Form ID

Publication date

Location of premises

Certificate

Contract No. 03-06 The work consisting of repairs to an existing bridge - Bolingbroke Bridge. Work including concrete surface repairs, abutment repairs, coating of structural steel, repairs to approach asphalt and steelbeam guiderail

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tay Valley Township
Address of Owner
217 Harper Road, R.R. 4, Perth, ON K7H 3C6
Name of Contractor
Lischer Construction Inc.
Address of Contractor
119 Walgreen Rd. Carp, ON K0A 1L0
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
119 Walgreen Road, Carp, ON K0A 1L0

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

Tay Valley Township, R.R 4, 217 Harper Road, Perth, Ontario K7H 3C6 Attention