Form ID

Publication date

Location of premises

Certificate

Replacement of the existing structures and all other miscellaneous works including all traffic control for the Trimble Road and Trinity Church Road (Contract 00-01)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Hamilton Attn: Mr. Jerry Parisotto Manager Construction, Mr. Tony Sergei - Project Manager
Address of Owner
Regional Municipality of Hamilton Wentworth, 77 James Street
Name of Contractor
Rankin Construction
Address of Contractor
222 Martindale Rd., P.O. Box 1116 St. Catherines Ontario L2R
Name of Certifier
Karam Albazi P. Eng. - Bridge Engineer c/o McCormick Rankin Corporation
Address of Certifier
2655 North Sheridan Way, Mississauga, oNtario L5K 2P8

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

as above