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Marsh
An MMC Company
Bond Request Form
Please Type or Print Clearly
Complete the items below fully & without abbreviations exactly the way they should appear on the bond
Principal
Name
Kroger Co.
Address
1217 S Rangeline RD
City
Carmel
State
IN
Zip
46032
Telephone No.
Obligee Name (Party Requesting the Bond)
City of Carmel
Address
One Civic
Square
City
Carmel
State
IN
Zip
46032
Telephone No.
317-571-2364
****Is a Specific Bond Form Required? Yes No If yes, please attach a copy of the form
Performance
or Site Improvements Bonds
Bond Amount:
$17,013
Date of Contract or Subdivision
Agreement: 12/1/14
Store Number:
J959
Name of Facility Engineer:
Sheri Billeter
Please provide
a complete description of the work to be performed.
(Attach copy of specifications / contract, if necessary)
Work in the right of way
Performance or Site Improvements Bonds
Bond
Amount:
$18,849
Date of Contract or Subdivision
Agreement: 12/1/14
Store Number:
J959
Name of Facility Engineer:
Sheri Billeter
Please provide a complete description of the work
to be performed.
(Attach copy of specifications / contract, if necessary)
Water Quality BMPs
Performance or Site Improvements Bonds
Bond Amount:
$20,578
Date of Contract
or Subdivision
Agreement: 12/1/14
Store Number:
J959
Name of Facility Engineer:
Sheri Billeter
Please provide a complete description of the work to be performed.
(Attach copy
of specifications / contract, if necessary)
Erosion Control
Performance or Site Improvements Bonds
Bond Amount:
$64,429.50
Date of Contract or Subdivision
Agreement: 12/1/14
Store
Number:
J959
Name of Facility Engineer:
Sheri Billeter
Please provide a complete description of the work to be performed.
(Attach copy of specifications / contract, if necessary)
Site
work/Hardscape
Commercial Surety Bonds
Bond Amount: $ NA
Effective Date of Bond:
Store Number:
Purpose of Bond:
Store Address:
City/State/Zip:
Requested by:
Date:
Telephone No.
Fax No.
Special Instructions:
Per the city of Carmel, we need 4 separate bonds
as listed above and these performance bonds are not permitted to have an expiration date.
Marsh, Inc.
500 West Monroe Street
21st Floor
Chicago, IL 60661-3630
Cynthia R.
Hernandez (312) 627.6983 C.R. Hernandez@marsh.com
Beatriz Polito (312) 627.6219 Beatriz.Polito@marsh.com
Fax: (312) 627.6226