Form ID

Publication date

Location of premises

Certificate

Contract No.: PW ES 17-022 Rural Road Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Haldimand County
Address of Owner
Caledonia Satellite Office, 282 Argyle Street South, Caledonia, ON N3W 1K7
Name of Contractor
Norjohn Contracting and Pavement Limited
Address of Contractor
9101 Brown Road, Niagara Falls, ON L2E 6S5
Name of Certifier
Mike McGlynn King Project Manager, Municipal Infrastructure
Address of Certifier
Same as Owner

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

Corporation of Haldimand County, Clerk's Department, 45 Munsee Street North, Cayuga, Ontario N0A 1E0