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JOB STATUS REPORTING FORM

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Performing Contractor's Name:
Obligee Name:
Job Description / Contract #:
Bond # (if available):
Original Amount of Contract:
   

IF THE CONTRACT IS COMPLETED

   Date of Completion:
   Date of Final Payment:

   Final Contract Amount:

IF THE CONTRACT HAS NOT BEEN COMPLETED
   Percentage of Completion:
   Amount Paid to Date:
   Contract Amount to Date:

Comments

IT IS UNDERSTOOD THAT THE INFORMATION CONTAINED HEREIN IS FURNISHED AS A MATTER OF COURTESY FOR THE CONFIDENTIAL USE OF THE SURETY AND IS MERELY AN EXPRESSION OF OPINION. IT IS ALSO AGREED THAT IN FURNISHING THIS INFORMATION, NO GUARANTY OR WARRANTY OF ACCURACY OR CORRECTNESS IS MADE AND NO RESPONSIBILITY IS ASSUMED AS A RESULT OF RELIANCE BY THE SURETY, WHETHER SUCH INFORMATION IS FURNISHED BY THE OWNER OR BY AN ARCHITECT OR ENGINEER AS THE AGENT OF THE OWNER.

Completed by:
Title:
Company:
Contact Phone or Email:

Questions, Contact Robb Gusic:  Email: robb@thompsongusic.com  or  440-639-9989

 
Copyright 2000 [Thompson-Gusic Insurance Group, Inc.].  ALL RIGHTS RESERVED
Revised: January 29, 2013 .