Form ID

Publication date

Location of premises

Certificate

Tay Valley Township Contract # 2009-04 Ennis Road Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Tay Valley Township
Address of Owner
217 Harper Road, RR 4, Perth, ON K7H 3C6
Name of Contractor
Dalcon Enterprises Inc.
Address of Contractor
5630 Doncaster Road, Ottawa, ON K1G 3N4
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
115 Walgreen Rd., R.R. #3, Carp, ON K0A 1L0

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

Tay Valley Township, 217 Harper Road, RR 4, Perth, ON K7H 3C6