Form ID

Publication date

Location of premises

Certificate

Snake Road Reconstruction Phase 3, Contract 99-12.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington.
Address of Owner
426 Brant Street, P.O. Box 5013, Burlington, ON L7R 3Z6.
Name of Contractor
Gerry Macera Contracting Limited.
Address of Contractor
1834 Drew Road, Mississauga, ON L5S 1J6.
Name of Certifier
Dave Meyer, Technician Contract Administrator.
Address of Certifier
As owner.

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

Owner - Address as above.