NOTICE OF CONTEST OF CLAIM

AGAINST PAYMENT BOND

(Section 255.05)

To:

(Name and Address of Claimant)

You are notified that the undersigned contests your notice of nonpayment, dated
,	, and served on the undersigned on	,

, and that the time within which you may file suit to enforce your claim is limited to 60 days after the date of service of this notice.

DATED on	,	.

Signed:

Contractor or Attorney