Form ID

Publication date

Location of premises

Certificate

County of Wellington, Construction of Stormwater Management Facility (Phase 11) Wellington Terrace, Contract No.: CW2006-015, Project No.: A2837D P06

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Wellington
Address of Owner
74 Woolwich Street, Guelph, ON N1H 3T9
Name of Contractor
560789 Ontario Limited o/a R & M Construction
Address of Contractor
254 Main Street North, Acton, ON L7J 1W9
Name of Certifier
Triton Engineering Services Limited.
Address of Certifier
175 Provost Lane, Fergus, ON N1M 3N3.

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

The County of Wellington, 74 Woolwich Street, Guelph, ON N1H 3T9 Attention