Form ID

Publication date

Location of premises

Certificate

Intersection improvements on Brock Road at Clements Road.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Durham
Address of Owner
Box 623, 605 Rossland Road East, Whitby ON L1N 6A3
Name of Contractor
Dagmar Construction Limited
Address of Contractor
PO Box 510, 7350 Markham Road, Markham, ON L3P 3R1
Name of Certifier
S. Siopis, P.Eng. Works Director, Regional Municipality of Durham
Address of Certifier
Box 623, 105 Consumers Drive, Whitby ON L1N 6A3

Office to which claim for lien must be given to preserve lien

owner at above address.