Form ID

Publication date

Location of premises

Certificate

Contract No.: EI 06-033 Hot Mix Paving, Broad Street, Dunnville

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of Haldimand County
Address of Owner
Caledonia Satellite Office, 282 Argyle Street South, Caledon
Name of Contractor
Cayuga Materials & Construction Co. Limited
Address of Contractor
R.R. #4, Cayuga, ON N0A 1E0
Name of Certifier
Lloyd Rollinson, Supervisor Engineering & Infrastructure
Address of Certifier
Same as Owner

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

Corporation of Haldimand County, Clerks Department, 95 Munsee St., Cayuga, ON N0A 1E0