Form ID

Publication date

Location of premises

Certificate

Windscreen supply and installation at the Sackville Seniors Centre, City of Hamilton

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
77 James Street North, Suite 400, Hamilton, ON L8R 2K3
Name of Contractor
Jagen Construction Limited
Address of Contractor
Box 3550, Station C, Hamilton, ON L8H 7M9
Name of Certifier
AMEC Earth & Environmental
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

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

Owner Address as Above