Form ID

Publication date

Location of premises

Certificate

Cold-In-Place Recycling

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Essex
Address of Owner
Office of the County Engineer, 360 Fairview Ave. West, Essex
Name of Contractor
Saugeen Road Spraying Co. Ltd.
Address of Contractor
255 South Street East, P.O. Box 20, Durham, ON N0G 1R0
Name of Certifier
Stuart A. Kelch, P.Eng., County Engineer, Corporation of the County of Essex
Address of Certifier
360 Fairview Avenue West, Essex, ON N8M 1Y6

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

Corporation of the County of Essex, 360 Fairview Avenue West, Essex, ON N8M 1Y6