HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (12)Berkley Regional Insurance Company
c/o Berkley Surety Group
11201 Douglas Avenue
Urbandale, IA 50322
Phone: (800) 456-5486 x.3487 - Fax: (866) 915-7872 - Email: bsgservicecenter@berkleysurety.com
General Status Inquiry September 19, 2013
City of Fort Collins
300 West La Porte Avenue
Fort Collins, CO 80522
Principal: Hydro Construction Company, Inc l0 7'T 29
Address: 301 East Lincoln Ave 107429
Fort Collins, CO 80524
Please Note: Upon completion please forward
completed status letter via fax to (866) 915-7872
or via e-mail to
bsgsewicLcenter@berkleysurety.com
Bond #. 0169512
Description Work Order No. H-WRF-2012-7 2012 DWRF Primary Clarifier Repair & Lighting Replacement 3036 Environmental
Dr., Ft Collins, CO
Contract Price: $295,874 Bond Amount: $295,874 Effective Date.'
9/20/2012
Without prejudicing your rights or affecting our liability under the bond described above, please complete the follovdng questions and
return by fax or mail.
1. If contract completed, please state:
Date of completion of work (or final delivery)
Approximate acceptance date:
Final contract price: $
2. If contract uncompleted, please state:
Approximate percentage or dollar amount completed/delivered:
Anticipated completion date:
Current contract price: $
3. Do you know of anny unpaid bills for labor or material (check one): Yes No
4. Remarks (d any).
Date: Signature:
Title: