Form ID

Publication date

Location of premises

Certificate

Contract No. 01-104 Roadway Resurfacing Program 2001

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Welland
Address of Owner
City Clerk, City of Welland, 411 East Main Street, Welland,
Name of Contractor
Hard Rock Paving Company Ltd.
Address of Contractor
198 Welland Street, Box 220, Port Colborne, ON L3K 5V8
Name of Certifier
David Tsang, C.E.T., Technical Services Supervisor
Address of Certifier
City Hall, 411 East Main Street, Welland, ON L3B 3X4

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

City Clerk, City of Welland, 411 East Main Street, Welland, ON L3B 3X4.