Form ID

Publication date

Location of premises

Certificate

Township of Centre Wellington, Water Systems Modifications Elora Wells E1 and E3 Contract 4311-02

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of The Township of Centre Wellington
Address of Owner
P.O. Box 10, 1 MacDonald Square, Elora, ON N0B 1S0
Name of Contractor
Brookside Contracting (1226079 Ontario Limited)
Address of Contractor
8061 Concession 2 Tosorontio RR1, Lisle, ON L0M 1M0
Name of Certifier
Triton Engineering Services Limited
Address of Certifier
175 Provost Lane, Fergus, ON, N1M 3N3

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

Township of Centre Wellington, P.O. Box 10, 1 MacDonald Square, Elora, ON N0B 1S0, Attention