Form ID

Publication date

Location of premises

Certificate

Construction of the Pitcher Street Water Treatment Plant (Contract 2968162008) in the community of Norwich, Ontario

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Oxford County
Address of Owner
21 Reeve Street (P.O. Box 1614), Woodstock, ON N4S 7Y3
Name of Contractor
H2Ontario Inc.
Address of Contractor
71 Webster St., Unit A, New Hamburg, ON N3A 1W8
Name of Certifier
Dadean Assam, P. Eng.
Address of Certifier
Same as Owner

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

as above