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Lexon Insurance Company <br />(When Completed, return this form to:) <br />FRONTIER BONDING SERVICE, INC. <br />130 Nickerson Street Suite 311 <br />Seattle, WA 98109 <br />(206) 281 -8411 (800) 441 -0712 Fax (206) 281 -8456 <br />To: CITY OF EUGENE Date: 8/28/2010 <br />CENTRAL SERVICES lea ��� C ^ �� <br />100 WFS -T -10TH AVE STE 400 Bond No: 1027584 <br />EUGENE, OR 97401 <br />Contractor: FOUR SEASONS TREES, LLC <br />PO BOX 234 <br />WALTERVILLE, OR 97489 <br />Descript of Contract: 2010200016 STREET TREES: PURCHASE & PLANTING <br />Owner: CITY OF EUGENE <br />Contract Price $ 15,000 Bond Amount $ 15,000 Effective Date 10/29/2009 <br />WITHOUT PREJUDICING YOUR RIGHT OR AFFECTING OUR LIABILITY UNDER OUR BOND(S) DESCRIBED_ <br />ABOVE, WE WOULD APPRF.CIATF, AS MUCH OF THE FOLLOWING INFORMATIONAS IS NOW AVAILABLE. <br />Very - truly / yours, <br />B y / (� <br />1. If Contract Is Completed, Please State: <br />DATE CONTRACT DATE CONTRACT DATE OF FINAL <br />COMPLETED: ACCEPTED: FINAL PAYMENT: CONTRACT PRICE: <br />2. If Contract Is Not Complete, Please State: <br />APPROX % OR $ AMOUNT OF <br />CONTRACT COMPLETED OR DELIVERED: <br />3. Do You Know Of Any Unpaid Bills For Labor Or Material: (circle One) (�;�or YES <br />Remarks: (Would you recommend this contractor) <br />` y . AA"V j r <br />PLEASE RETURN THE INQ Y 70: <br />FRONTIER BONDING SERVICE, INC. <br />130 Nickerson Street Suite 311 <br />Seattle, WA 98109 <br />(A 4) (69) <br />Signature: - <br />Title: <br />Date: <br />Phone: (` "X I) ( 2_ - 4 T �(/� <br />