Form ID

Publication date

Location of premises

Certificate

Construction of a two-lane single span precast concrete bridge over the Government Drain No. 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Chatham-Kent
Address of Owner
Civic Centre, 315 King Street West, P.O. Box 460, Chatham, O
Name of Contractor
Ben Bruinsma & Sons Limited
Address of Contractor
380 Park Avenue West, P.O. Box 1225, Chatham, ON N7M 5L8
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
140 Ouellette Place, Suite 100, Windsor, ON N8X 1L9

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

Municipality of Chatham-Kent, Civic Centre, 315 King Street W., P.O. Box 640, Ontario N7M 5L8