Bond Claim - LA

NOTICE OF CLAIM ON BOND


TO: CONTRACTOR:

{1246:Name and address of the company that obtained the bond for the project}

TO: SUBCONTRACTOR (IF ANY):

{1214:Enter the Name and Address of the Subcontractor}

SURETY:

{1199:If known, the name and address of the company that issued the bond for the project (the surety)}

FROM: CLAIMANT

{1193:company:Contact Details}
{1193:address:Contact Details}
{1193:city:Contact Details}, {1193:zone:Contact Details} {1193:pincode:Contact Details}


NOTICE IS HEREBY GIVEN that the undersigned claimant has a claim against the above named surety for labor or materials furnished by the undersigned for the public work described as follows:  

The name and location of the project is as follows:

{1244:What is the name of the project?}

{1245:Project Address}

The labor or materials were furnished pursuant to a contract or agreement with:

{1592:Name of the company that hired you to perform work on the project}

The nature of the labor or materials furnished is as follows:

{1218:Describe the materials you furnished and the work you performed on the project}

The amount of the claim is:

${1226:Unpaid amount due to you}

The date the claimant last furnished labor or materials to this public work is:

{1219:Last date you provided Labor and/or Materials}

Claimant seeks payment of said claim according to the law.

 

{1193:company:Contact Details}

 

By:____________________________
{1236:Name of duly authorized company officer entitled to sign the bond claim}, {1237:Position with Company}

                                                                                                 

STATE OF _____________
ss.
COUNTY OF ____________

Subscribed and sworn to before me this ____ day of _____________, 20__.

 

_________________________
NOTARY PUBLIC

We use cookies on our website. Some of them are essential for the operation of the site, while others help us to improve this site and the user experience (tracking cookies). You can decide for yourself whether you want to allow cookies or not. Please note that if you reject them, you may not be able to use all the functionalities of the site.