Warren G Bender Insurance Company Sacramento

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Work In Progress

Fields marked with * are required.

*Contractor:  as of: 
Uncompleted Contracts Contract Description Bonded Y/N Estimated Date
Start & Completion
     
     
     
     
     
     
     
     
     
     
     


Total Revised Contract Price Incl. Change Orders Original Estimated Gross Profit Total Amount Billed to Date Incl. Retainage Cost Incurred to Date Revised Estimated Cost to Complete


CONTRACTS COMPLETED SINCE LAST REPORT

Contract Description Total Revised Contract Price (Incl. Change Orders) Original Estimated Gross Profit Final Gross Profit (Loss)
  1. List all contracts, i.e., public, private, bonded or unbonded.
  2. Do any Billings include unapproved claims or disputed items? (If yes, attach complete explanation)
  3. Include low bids and pending awards on separate sheet

    4. (Signed)  
        (Title)  
        (Date) 

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Northern California Headquarters
516 Gibson Drive, Suite 240, Roseville, CA 95678
Phone: (916)380-5300 | Fax (916)380-5206 		© 2012 Warren G. Bender Co. All Rights Reserved.