Form ID

Publication date

Location of premises

Certificate

(Former Village of Belmont) Union Street: All works complete except surface asphalt, curbs & gutters and all surface restoration behind curbs Dufferin Street: All works complete except outlet channel downstream of Dufferin St. culvert, all asphalt, spring granular A surface restoration, curbs & gutter and all restoration behind curbs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Central Elgin
Address of Owner
450 Sunset Drive, 1st Floor, St. Thomas, ON N5R 5V1
Name of Contractor
L-82 Construction Ltd.
Address of Contractor
15 Hamley Road, London, ON N6E 3W1
Name of Certifier
Dillon Consulting Limited
Address of Certifier
PO Box 426, London, ON N6A 4W7

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

Municipality of Central Elgin