HomeMy WebLinkAbout20181202.tiffLIBERTY MUTUAL SURETY 004720
PO Box 100027
Duluth,GA 30096-9870
Date of Request: 4/4/2018
Weld County
1555 N. 17th Ave.
Greeley,CO 80631
Contract Bond
Status Query
tibetty MiutuaL
SURETY
{{{I���MMM 4
Office: Atlanta
Phone: 678-417-3080
Fax: 855-318-1836
Email: StatusQuery@LibertyMutual.com
In order to allow us to monitor the progress of our contractor, please complete and return this form. Your response will not prejudice
your rights or affect our liability under our bond(s) referred to below. We enclose a prepaid return envelope for your use.
Bond Number: 016070497 Contract Price: $5,803,977.00 Inception Date: 09/26/2016
Cross Reference Bond Number:
Contract Description: Completion of road improvements and road maintenance of Highway 34 Development in Johnstown USR
Our Bond On Behalf Of: Martin Marietta Materials, Inc. (Fort Collins, CO)
Bond Executed In The
Following Company: Liberty Mutual Insurance Company
1. HAS CONTRACT BEEN COMPLETED?
2. IF COMPLETED PLEASE STATE:
a. Date of acceptance
b. Total amount of completed contract
3. IF NOT COMPLETED PLEASE STATE:
a. Probable completion date
b. Amount paid contractor to date
c. Amount withheld as retained percentage
4. HAS WORK PROGRESSED SATISFACTORILY?
5. ARE THERE ANY UNSATISFIED CLAIMS OR LIENS ON FILE?
REMARKS:
Signed
Tim Mikolajewski
President - Liberty Mutual Surety
Dated:
Cfplywhonic at; o n3
Li/ Sk3/Ig
Signed
Name
Title
Phone: Fax:
2018-1202
PL a3C0o
Hello