Form ID

Publication date

Location of premises

Certificate

Road and Bridge Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Milton
Address of Owner
150 Mary Street, Milton, ON L9T 6Z5
Name of Contractor
Bot Construction Ontario Ltd
Address of Contractor
1224 Speers Road, Oakville, ON L6L 2X4
Name of Certifier
Wood Environment & Infrastructure Solutions
Address of Certifier
3450 Harvester Road, Suite 100, Burlington, ON L7N 3W5

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

Owner - Address as Above