond(s) described above, we would appreciate wch of the following <br /> information as is now available. <br /> Very truly yeurs, <br /> THE /fTNA CASUALTY AND SURET'f COMPANY <br /> BY C. a. ����,��.- <br /> C. A. '11ir il Attorney-in•Fact <br /> 1. IF CONTRACT COMPLETED, PLEASE BTATE: <br /> Approximate date of compietion of work (or tinal delivery) <br /> Approximate acceptance date <br /> Final Contract Price$ <br /> 2. �F CONTRACT UNCOMPLETED, PLEASE STATE: <br /> Approximate percentage or dollar amount ot contract completed or delivered <br /> 3. Do you k�ow of any unpaid bills(or labor cr m��eriai7 (Check) Yes� No� <br /> 4. Remarks: Uf any) <br /> Date , �9 • Ii is understood Iha[ the in(ormation contained hercin is lurnished as a matter <br /> PLEASE RETVRN ORIG�NAL OF THIS W�UIRY TO of comtesy for [he confidential use of the surery and is merely :fn expression <br /> , ..,.� . nf opinion. It is �Iso a�recd that in furnishing Ihis information, no guiranry <br /> or warranty of accuracy or correcfiess is made and no responsibiliry is assumed <br /> as a result of reliance by the surety, whether such infortnation is fumisheel by <br /> � ihe cwnur ur by an architect or e�igineer as the agent of the owner. <br /> Owner. <br /> BY _ <br /> General Fo�m Status Inquiry iitle: _ <br /> Fedo�al Cnsos to bo $ubrmuc� �n �uvlica�c. S�nrnO�'h A�A�rssc�f <br /> Envelooa �o be Atlnch��d. <br /> CAT. C31400 <br /> IS-1769�F) tOJ4 The IanP����O^ ol this fom� is accen�at�lr m :lie 54F. �'PINTED IN LLS.A. <br />