Form ID

Publication date

Location of premises

Certificate

Contract No.: 2005-01W Reconstruction of Concrete Sidewalk and Sidewalk Ramps in various locations Contract 2005-01W

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Kingston
Address of Owner
216 Ontario Street, Kingston, ON K7L 2Z3
Name of Contractor
Sousa Ready Mix
Address of Contractor
1406 McAdoo’s Lane, Glenburnie, ON K0H 1S0
Name of Certifier
Speros Kanellos, P.Eng.
Address of Certifier
216 Ontario St., Kingston, ON K7L 2Z3

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

The Corporation of the City of Kingston, 216 Ontario Street, Kingston, Ontario K7L 2Z3