Form ID

Publication date

Location of premises

Certificate

Lora Bay 10th Line Water Booster Station Contract No. TBM 2006-12 Town of The Blue Mountains

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of The Blue Mountains
Address of Owner
P.O. Box 310, 26 Bridge Street, Thornbury, ON N0H 2P0
Name of Contractor
Wellington Construction Inc.
Address of Contractor
R.R. #1, 8718 Wellington Road, Palmerston, ON N0G 2P0
Name of Certifier
Hatch Mott MacDonald
Address of Certifier
5420 North Service Rd., Suite 200, Burlington, ON L7L 6C7

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

Town of The Blue Mountains, P.O. Box 310, 26 Bridge Street, Thornbury, Ontario N0H 2P0