Form ID

Publication date

Location of premises

Certificate

Base Asphalt for Lisgar Ave. Surface Asphalt for Lisgar Ave, Van Norman Drive, & Centennial Ave, Minor patching work in various locations within the Town of Tillsonburg

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Tillsonburg
Address of Owner
200 Broadway Street, 2nd Floor, Tillsonburg, ON N4G 5A7
Name of Contractor
5 Star Paving Cambridge Inc.
Address of Contractor
1370 Main Street East, Cambridge, ON N1R 5S7
Name of Certifier
Kevin DeLeebeeck, P.Eng.
Address of Certifier
10 Lisgar Avenue, Tillsonburg, ON N4G 5A5

Identification of Premises

200 Broadway Street, 2nd Floor, Tillsonburg, ON, N4G 5A7