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01-1783
· IN THE cOURT OF COMMON PLEAS yORK coRRUGAT~G COMP~ : cuMBE~AND COUNTY, PENNSYLVANIA lylaintiff · NO. ~ ~ / ~j>3 ~~ ~~ v. cML DMSION ' LAW TIlE ST. pAUL cOMP~IES Traaing As S~. · e~,tm ~ ~ s~gn, m ~s~cz co. oegenaant ~ AGA~ST T~ CLAIM sET FORTH ~ TWEN~ (20) DAYS AFTER ~OU ~~ BEEN S~D ~ CO~T' IF yOU ~SR TO DEFEND T~S coMPLA~T CLAIMS sET FOR~ APPEA~NCE pERsoNALLY OR BY AN A~O~EY ~ FoLLO~G PAGES, yOU ~ST T~ ACTION WIT~ ONS TO T~ ~oUT yOU - ~. ~T ~o~ D~v~S~ ~ ~ C~S~ ~~ ~.~ ~o~c~ vo~ ~ ~ ~o~CE A~ SEK~D, BY ENTE~G A ~~EN OK OB~C~ oCEED ~ ~ ~uu ~- L TO Du a~ T FU K t ~- y '1'~ ~G ~TH T IF YOU FM RT ~THOU uESTED B A~ FIL~G ~ ~ WA~D ~~ -~T YOU BY T~ C~U~. · ,x~ O~ ~LIEF ~Q · v~,~x~vv. ~ou ~*~ ~os~ ~o~~ o~ v~ov~w o~ ox~~ co~TY BAR AssoC~TION CU~E~~ TWO LIBERTY c~tSL~ PA (717) ~49-3166 L Paut · [heS Proof of Claim st. Paul Fire ,nd M.rine Insurance Company United States Fidelity and Guaranty Company S12~'e~)/ Searboard Surety Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Undet~writer$ p.O. Box 11~8 F IL [ C0P ~.Paul Guardian Insurance C°mpany Baltimore, ~/H) 21203' Paul Mercury Insurance Company · Economy Fire & Casualty Company cotn,rrY OP STATE OF ____?EN~ISYLVAlqIA . , being duly sworn, deposes and says: UAL, OK SOLE PRO . . · cs a business under ~e/she e and s f~ nam ~ Ci~ of a co-pa~ers~p, (b) W A CO.P~~RSHW ~at he/she is a member of , which f~ has i~ p~cipal here~afler designated as Cla~ant, composed of deponent ~d Coun~ of Ci~ of place of bus.ess at . , S~te of ~ Cla~ant here~, ~ ..... ~--~ t ~a~ of . , ~nfi hav~g a place ic ~ Ci~of of bus.ess at 120 S. Adams St. -' , ~d is duly au~o~cd to make ~s York , State of Pe~s 1rant Cons true ti on Co. - 1nc. ~' hero.after called Con. actor, was at and before ~e fil~g of ~s 2. ~at .CC~ .... ~--~lv and ~ly ~debtcd to Claret, ~ ~e 's~ of $ 88A. O l ~~, for labor, matcfialsT- of Con. actors con~act Proof of Cla~, and sfin xs, ]u~ ,y supplies an~or se~iccs heretofore ~mished to said Con.actor for use ~ ~e pedo~nce . A~ached is itched statement of cla~ toge~cr wi~ suppo~g wi~ VA ~edtcal Center .... ~ .~ .... :-~ ~f co-v of subcon~act, ~voiccs or n a CVi~CHCC, CO~SlSt~ o rJ 3 ~at ~c date on w~ch Claret l~st ~ishcd any labor, matc~l or suppUcs ~d sc~iccs~ ~ co~ccdon wi~ sa~d cla~ was ' 2000 ~agch 13 ~ ~' 4. ~at Cla~nt has satisfied ~ ~11 all cla~ ~or labor, match,Is, supplies ~n~or o~cr ~gs o~ value, purchased, ~mishc~ ~abricatcd or supplied by it ~or usc ~ co~cc~on wi~ ~c a~orcsaid con~act, except ~osc noted on ~c back off ~is ~o~, and no such pa~cnts have bccn made by notes which ~rc ~paid a~ ~s ~c. 5. ~at ~crc ~c no sctoffs, co~tcrcla~, back ch~gcs, or o~cr crcdi~ duc said Con, actor aga~st said cla~, ~d ~at Cla~~ is not ~dcbtcd to said Con, actor on ~is, or on any o~cr accost, and ~at Cl~~t docs not hold any note or scc~ o~ ~Y ~d whosoever for said debt. 6. ~at ~s affidavit is ~dc ~ suppo~ o~ ~c above-described ch~ aga~t, and ~or ~c p~ose o~ ~duc~g, St~ Paul Comp~cs as surcW ~or said Con, actor, to pay said cla~ ~dcr ~c bond w~ch ~t executed as s~c~ for said Con~ctor. .. ~. Should, ~d to ~e ext~nt, St. Paul Comp~cs make pa~cnt, Cla~ant hereby agrees ~at all ~a~tccs ~d w~ndcs rcqu~c~ under ~c tc~ o~ ~c a~orcsa~d con~act pc'~a~g to ~e work, labor ~d ~tc~als ~hcd by ~c ~dcrsi~cd shall rcma~ ~ ~B ~orcc and effect ~ accord~cc ~ ~c~ tc~*W~Ch, however, shall not bc extended nor c~gcd hereby. Subsc~bcd ~nd sworn ~o'Se~crc mc ~is ? ~ day o~ July ~ 20 00 .* 80~t~i~" ~O Claim ~0~00L~ 1081-29 S001 · * Harrisburg, ..~. -' ........... Bond ~ 26-0120-~3002-98-1 blic f.~,o~', ~-et · ~nit~ S~t-- ~deli~ lad Gu~n~ Company ~F~ S~r~l~ Sure~ Company ~dell~ and Gus~n~ In~nce Compan~ ~deli~ and ~uarln~ Insu~nce Unde~fite~ . F.O. BOX 1138 S~ ~aul Guardian l~u~nce Company ~altimore, ~ 2120~' S~ paul Mer~ Insu~nce Company Econom~ ~re & C~ual~ Compan~ . . CO~ O~ S~A~ O~ , ~~ ~ ~o~ ~os~s ~ s~s: U~, O~ SO~ 2~02 . . · ~s · ~~ss ~~ at ~ S~tc of a c~p~~Mp, ~) ~ A C~p~~~~ ~at hdshe h a m~~ o~ wMch fm h~ i~ p~cipd hcre~afler d~i~tcd ~ Cla~~ co~osed of d~oncnt ~d ~- CiW of Co~ of place of b~~ at ~ S~te of ~ C~~t of ~d ~~t a place (c) ~ A CO~O~~ON ~at hdshe h ~dcr ~e laws of~e State of , Co~ of wMch ~ a co,option ort~ed ~d e~~ Ci~ of , ~d h d~y auto.ed to ~e of b~css at Proof of ~a~ on i~ be~. . ~ - -'---er caHed Con~~mr- w~ a~ ~d befo~ ~e 'f~t of ~ C C~ _. , ne~~, _ of $~"~~'~' ~~' for labor, 2. ' . · · '~ ~d~ly~ ...... me ~o~~- ~- ~_n . Proof of C~ ~d s~l ~s, ~. ~_ ' · to ~d Con~or for_ ~c ~ . . _P ..... r~;~ to~e~~ suppo~g ' mpplies ancot .s~~~ h~ct~r~~ d . A~hed ~ ite~e, smtem~, ~----- ' C~~~ l~t ~hed ~y ~bor, ~t~ or ~ppEes ~d sc~ces ~ co~ec~on ~ said cl~ 20_ · 4. ~t ~a~t hm ~fied '~ ~B ~ c~ for labor, ~t~, mpplies ~or o~er ~gs of value, p~~e~ ~he~ fab6cated or mppBed by it for me ~ co~ec~on ~ ~e ~or~id con~~ ~c~ ~ose no,ed on ~e back of ~ fo~ ~d no ~ch pa~~ ~ve ~ made by not~ wMch ~e ~aid at ~ ~e. 5. ~t ~e ~e no setoffs, co,tercel, back c~~, or o~ ~~ due s~d Gon~ctor aga~ ~id c~ ~d ~t Cla~~ ~ ' not ~debted to said Con~ctor on ~, or on ~y o~ acco~ ~d ~t Gla~~ docs not hold ~Y no~c or se~~ of w~oev~ for ~d debt 6. ~t ~ a~~t 2 ~de ~ mppo~ of ~c above,espied cl~ aga~ ~d for ~e p~osc of ~~g, S~ Paul Comp~es ~e~ for s~d Gon~ctor, to pay said c~ ~der ~e bond wMch it ex--ted m ~e~ for said Gon~ctor. 7. Shoul~ ~d to ~e exten~ St Paul Comp~es ~e pa~~ ~~~ hereby a~ees ~t ~ ~~tc~ ~d. w~6es requ~ed ~dcr ~c t~ of ~e ~o~s~d con~c~ pc~g to ~c wor~ ~bor ~d ~t~a~ ~hed by ~e ~de~i~ed shaB rema~ fore ~d effect ~ accor~ce ~ ~c~ t~ wMc~ howcv~, ~B not be ex~ended nor ~~gcd hereby. Subs~ed ~d sworn to befo~ me ~s ~ day of 20~ Si~~e Claim ~ " ~ Bond ~ M~%R-08-O0 WED 09:01 YORK CORRUGATING- YORK FaX NO, 7178540193 P, 03 , , . · _ _ · 120 $, ADAMS ST., P.O. BOX 1192, YORK. PA 17405 - PHONE: 717-845-3511 - FAX: 717.854-0193 CCI Construction ComPany, Inc %'6.083 PO'BOX 8800 · . Camp Hil'l, PA 17001 . Job Name ~ VAMC Perry Point, MD · Purchas~ 0r~e'r 9. Invoice %. Amount · 14623 07.7954 --' $ 26.22 29.27 · ' 14076 09.2281 ~ · GORPORATE OFFIGE: YORK, PA BRANCH WAREHOUSES: HARRISBURG. PA SHREWSBURY, PA t, ( ~ .,w ! i, 0 O1-Y~ORK CORRU6ATING COMPANY SO CUSTOMER INQ INVOICE DOCMT 454040 T W SOI610 CCI CONSTRUCTION COMPANY, I.NC CCI CONSTRUCTION COMF'ANY INC F'O BOX eeO0. . .. : NVO: CE Oa/I ~/00 ' A.TTN '-~R~D B'AR~ .. · SHIPPED O3/06/00 · AV~. D VAMC' SLSP H4 ED SMITH CA~P HILL PA 17001-8800 PERRY POINT~ ~D ~lgOe TERI~S O1 1X lOTH/ . FREIGHT p SHIP VIA UPS DIRECT R~~,· 1.5001 ... uNi.,T~....,. DEPT O0 NO DE'PART - .... .. , . .:. · .. :. . ~ ... ,. .... . .... .......... .....,.:.. · ...~..:.~......- '-., ia" w~m~. : -.o-.'. ...~o~A~... ~ . ..,~el. ~ · . ~ ' ' .:: .... · ...... " ' "'" ~. ' · ~"~ ".: '" ..... i';.. :. ."' '.I. . ' . .. . · .. ---- _ ..... ~AcTUAL__' ... .... ..... .... .. ,j....:...' ..... .. ....' ....- ..... .. .... IaIII,iIiaIalI .... , - LN~ ITE~ DESCRIPTION ' - · - ORDER SHIPPED BACKORD U~ PRICE-X EXTENSIOnal . .. .. . 004 FR~iGHT. . ,.. 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'meS['Rlul o,- c:,,,,,, LSea~~ Fre~ Compnny Fidelity an8 Guaranty Insurance Company P.O. Box 1138 . Fidelity and Guaranty Insurance Underwriters Baltimore, MD 21203 st. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Economy Fire & Casualty Company STATE OF Pennsylvania COUNTY OF Dauphin Suzanne E. Sheaffer , being duly sworn, deposes and says: 1. (a) IF AN INDIVIDUAL, OR SOLE PROPRIETOR That he/she is the Claimant herein, and operates a business under the/she firm name and style of at_ City of. , County . , State of . . - (b) IF A C0-PARTNEP~HIP That he/she is a member of a co-partnership, hereinafter designated as Claimant, composed of deponent and , which fn'm has its principal place of business at City of . , County of _ , State of . (c) IF A CORPORATION That Il/she is .Credit Manager of York Corrulattn~_ _ Co, , Claimant herein, which is a corporation organized and existing under the laws of the State of .Pennsylvania , and having a place of business at 120 S. Adams St. , City of York - ' - , County of York , State of Pennsylvania , and is duly authorized to make this Proof of Claim on its behalf. 2. That . CCI Construction Co. ~ Inc. , hereinafter called Contractor, was at and before ~e filing of this Proof of Claim, and still is, justly and truly indebted to Claimant, in the sum of $ 78.4~ , for labor, materials; ..... supplies and/or services heretofore furnished to said Contractor for use in the performance of Contractor's contract with Albemarle Charlot:i:esville Re~ional Jail. Attached is itemized statement of claim together with supporting evidence, consisting of copy of subcontract, invoices or n/a 3. That the date on which Claimant last furnished any labor, material or supplies and services in connection with said claim was March 13 2000 . 4. That Claimant has satisfied in full all claims for labor, materials, supplies and/or other things of value, purchased, furnished, fabricated or supplied by it for use in connection with the aforesaid contract, except those noted on thc back of this form, and no such payments have been made by notes which are unpaid at this time. 5. That there are no setoffs, counterclaims, back charges, or other credits due said Contractor against said claim, and that Claimant is · not indebted to said Contractor on this, or on any other account, and that Claimant does not hold any note or security of any kind whatsoever for said debt. 6. That this affidavit is made in support of the above-descn'bed claim against, and for the purpose of inducing, St, Paul Companies as surety for said Contractor, to pay said claim under the bond which it executed as surety for said Contractor. 7. Should, and to the extent, St. Paul Companies make payment, Claimant hereby agrees that all guarantees and warranties required under the terms of the aforesaid contract pertaining to the work, labor and materials furnished by the undersigned shall remain in full force and effect in accordance with their terms which, however, shall not be extended nor enlarged hereby. Subscribed and '~wo.m to before me this 7 t:h day Ofjul y' 00-0 8onnie Claim # 0400t. N1078-295001 Member, Penns, Bond # 26-0120-12995-98-7 CORPORATE OFFICE: YOHK, I"A I=l'~n~,n ,~¥,~nr..n,.,,~.,.,. ,',e, .............. · i,, ,, ,I,..,.....- Proof of Claim st. Paul Fire and Marine Insurance Comp.ny ~/r~O/ United States Fidelity and Guaranty Company Searboard Surety Company ILE CC'''''''' '' Fidelity and Guarnnty Insurance C°mpany P.O. Box 11~38 . Fidelity and Guaranty Insurance Underwriters Baltimore, MD 21203 st. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Economy Fire & Casualty Company · STATE OF Pennsylvania COUNTY OF Dauphin ... Suzanne E. Sheaffer , being duly swum, deposes and says: 1. (a) IF AN INDIVIDUAL, OR SOLE PROPRIETOR That he/she is thc Claimant herein, and operates a business under the/she fu'm name and style of_ at .. City of , County of · State of - Co) IF A CO-PARTNERSHIP That he/she is a member of a co-parmerskip, hereinafter designated as Claimant, composed of deponent and , which rum has its principal place of business at City of County of ,Staie of . - -' (c) IF A CORPORATION That Jml~she is Credit: Mzna~o_r of w,,.t. ~ ........ ~__. ,,_ , Claimant herein, which is a corporation organized and existing under the laws of ~te State of P"r~s¥!v~_-__!a _, and having a place of business at 120 $. Adams St. , City of w,,.t. , County of York , State of Pennsylvania ..... and is duly authorized to make this Proof of Claim on its behalf. ' 2. That .~CI Cons true tin Co., Inc. , hereinafter called Contractor, was at and before the filing of this Proof of Claim, and still is, justly and truly indebted to Claimant, in the 'sum of $792.15 , for labor, materials;'-' supplies and/or services heretofore furnished to said Contractor for use in the performance of Contractor's contract with Outlook Point at: West:ervtlle . Attached is itemized statement of claim together with supporting evidence, consisting of copy of subcontract, invoices or n/~ 3. That the date on which Claimant last furnished any labor, material or supplies and services in connection with said claim was _ March 13 20 O0 . 4. That Claimant has satisfied in full all claims for labor, materials, supplies and/or other things of value, purchased, furnished, fabricated or supplied by it for use in connection with the aforesaid contract, except those noted on the back of this form, and no such payments have been made by notes which are unpaid at this time. 5. That there are no setoffs, counterclaims, back charges, or other credits due said Contractor against said claim, and that Claimant is not indebted to said Contractor on this, or on any other account, and that Claimant does not hold any note or security of any kind whatsoever for said debt. 6. That this affidavit is made in support of the above-descn'bed claim against, and for the purpose of inducing, St: Paul Companies as surety for said Contractor, to pay said claim under the bond which it executed as surety for said Contractor. 7. Should, and to the ~xtent, St. Paul Companies make payment, Claimant hereby agrees that all guarantees and warranties required under the terms of the aforesaid contract pertaining to the work, labor and materials furnished by the undersigned shah remain in full force and effect in accordance with their terms which, however, shall not be extended nor enlarged hereby. Subscn'bed and swom to before mc this 7th dayof /~ ~~? _ July _ 200'0 . Bonnie Jo H Claim # 0400NP1097-212614 ~urg, Public My Commission "- Member, Bond # 26-0120-28312-98-1 rlm(-08-O0 NED 09:0! YORE OOP~Ur..,,.,~TING- YORK FaX NO, 7! 78540:1.93 P, 05 . J ~- ~ ~A~ ~U~U~ ~D J~~ , CCI C'onstruction Company, Z'nc. #60.83 PO .BOX 8.800 Camp Hi.ll, PA 17001 Job Name= Outl'ook Point, West~rv~lle, OH- Purchase Order 9 Invoice.# Amoun~ 1465'? . 08.39?.% $ 105.'59' · CORPORATE OFFICE: YORK, PA B .i::~NCH WAR'=HOUSES: HARRISBURG, PA SHREWSBURY, PA lW3~R-14-00 TUE 17:13 YORK CO.RRUGRTING - YORK FaX NO, 7178540193 P, 04 , . · 120 S. ADAMS ST,, P.O. BOX 1192, YORK, PA 17405 - PHONE: 717,845.3511 - FAX: 717-854-4193 ' .CCI Construation. Company, Inc.. #6083 PO Box 8800 ' Cam9 H£11, PA 17001 · Job Name= Outlook Point, Westerville, OH . · Purchase Ord'e= #. ' Inovice % Amount · . 1487'7 ' 095124 · $' 686.56 .o CORPORATE OFFICE: YORK, PA BJ:~NOH.WAHi;HOUSES: HARRISBURG, PA SHREWSBURY, PA · O1-YORK CORRUGAT I NG COMPANY SO CUSTOMER I NQ I NVOI CE DOCMT 453013 T W SOI 610 CUSTOMER 6083 PL 0 SHIP-TO TEMP INVC# 095184 WHSEi 02 PO CCI CONSTRUCTION COMPANY INC OUTLOOK POINT INVOICE 03/13/00 · PO BOX 8800 '. CCI CONST. ATTN, BILL-cOMpHER SHIPPED 03/06/00 6~0 COOPER ROAD SLSP H4 ED SMITH · · · CAMP HILL PA 17001-8800 WESTERVILLE., OH 43081 TERMS 01 1Y, 10TH/ =RE IGHT P SHIP VIA UPS DEPT O0 NO DEPART · REF'# ]1.14S7.7 l I UNITS i ~ I ~ll ll I I '[ ' ..... l ~ ~ ] ~ I '~' I I ~ I aI I ~ ~ I [ .i''wE':~-'~":'mHT I I ~ll ll I ' II I I 0 I'~ I ' : l~lOf~[ I ~ '' I I I I 6~7.'.:70..l.' il I I . ~ i ' : I .... I I I I ...... I : I II il II l:.1 I I ' 'l I I I ' [': l~: I : ' :I . I I i ~I :';.I II I i il1 ::~'~1 ~-SF(~ ~411X8411 ALUMINU ~ ~ 0 EA ~31850 0 647.?0 :)08 W/INS I DE INSECT SCREEN }03 PAINTED. TO MATCH CO.LOR SAMPLE ll · . · .... I .... :)04 F'ROv I.DED ll . . :)05 LLOIN 358062 .. · l :l i . _ i i i 111I i i l: l ·' ~ l ::: II l~l [ l . l I l II ~ .... l' lI I1I I 1 ~ 1 i i 1:I ' ~I I l I : i i 1 ~ , .. ~ERCHANDIlSE MISC AMT DISCOUNT TAX FREIGHT NEW TOTAL · 647.70 . O0 38.86 . O0. &8&. 56 · L / · . . .. .N# TO DETIAIL~ L-LiST., Io-OVERVII. EW.~ N-NXT DOC, F'-F'RINT'., F3-E.ND-F'GM.,"F4-BACKUP '' : ' I ' lll~' l [ ..... ~ ~ ~ ..... lI II ll::ll I I I I I I I I I I ' ] iI I I i I II I ~ ~l : i~ I :';:: . l~ I I :: I II l · mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mm mmmmmmmm. l I l i ~ . l ll ' I i .~lll llll 1 I [ i I I I I ~l I I l1 lI I I[1 I I I :[ I ' I ' I I I ' l;l I 1l I I ; [ : I l ..... I _ II L:II' m _l__J ..... ~__ ~! I~ ,, Il' I I '' l:lll' I I Ill : [ I' : ...... :l 'l:~ I I ' i I 'll:l i1 I I Ill I I :Ow ,- I%1 ~ -'3. ,,, o~.~.- ~"'~ c.. -. [::z::~,, ... · Oo~'~ ; __c0__ N iii ~. '~:-'""' ' ":'% ,,,,- -~ ~ .'_-t.-~ Z - .; · -. · .~~ ,., ,,,: . · .~ ~.~.. .'.;;C~- · *-'-' " '"' .. 0 -,,~. ,..~,, . m~. ';~' .. .. ~: D'_% u,,.: · ~ ' ~' .c'.' 'L.". CB "~ 0''~ · ',~, · ~.' 0.').- · .~.~" -i~ =" '1",,,,,, ..,.;- .i!... ~. o ~ ..~. ';;' · . .'. :_.~ : ~' ..j .... .~.' ~ ~.~.... · . ..~...-.: ~ .~.-. :.' . ~.... . O"OC..~.~. · .. - · ...~. . .'. ·" .0 .~.~ ....... . -~. · ... '~'~':' · ::~.. . .. ,:... ~,.~. :"l&l". .... " ' L':.'- ': ~-.~' ... .. · .~ ;!....:... · .1~ 'o .~. ~ .- o. · "~ .. ' Z "'"" ..... · ...-..~. .,"~. · .,~. · ...... '~ -. . · ~ .,,,~., . :,.~,:. ~' ... ~ -' · :~'~,: . .,~.. · ,.~. ,~'' · .,_,, "" ""IC~ "' .- ' ~'~.' ...~: . '.: · · o,.~. -. · o~.~.. ~ ~ ,. .,,.. ~ ~ ~ ':'-' fi-. .' .. . ....~ ~" ' ¢~ '"~: ~ "~' ,~~¥.' 0 · · ' ~ ~...' CO.. ' -'. ~~...; , .. .... ..~ ..~'- . ~ ~ · ..~. .. .. . .. .... ~-. ~ .... . .' .. ~. .....'.; . .- . . '..: ',.'~ ~:~.. '. :. ~ ....'........... .... ..~ . . , "' Proof of Claim s~ Paul Fire and Marine Insurance Company Sllrt?Ol United States Fidelity and Guaranty Company Searboard Surety Company Fidelity and Guaranty Insurance Company P.O. Box 1138 . Fidelity and Guaranty Insurance Underwriters Baltimore, MD 21203 st. Paul Guardian Insurance Company ...... St. Paul Mercury Insurance Company Economy Fire & Casualty Company STATE OF P~nnavlvanta COUNTY OF __ Dauphin Suzarme E. She~tffer , being duly sworn, deposes and says: 1. (a) IF AN INDIVIDUAL, OR SOLE PROPRIETOR. That he/she is the Claimant herein, and operates a business under the/she' fm'n name and style of. at . City of County of _ . State of ' -' - - · Co) IF A C0-PAR~RSHIP That he/she is a member of a co-partnerskip, hereinafter designated as Claimant, composed of deponent and , which fn'm has it~ principal place of business at City of County of · . . st i'= of,, . ' (c) IF A CORPORATION Thati~/she is Credit: Hanager of _York Corrugat:ing Co. , Claimant herein, which is a corporation organized and existing under the laws of the State of Penna¥1vania , and having a place of business at 120 $. Adama St:. , City of York - - County of York , State of Penna¥1vanta , and is duly authorize~i to make this Proof of Claim on its behalf. 2. That . CCI Cons truction Co., Inc. , hereinafter called Contractor, was at and before the filing of this Proof of Claim, and still is, justy and truly indebted to ClaimaTM, in the 'sum of $ 4,943.56 , for labor, matcrials~-' supplies and/or services heretofore furnished to said Contractor for use in the performance of-Contractor's contract withPhase I and II, National Plant: Germplasm . Attached is itemized statement of claim together with supporting evidence, consisting of copy of subcontract, invoices or_ n/a 3. That the date on which Claimant last furnished any labor, material or supplies and services in connection with said claim was March 13 20 00 . 4. That Claimant has satisfied in full all cia/ms for labor, materials, supplies and/or other things of value, purchased, furnished, fabricated or supplied by it for use in connection with the aforesaid contract, except those noted on thc back of this form, and no such payrnems have been rnadc by notes which are unpaid at this time. 5. That there are no setoffs, counterclaims, back charges, or other credits due said Contractor against said claim, and that Claimant is not indebted to said Contractor on this, or on any other account, and that Claimant does not hold any note or security of any kind whatsoever for said debt. 6. That this affidavit is made in support of the above-descn'bed claim against, and for the purpose of inducing, St: Paul Companies as surety for said Con~ractor, to pay said claim under the bond which it executed as surety for said Contractor. . 7. Should, and to the extent, St. Paul Companies make payment, Claimant hereby agrees that all guarantees and warranties required under the terms of the aforesaid contract pertaining to the work, labor and materials furnished by the undersigned shall remain in full force and effect in accordance wi~h ~¢ir terms which, however, shall not be extended nor enlarged hereby. Subscn'bed and sworn to before me th~s ~ day of _ July ..... 20 00_ · N, Bonnie Jo Hui Harrisbur~g~ ClaiTM# 0400LN2678-29S001 Public Member, Pennsylvania, Bond # 26-0120-28306-98-1 · CCI ~onstruction' Company, Inc. " · PO BO~ 8800 Cam~ Hil~, PA 17001 . · Job Name= Germ P~asm Quarantine Ctr. · · Purchase Order # Invoice %. Amount 14753 092280 1458'4 " $ 223.07 14718 '~ 0.7795.3 ~ 77.1'9 0797'71'/ 1,019.01 14718 '083975~ .... 308 88 14718' 085112~ ' 14822 · 33.17 092282/ 41.83 CORPORATE OFFICE': YORK. PA BRANCH WAREHOUSES; HARRISBURG. PA SHREWSBURY, PA i, '" ' ....... '"' ~'": .... "' ~' ~.,.-¢'". · :'i' .~'!~; '..~ -. .~,:... ~ .:.,",::'" ;j....,.,.~:. ~ ....... ~ .. · . . .~....:.,.::.. -. ~.;..~j.... -~.. ~ .. . .. . . :" '.". ~.~. ].' ..'.. ;.:...'.....~ ~. ~ .' '. ;..': ;. '~ ' ' · "i. i...' ...... "' ' . .... ~.~:. '"..' .~ .. :.. ;:~ .'."'~ - ... . .... . . . ..... -. .. ... -. . . . . .......... ... '~ .... ' '; '.'~'""" ';~ ~ ~ '- " " ;" .'~"'.0 ..... ' "..'~'... '. '''''`;'~''' ' ' ' .... ~,..';~'...,~;~'~,?;..~:~>~. _ ...' .... ..;~ · ~,.~. ~.' .. . ... . ... .., . ... :.. · · ..'. .. ~ '~'~: ?.....~. ~..~. ~ ~ ........., ....' : .... · . ~.~...:~,~;,...~,...~.~.'~ ~..=..~.,.,.... .. . .... ........;;f,'..'.~,?,~',:.:;:~ ;.':... , . ~'~ - ..,,,..~.... ~.~.~ ...... 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'..:....:'.'j.: ":' .:'.' .;'...... ,: . · . . · .... "' . ).. o ~_('~ .c~ " .. · . ".":.'.',...... ... · ,., .' . ,=. '.. o' .:..,..-, : -... ' ' '" ':"'" "'"'" i ':'"'"":'"' ~ ~.. ~ .' ' -" "' ' .....:,,.:~':....::."'.',.. ' .. " '"" "" "5.".::..-..'" " "' .'i.::i...' ~' " ' ';.ii.' .!.:...'i' '"' :7:': ' · · '"'::.":':'.'"-. · ' ":~': ' · · . .. .' ...... '. " '. ' ' "...." ..!:'.:.t:..!!' · · ' .... ~ ...... :7' . '.' .. '. .'.'." . .. -- :.':.?,".5 ......... · '-- '. .' "' · · " LAW OFFICES OF "~' ""'~?~?~-- KNUPp, KODAK ~ IMBLUM, P.C. ' ""::--'~' CAMERON MANSION ' .... · ... Knu,, 407 NORTH FRONT STREET ~,?, -,L ;,, ~ p ' ' · D. Kodak POST OFFICE BOX 11848 ~ :. Gary J. Imblum HARRISBURG, PA 17108-1848 * ;~ i?~. :,~.~ ~. (1909-1976) Telephone: 717/238-7159 Robert H. Maurer Facsimile: 717/238-7158 (1923.1998J email: kki-law@att, net April 3, 2000 ATTENTION KlM ZONATTA ST PAUL FIRE AND MARINE INSURANCE COMPANy 5801 SMITH AVENUE BALTIMORE MD 21209 RE: York Corrugating Company VS- CCI Construction Company, Inc. Our File No. 25879 Amount Due: $7,481.78 Projects: VAMC Perry Point, MD; Outlook Point, Westerville, OH; Albermade Charlottesville Jail; Germ Plasm Quarantine Dear Ms. Zonate- Center; Executive Park West; CCI (New Office Building) this office represents York Corrugating Company. My client is currently owed the sum of $7,481.78 on the above Projects. I enclose for you copies of all pertinent documentation, including Purchase Order numbers, Statement of Account, Invoices and Credit Application. Please acknowledge receipt of our clam and advise, if any further information is needed. Very truly yours, KNUPP, KODAK&IMBLUM, P.C. t~OK/bih Robert D. Kodak ' :'r'zclosuret~s) SUZANNE SHEAFFER CR MGR YORK CORRUGATING COMPANY 120 SOUTH ADAMs STREET YORK PA 17405 · a n ~ LAW OFFICES OF ", KODAK & IMBLUM, P.C. ' CAMERON MANSION '. '. ~ ! ~ ~g POST OFFICE BOX 1 leas ~ . ~ -,., ~ ~ ~ Telephone: 717/238-7159 Robe~ H. Maurer ~ . ~ Facsimile: 717/238-7158 (1923.1998) ~ ~ . email: kki-law~aff net ~ ~ ~ ~ ~ ' April3,2000 ~ mm a~o o ~. , ~ pany a ~ ~ ompany, Inc. ~ ~ D~ g ~ $7,481 7e ~ ~ ~ ~ ~ Per~ Point, MD; Outlook Point, ~ ~ ~ Tie Charloffesville Jail; Germ Plasm Quarantine ~ · W~tewille, Thank you tOT using Return Receipt Se~iee. ~ ~ecutive Park West; CCI (New Office Building) this office represents York Corrugating Company. M $7,481.78 on the above Proje~s. I enclose for you copies of ~1 client is currently owed the sum of Purchase Order numbers, Statement of Account, Invoices and Credit Application. Pertinent documentation, including Please acknowledge receipt of our clam and advise.if any further information is needed. Ve~ truly yours, KNUPp, KODAK&IMBLUM, P.C. ~rtclosure(s] SU~NNE SH~FFER CR MGR YORK CORRUGATING COMPANY 120 SOUTH AD~s STRE~ YORK PA 17405 Surety . .. The St. Paul Companies 5801 Smith Avenue Baltimore, MD 21209 RO. Box 1138 Baltimore, ~D 21203-1138 December 12, 2000 KNUPP, KODAK & IMBLUM, P.C. CAMERON MANSION 407 NORTH FRONT STREET PO BOX 11848 HARRISBURG, PA 17108-1848 ATTN: ROBERT D. KODAK, ESQ. RE: Tracking No.: UQ003 57 Principal: CCI Construction Claim No.: 0400LN 108129S001 Bond No: 26-0120-13002.98.1 Project: Contract No. V101AC0154 - 80 Bed Psychiatric Hospital, Veterans .Administration Medical Center Claimant: York Corrugating Company Dear Mr. Kodak: , On September 8, 2000,: USF&G requested th documentation in support of their c'-:- -~-' · ~t_ your client provide us with --'-"~:, , · '~llill a aln · ~UUl[lonal not received a resnon ,~,o, ......... g...f_t_C~CI Constructmn Co., Inc. To date. we have ,- se to ,,,,,, ,~qu~[ ,'~s ut~F~G does not possess sufficient ~nfonnation to determine the validity of'your client's claim, it must be respectfully denied. This correspondence, the release of' the Proof of Claim form, and all prior or subsequent communication is made with express reservation of all rights and defenses that may be available to USF&G and/or CCI Construction Co., Inc., at law or in equity under the terms and provisions of' the bond and contract documents. Please feel free to the call the undersigned with any questions. K~ . D. Zanotta Claim Attorney Surety Telephone: (410) 205-0480 Fax: (410) 205-0605 St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company Seaboard Surety Company Fidelity and Guaranty Insurance Company St. Paul Mercury Insurance Company St. Paul Guardian Insurance Company .lheS raui . . ,. Surety ., , The St. Paul Companies 5801 Smith Avenue Baltimore, MO 21209 Maih'ng Address.- P.O. Box 1138 October 19, 2000 Baltimore. MD 21203-1138 Knupp, Kodak & Imblum, P.C. Cameron Mansion 407 North Front Street P. O. Box 11848 Harrisburg, PA 17108-1848 ATTN: Robert D. Kodak Re: Principal- CCI Construction Co., Inc. Claim No.- 0400LN1078-29S001 Bond No.' 26-0120-12995-98.7 Project: Albemarle-Charlottesville Regional Jail Claimant: York Corrugating Company Dear Mr. Kodak: As you know, on August 8, 2000, we wrote to you and acknowledged receipt of your Proof of Claim form dated July 7, 2000, wherein you alleged that you are owed money from our Principal for labor/materials furnished on the above referenced project. In our September 13, 2000 correspondence, we advised that in order for us to properly investigate your claim, you must provide additional documentation in support of your claim. As of the date of this letter, we have not received the additional documentation. As a result, The St. Paul Companies does not possess sufficient documentation and information to investigate your claim. Accordingly, we are forced to deny your claim. This correspondence and all prior or subsequent communications are made with express reservation of all rights and defenses that may be available to The St. Paul Companies or our principal, CCI Construction Co., Inc., at law or in equity under the terms and provisions of the bond and contract documents. Very truly yours, Debra Holloway o,.,~ Surety Claim Paralegal Phone: (410) 205-1337 Fax: (410) 205-0605 St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company Seaboard Surety Company Fidelity and Guaranty Insurance Company St. Paul Mercury Insurance Company St. Paul Guardian Insurance Company Surety ', '. The St. Paul Companies 5801 Smith Avenue Baltimore, MD 21209 P.O. Box 1138 October 6, 2000 Baltimore, MD 21203-1138 Knupp, Kodak & Imblum, P.C. Cameron Mansion 407 North Front Street P. O. Box 11848 Harrisburg, PA 17108-1848 ATTN- Robert D. Kodak Re: Principal. CCI Construction Co., Inc. Claim No.- 0400NP7097-212614 Bond No.' 26-0120-28312-98-1 Project: Outlook Point at Westerville Claimant: York Corrugating Company Dear Mr. Kodak: As you know, on August 8, 2000, we wrote to you and acknowledged receipt of your Proof of Claim form dated July 7, 2000, wherein you alleged that you are owed money from our Principal for labor/materials furnished on the above referenced project. In our September 5, 2000 correspondence, we advised that in order for us to properly investigate your claim, you must provide additional documentation in support of your claim. As of the date of this letter, we have not received the additional documentation. As a result, The St. Paul Companies does not possess sufficient documentation and information to investigate your claim. Accordingly, we are forced to deny your claim. This correspondence and all prior or subsequent communications are made with express reservation of ali rights and defenses that may be 'available to The St. Paul Companies or our principal, CCI Construction Co., Inc., at law or in equity under the terms and provisions of the bond and contract documents. Very truly yours, Debra Holloway Surety Claim Paralegal Phone: (410) 205-1337 Fax: (410) 205-0605 St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company Seaboard Surety Company Fideli~ and Guaran~ Insurance Company · St. Paul Mercu~ Insurance Company St. Paul Guardian Insurance Company eSi. Rlil! ' Su rely The St. Paul Companies 5801 Smith Avenue Baltimore, MD 21209 Mailing Address: October 6, 2000 Knupp, Kodak & Imblum, P.C. Cameron Mansion 407 North Front Street P. O. Box 11848 Harrisburg, PA 17108-1848 ATTN: Robert D. Kodak Re: Principal' CCI Construction Co., Inc. Claim No.: 0400LN2678-29S001 Bond No.: 26-0120-28306-98-1 Proiect: Phase ! & II National Plant Germplasm Claimant: York Corrugating Company Dear Mr. Kodak: As you know, on August 8, 2000, we wrote to you and acknowledged receipt of your Proof of Claim form dated July 7, 2000, wherein you alleged that you are owed money from our Principal for labor/materials furnished on the above referenced project. In our August 28, 2000 correspondence, we advised that in order for us to properly investigate your claim, you must provide additional documentation in support of your claim. As of the date of this letter, we have not received the additional documentation. As a result, The St. Paul Companies does not possess sufficient documentation and information to investigate your claim. Accordingly, we are forced to deny your claim. This correspondence and all prior or subsequent communications are made with express reservation of all rights and defenses that may be 'available to The St. Paul Companies or our principal, CCI Construction Co., Inc., at law or in equity under the terms and provisions of the bond and contract documents. Very truly yours, Debra Holloway Surety Claim Paralegal Phone: (410) 205-1337 Fax: (410) 205-0605 St. Paul Fire and Marine Insurance Company United States Fidelity and (.;uara,~ty Company Seaboard Surety Company Fidelity and Guaranty Insura,~ce Company St. Paul Mercury Insurance Co,npany St. Paul Guardia. Insurance Comp,my MAR ~l '01 04:5~PM KNJPP ~ KODAK PC ~ ~ P.6 VERIFICATION Suzanne Sheaffer, Credit Manager I, of York Corru~hg Company, verify tim the mtements made in th~document ar~ tru~ and ~ormx I un~mnd tbst false mmm~ h~r~h ar~ mad~ subj~:t ~ tho p~n~lties of 18 Pa. C. §4904, rdating to unsworn ftlsification to autho~le~. · ~ YORK CORRUGATING !. Da~4:__ 3 / 2 2 / 01 , · · i : ]~ei~N-/%~ ~79BON.D :21 Mad)1 SHERIFF'S RETURN - U.S. CERTIFIED MAIL CASE NO- 2001-01783 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND YORK CORRUGATING COMPANY VS. ST PAUL COMPANIES ET AL R. Thomas Kline , Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law served the within named DEFENDANT ,ST PAUL COMPANIES T/A ST PAUL , FIRE AND MARINE INSURANCE by United States Certified Mail postage prepaid, on the 28th day of March ,2001 at 0008-00 HOURS, at 5801 SMITH AVE BALTIMORE, MD 21209 , a true and attested copy of the attached COMPLAINT & NOTICE . Together with , · The returned receipt card was signed by E. NESBITT on 04/02/2001 . Additional Comments- Sheriff's Costs- Docketing 18.00 CERT MAIL 5 68 · lne Affidavit .00 Sheriff of Cumberland County Surcharge 10.00 .00 33.68 Paid by KNUPP, KODAK & IMBLUM on 04/05/2001 . Sworn and subscribed to before me this ~~ day of d~ ~7 A.D. ~- - /-P~thoffot ary ' · In the Court of COMMON PLEAS of YORk CORRUGATING COMPANY · · CUMBERLAND County, Pennsylvania Plaintiff · · · · NO. 01-1783 V, ' · · THE ST. PAUL COMPANIES Trading as St. · CIVIL DIVISION - LAW PAUL FIRE AND MARINE INSURANCE CO. : Defendant : PRAECIPE TO THE PROTHONOTARY: Please mark the above-captioned matter as settled and discontinued with prejudice. TO CUMBERLAND County Prothonotary Dated' May 9, 2003 Robert D. Kodak Attorney for Plaintiff Attorney I.D. No. 18041