Form ID

Publication date

Location of premises

Certificate

Contract S-2112B-03 400 Wastewater Main on Third Line from Dundas Street (Reg. Rd. 5) to Pine Glen Road in the Town of Oakville

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Halton
Address of Owner
1151 Bronte Road, Oakville, ON L6M 3L1
Name of Contractor
Dibco Underground Limited
Address of Contractor
12805 Coleraine Drive RR #3, Station Main, Bolton, ON L7E 5R
Name of Certifier
Wendy Teufel, Acting Manager of Construction
Address of Certifier
Same as Owner

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

Regional Municipality of Halton, 1151 Bronte Road, Oakville, Ontario L6M 3L1 Attention