Form ID

Publication date

Location of premises

Certificate

Part “A” and Part “B” reconstruction of County Road No. 14 (Dikinson Drive), Contract No. 14-00, Project No. 634-00259

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
United Counties of Stormont, Dundas & Glengarry
Address of Owner
20 Pitt St., Cornwall, ON K6J 3P2
Name of Contractor
Cornwall Gravel Co. Ltd.
Address of Contractor
390 Eleventh Street West, Cornwall, ON K64 5R9
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
400-1506 Laperriere Ave., Ottawa, ON K1Z 7T1

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

County Engineer, United Counties of Stormont, Dundas & Glengarry, 20 Pitt St., Cornwall, ON K6J 3P2