Form ID

Publication date

Location of premises

Certificate

Tender No. 2005-31, Supply and Placement of Culvert No. 45095 over Tributary of Head River

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Kawartha Lakes
Address of Owner
Box 630, 180 Kent Street West, Lindsay, ON K9V 2Y6, Attentio
Name of Contractor
Bonnechere Excavating Inc.
Address of Contractor
PO Box 705, Renfrew, ON K7V 4H2
Name of Certifier
T. Angelo, P. Eng., Totten Sims Hubicki Associates
Address of Certifier
300 Water Street, Whiby, ON L1N 9J2

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

The Corporation of the City of Kawartha Lakes, Box 630, 180 Kent Street West, Lindsay, Ontario K9V 2Y6