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-~,r~,- _ ~ ~:~ <br />~ONO~~ <br />li X11...1 ~ <br />i <br />_ ® ~ <br />v e <br />b~+ om'+i <br />Merchants Bonding Company <br />2100 FLEUR DRIVE • DES MOINES, IOWA 50321-1158 <br />(515) 243-8171 • (B00) 678-8171 • (515) 243-3854 FAX <br />January 2, 2009 <br />City of Santa Ana RE: CAC 65800 <br />20 Civic Center Plaza, M-16 TROXELL COMMUNICATIONS IN <br />Santa Ana, CA 92701 PHOENIX, AZ <br />$133,000.00 <br />Bond Number CAC 65800 was issued on 08!02/2007 covering: <br />Supply of product, installation and training <br />Please provide us with the information requested below so that we may keep our records up to date. <br />There are several ways you can respond to this letter: <br />1. Log on to our website at www.merchantsbonding.com and click on the "Submit Progress Report" link <br />and enter this access number: NTEBZ7F3CA <br />2. Call us at (800) 678-8171 and we will take the information from you over the phone. <br />3. Mail this completed form to: Merchants Bonding Company (Mutual) <br />c/o Mary Dafflitto <br />2100 Fleur Drive <br />Des Moines, IA 50321-1158 <br />4. Fax this completed form to: (515) 243-3854 <br />Sincerely, <br />Jason Dettbarn <br />Merchants Bonding Company (Mutual) hereby releases the architect or engineer supplying the information <br />contained on this form from any and all liability whatsoever which might in any way result from the <br />accuracy or inaccuracy of the information requested and supplied by this form. <br />I . If contract is completed: Acceptance Date ~ " f ~ ~ ~8 <br />Final Contract Price (including any retention): ~ 17f ~~ 7~ g~ <br />2. If contract is uncompleted: Approximate percentage complete: "'"' <br />Amount paid to date: <br />Amount of any change orders: <br />3. Are you aware of any claims for unpaid labor or materials? Yes ^ No Iffi <br />If yes, please explain: <br />4. Has the work progressed satisfactorily? Yes ~ No ^ <br />If no, please explain: <br />5. Additional comments: N <br />6. How would you like to be contacted in the future? Phone ^ Fax ^ Mail ^ Email ~. <br />7. Completed by: Name ~L~.y C~D~"i~.JS~J~ Date 3'~ ~ "~ <br />Phone 7~Y- 2~s gD~/D Fax _~ <br />Email KL~oMi~S/C~! ~__ <br />