Form ID

Publication date

Location of premises

Certificate

New City Park, Grading and Site Works, Contract 10-36

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
City Hall, 426 Brant Street, P.O. Box 5013, Burlington, ON L
Name of Contractor
Nellis Construction Limited
Address of Contractor
R.R. No. 1, Acton, ON L7J 2L7
Name of Certifier
City of Burlington
Address of Certifier
City Hall, 426 Brant Street, P.O. Box 5013, Burlington, ON L

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

City Hall, 426 Brant Street, P.O. Box 5013, Burlington, ON L7R 3Z6