SiteEval120508.pdfFIELD INSPECTION FORM
NAME
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CROSS STREET
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SAENGRTORMS-Form Letters\TraftiQ.-EngrConcernFieldForm.doe
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PRINCIPAL: PATRICK ARCHER CONSTRUCTION, I
CON TRACTAMOUNT$: $17,376.00
DESCRIPTION: 84TH AVE. W. TOWNHOMES - STREETIMPROVEMENTS
cay OF EDNIONDS-DEVELOPMEN'r SERVICES DEP'r.
121 5TH AVENUE NORTH
EDMONDS, WA 98020
Date.
BOND NO: LC4366
2 2008
V(
a OF
CON'rRACTORS BONDING AND INSURANCE COMPANV is Surety on the above Bond. We appreciate your cooperation
in providing the infiormation requested below, and returning the form to us so that we may have current status information on the
captioned.job.Thank you Im- your assistance.
Very truly yours,
MARKNOMA.—
IF THE CONTACT HAS BEEN COMPLETED:
1. Completion date"? . . . . ..... Date of filial acceptance or expected filial acceptance?
2. What date does contractual warranty period end? . ..... ..... . .......
3. Final contract price'? (Including applicable taxes) Has full amount been paid?
4. Was the work satisfactory'? I - I'll- Have all labor and material bills been paid? -
IF THE CONT RACTHAS NOT BEEN COMPLETED:
1. Percent of work completed to date'? . ............. . ...
2. Total amount paid to the Contractor to date Amount of retainage held'? $
3. Is the Contractor paying his labor and material bills'? Anticipated date of completion?
4a. Is the work progress satisfactory? ...... b. Is the quality of the work satisfactory? . . . . .....
5, If the answerto No. 4a or 4b is no, please explain:
6. Please provide any other information you Leel would be helpful in evaluating the contractor
REPLV TOTHIS OFFICF
floine Office: Contract Surely
1213 Valley Sticel
11. 0. Box 9271
1
Seattle, WA 98109-027
(206) 628-7200
(800) 765-Cl3lC'
FAX (206) 682-1558
Firm:
Date:
Address:
Telephone:
(Tille)
BITOW10 P.10STU1,07-US070 ")
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