Form ID

Publication date

Location of premises

Certificate

Contract No. 6220-01-01, 02, 03, 06 and 6250-01-01 Hot Mix Asphalt Paving on Various County Roads

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Elgin
Address of Owner
450 Sunset Dr., St. Thomas, ON N5R 5V1
Name of Contractor
Walmsley Bros. Ltd.
Address of Contractor
1796 Commissioners Rd. East, London, ON N6M 1E7.
Name of Certifier
Peter Dutchak, CET
Address of Certifier
As owner

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

Mark G. McDonald, Chief Administrative Officer, County of Elgin, 450 Sunset Drive, St. Thomas, ON N5R 5V1