Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Business Name and Entity Type

(I.e. sole proprietorship, partnership, corporation, LLC)

Where is the business located?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have a valid contractors' license?

If yes, what is the license number?

8. Briefly explain the facts leading up to this dispute, including relevant dates and party names.

9. What is/are the address(es) for the project(s) in question?

What type of project is this?

Is there a payment bond on the project?

Is there a construction lender for the project?

Who is/are the property owner(s) for the project(s) in question?

(Include the full name(s), and contact information, if known).

Are you the prime contractor or a subcontractor for the subject project(s)?

If a subcontractor, who did you contract with?

(Identify the party name, the date of the contract, and please email a copy of the contract and related documents to Sharmila Parkman at srp@parkmanfirm.com).

Who is/was your main contact for the project?

(Identify their name, title, phone number and address).

If you are a subcontractor, did you provide a Preliminary Notice to the property owner(s) within 20 days of the start of work on the project?

If no or unsure, please explain.

If yes, identify the process of your Preliminary Notice, including the parties served, the manner of service, and the date of service.

(Please email a copy of this Preliminary Notice and the proof of service to Sharmila Parkman at srp@parkmanfirm.com).

When did you stop work on the project?

Did you complete your scope of work?

If yes, when did you complete your scope of work?

If no, why not?

What is the amount you are owed?

(Please provide your invoices or pay requests to Sharmila Parkman at srp@parkmanfirm.com).

Did you record a mechanics lien or stop notice for the project?

(Please provide a copy of your lien or stop notice by emailing it to srp@parkmanfirm.com).

If so, when did you record the mechanics lien?

Is there anything else we need to know regarding your claim?

Mechanic's Lien

Licensed in California