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Home My WebLink About20151040.tiff igiBMWagner RECEIVED March 26,2015 MAR 3 0 2015 WELD COUNTY COMMISSIONERS Layton Construction Company Inc. 5409 Maryland Way Suite#100 Brentwood,TN 37027 Banner NCMC-M RI 1801 16°i Street Greeley, CO 80631 Weld County 1 150 O St. Greeley, CO 80631 Ace Acoustics 200 Commerce Drive Unit C Fort Collins, CO 80524 To all parties; This is a Notice of Intent to Lien for Banner NCMC 1801 16°i Street Greeley, CO 80631. There is an outstanding amount of drywall and other related materials provided by our company of$5,713.94 as of this date. In accordance with the Lien laws of Colorado, this letter and the copy of the enclosed Statement Of Lien W/Notice of Intent to File a Lien Statement, are being sent to all parties concerned in order to serve as a ten-day notice to cure the debt. If there are any questions you may have in regard to this matter, please direct them to me at the number on top of this letter any time between the hours of 6 A.M. and 4 P.M. Monday -Friday. Otherwise, please remit the outstanding balance to FBM Wagner of Denver no later than 10 days after receipt of this notice. Travis Mortensen General Manager �rnm.un.�.ca�or\c 4 - IS-aot6 2015-1040 3296 South Zuni Street Englewood, CO 80110 Phone: 303-373-2024 H5OOO9 Fax: 303-373-2241 • STATEMENT OF MECHANICS'LIEN Sections 38-22-101 through 38-22-133,Colorado Revised Statutes In accordance with Sections 38-22-10I through 38-22-133,Colorado Revised Statutes. FBM Wagner of Denver • ("Lien Claimant") makes the following Statement of Lien: 1. The name of the owner or reputed owner of the property to be affected by the lien i • s Weld County i'. 1150 O St. Greeley, CO 80631 • 2. The name and mailing address of the Lien Claimant arc FBM Wagner of Denver 1 Material Supplier :'. 3296 South Zuni Street Englewood, CO 80110 ❑ a subcontractor ❑ Principal Contractor. 3. The name of the person who furnished the laborers or materials or performed the labor or services. or supplied the machinery,tools or equipment for which said lien is claimed is FBM Wagner of Denver 4. The name of the principal contractor is • II Layton Construction Company Inc. • 5409 Maryland Way Suite#100 Brentwood, TN 37027 • 5. The property to be affected by such lien is described as follows: GR 3131 HOSPITAL ADDITION BLOCK A(HOSPITAL) BLOCK B TOG WITH VAC PT OF HOSPITAL RD BETWEEN N LN 16 ST&S LN 15 ST • also known by street number as 1801 16 th St situate in the Greeley r: County of Weld ,State of Colorado. 6. The Mechanics'Lien is held for and on account of • Materials supplied and labor furnished for use in the construction of improvements on the above described real property. • • • No.e18OA. Rev.110Y _ _.. AND AFFIDAVITS �FIDA ITb SERVICE ©LI N(Page'wax NOTICE OF INTENT TO FILEA LIEN STATEMENT AH N 1DAt ITS OF 5F RV1CF o0 (Page 1 of 4) (�? Bradford Publishing,1743%Zee St.,Denver,CO 50202- 303-292 2590—wwwbradfordpublishing.com —dorm 7. The amount of indebtedness due or owing the Lien Claimant for which said lien is claimed, for laborers or material furnished, labor and services performed, machinery, tools and equipment supplied is $5,713.94 , together with interest thereon at the legal or agreed rate. it Wanner of Denver Lien Claimant By Travis Mortensen STATE OF Colorado 55. Englewood County of Arapahoe I, Travis Mortensen ,being of lawful age and being first duly sworn upon oath,do say that I am General Manager of the lien Claimant herein named;that I have read the within Statement of Mechanics'Lien and know the contents thereof; and that the same is true and correct,to the best of my knowledge,information and belief,and is made on behalf of the Lien Claimant. Travis MortensenSubscribed and sworn to before me in the City of Englewood County of Arapahoe ,State of Colorado this_ 27th day of March ,2(1 15 . Witness mv.kand and official seal. ANDREA LEE NOTARY PUBLIC STATED COLORADO �i� , NOTARY ID 19994012881 Notary lie And ea Lee *Insert"City and' - SSION EXPIRES MAY 12, 2019 My Commission expires 5/12/2019 Name and Address of Person Creating Newly Created Legal Description(§38-35-1065.CR.S.) — No.e180A. Rev.11-09. STATEMENT OF MECHANICS'LIEN WITH NOTICE OF INTENT TO FILE A LIEN STATEMENT AND AFFIDAVITS OF SERVICE© (Page 2 of 4) NOTICE OF INTENT TO FILE A LIEN STATEMENT TO THE OWNER AND TO THE PRINCIPAL CONTRACTOR: Take Notice that the Lien Claimant set forth on the Statement of Lien contained on page I of this Notice claims a Mechanics' Lien for laborers or material or equipment supplied to, or labor performed on, the project situate upon the real property described on said Statement of Mechanics'Lien,for the amount stated.If payment is not made within ten I ID)days.the Lien Claimant intends to record said Statement of Mechanics' Lien in the County wherein the real property is located.This notice is given pursuant to Section 38-22-I09(3),C.R.S.*** Travis Mortense Signature FBM Wagner of Denver 3296 South Zuni Street Englewood, CO 80110 Attorney's Name and Address Type Name and Address of Claimant Above AFFIDAVIT OF SERVICE OR MAILING — OWNER STATE OF Colorado City of Englewoofounty of Arapahoe ss. The undersigned,being of lawful age and being first duly sworn upon oath,deposes and says that this Notice of Intent to File a Lien Statement was (personally served upon)* (mailed by fully prepaid registered* or certified* mail, return receipt requested,to the last known address of)*the owner or reputed owner or his agent,as follows: Weld County 1150 0 St. Greeley, CO 80631 on the 27th day of March ,20 15 Subscribed and sworn to before me in the City of Englewood County of Arapahoe State of_G0104-_,do —,this 27th day of March ,20 15 Witness iirfc and official se ANDREA LEE NOTARY PUBLIC STATE OF COLORADO Notary Pn icNOTARY - MY COMMISSION IDEXPIRES MAY 199940128612,2019 1 My commission expires: 5/1 2/1 9 "Strike aceonling to fact. ,-'rnu be completed 10 or morel days alter mailing or service of Notice of Intent to File a Lien Statement,but prior to filing lien statement. servegig-22 l0).Lien Statement.3)In order to preserve any lien for work performed or laborers or materials furnished,Were roust be a nonce of intent to file a lien statement d l n the owner or reputed owner of the pmpe.rtv r the owners agent and die principal or prime eoinractor or his o Iter agent at least ten lay before the time of fling the hen statement with the o my clerk and recorder.Such notice f intent sh ll be served by personal service or by registered or certified mail,return receipt requested,addressed to the last known address of such persons.'md an affidavit of such service or mailing at lust ten days before filing of the lien statement with the county clerk and recorder shall Ir filed for record with said statement and shall constitute prsaof of such service No.e180A. Rev,11-119. STATEMENT OF MECHANICS'I.IEN WITH NOTICE.OF INTENT TO FILE A LIEN STATEMENT AND AFFIDAVITS OF SERVICE© (Page.1 of 41 • AFFIDAVIT OF SERVICE OR MAILING—CONTRACTOR STATE OF Colorado _ 1 City of Fog]owood County of Arapahoe J The undersigned,being of lawful age and being first duly sworn upon oath,deposes and says that this Notice of Intent to Tile a Lien Statement was (personally served upon)* (mailed by fully prepaid registered* or certified* mail,return receipt requested.to the last known address of)*the principal sir prime contractor or his agent,as follows:in nyton Const rur r i oa CO. Inc. 5409 Maryland Way Suite 100 , Brentwood, TN 37027 on the 27th day of March .20 15 j Subscribed and sworn to before me in the City of Eng]ewood County of Arapahoe State of Colorado this 27th day of March 10 15 ANDREA LEE 7 NOTARY PUBLIC Witness,,,y hind and official seal. STATE OF COLORADO NOTARY ID MY COMMISSION EXPIRES MAY 12,2019 Notary c My commission expires: 5/12/19 AFFIDAVIT OF SERVICE OR MAILING PRIOR TO FILING LIEN STATEMENT** STATE OF Colorado City of Englewkr, tyof Arapahoe i ss. —1 The undersigned,being of lawful age and being first duly sworn,deposes and says that this Notice of Intent to File a Lien Statement was served pursuant to Section 30-22-109(3)C.R.S.'**,as evidenced by the above Affidavits of Service or Mailing, at least ten(I0)days before the time of filing the Lien Statement with the appropriate County Clerk and Recorder. Subscribed and sworn to before me in the City of Englewood Corapahoe State of Colorado 2/th Max c C unty of this day of ,20 15 Witness,es hand an official d. ANDREA LEE L'2 NOTARY PUBLIC STATE OF COLORADO N°tar tic NOTARY ID 19994012861 My commission expires: 5/12/19 MY COMMISSION EXPIRES MAY 12,2019 'Strike according to foil. hslb he completed lO or moos day:after mailingClor service of Notice of Intent to File a I den Statement,r's38 I0)Lien Statement.531 1 order but p to filing lstatement. P h for k performed laborers I 11 there he t 1 intent I 1statement Iserved P d reputed III p pert} the 6 d the principal Pi contractor his her least en statement with tl t Oak d d Such notice tintenthll heservedh personal. byreg tdayshi lead.mum ! the time held,,the last known 11 tsuch I d affidavit [ h 'I le n dos,help blind of the lip statement or lwth the receiptI Id er shall Ito I for record u said 1 statement 1.1 all constitute proof of such service. )'clerk and rder.hull be Na.e OthS.Rev,11-09. STATEMENT OF MECHANICS'LIEN WITH NOTI(7i OF INTENT TO FILE A LIEN STATEMENT AND AFFIDAVIT'S OF SERVICE O(Page 4nf4) Hello