Form ID

Publication date

Location of premises

Certificate

Quote Q4-01 Proposed culvert installation and ditch regrading on Highway No. 20 at Harbinger Road in the District of Stoney creek

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton
Address of Owner
77 James Street North, Suite 320, Hamilton, ON L8R 2K3
Name of Contractor
Rankin Construction Inc.
Address of Contractor
605 James Street North 3rd Floor, Hamilton, ON
Name of Certifier
C. Desparois, Construction Technician
Address of Certifier
77 James St. N., Suite 320, Hamilton, ON L8R 2K3

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

City Clerks Department, 71 Main Street West, Hamilton, ON L8P 4Y5