Form ID

Publication date

Location of premises

Certificate

1. Erection of temporary traffic diversion measures 2. Removal and replacement of existing asphalt pavement 3. Remove and repair deteriorated concrete on the deck, curbs, top of pier, fascia, pier cap, abutment and wingwalls 4. Apply water proofing system to the bridge deck 5. Construction of new reinforced concrete walls

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ausable-Bayfield Conservation Authority
Address of Owner
R.R. #3, Exeter, ON N0M 1S5
Name of Contractor
Alscot & Associates Inc.
Address of Contractor
1-105 Midpark Road, London, ON N6N 1B2
Name of Certifier
Trow Consulting Engineers Ltd.
Address of Certifier
15 Cuddy Boulevard, London, ON N5V 3Y3

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

Ausable-Bayfield Conservation Authority