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<br />""..~".. <br /> <br />I <br /> <br />1 <br /> <br />1 <br /> <br />1 <br /> <br />I <br /> <br />I <br /> <br />1 <br /> <br />1 <br /> <br />1 <br /> <br />1 <br /> <br />I. <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />~ 4.3 Surety: <br />~ 4.3.1 Name of bonding company: <br /> <br />Lynn Davis <br />Safeco Surety Department <br />12100 Singletree Lane. Suite 130 <br />Eden Prairie, MN 55344 <br />952/746-1352 <br /> <br />~ 4.3.2 Name arid address of agent: <br /> <br />Dennis Loots <br />Willis <br />4000 Olson Memorial Highway #300 <br />Minneapolis, MN 55422 <br />763/302-7100 <br /> <br />~ 5. FINANCING <br />~ 5.1 Financial Slatement. <br />~ 5.1.1 Attach a financial slatement, preferably audited, including your organization's latest balance sheet <br />and income statement showing the following items: <br /> <br />Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued <br />income, depnsits, materials inventory and prepaid expenses); <br /> <br />Net Fixed Assets; <br /> <br />Other Assets; <br /> <br />Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income <br />taxes, advances, accrued salaries and accrued payroll taxes); <br /> <br />Other Liabilities (e.g., capital, capital stock, authoriz.ed and outstanding shares par valnes, earned <br />surplus and retained earnings). <br /> <br />i 5,1,2 Name and address of firm preparing attached financial statement, and date thereof: <br /> <br />Boo:tergRoach & Han.m, Pll.C <br />9800ShelardPmkway <br />Suite if2lJl <br />Minneapolis, MN 55441 <br />763/277 -<EIJ3 <br /> <br />i 5.1.31s the attached financial statement for the identical organization named on page one? <br /> <br />Yes <br /> <br />i 5.1 A If not, explain the relationship and financial responsibility of the organization whose financial <br />statement is provided (e.g., parent-subsidiary). <br /> <br />~ 5.2 Will the organization whose financial slatement is attached act as guarantor of the contract for conslruCtion? <br /> <br />Yes <br /> <br />AlA Document A3051M -1986. Copyright @ 1964, 1009, 1979 and 1986 by The American Institute of Architects. Ali rlghls reserved. WARNING: This <br />AlA'*' Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproductton or distribution of this AlAe Document, or <br />any portton of it, may resull in severe civil and criminal penahles, and will be prosecuted to the maximum extent possible under the law. This <br />document was produced by AlA software at 15:01:02 on 04lO3l2OO7 under Order No.1 000279691_1 which expires on 111&'2008, and is not for resale. <br />User Notes: (1852122228} <br /> <br />4 <br />