Form ID

Publication date

Location of premises

Certificate

Contract No. PW-08-36(H) Open Graded Cold Mix Asphalt on: Concession 8 West from Westover Road to Highway No. 6

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Hamilton
Address of Owner
77 James St. N., Suite 320, Hamilton, ON L8R 2K3
Name of Contractor
Norjohn Contracting and Paving
Address of Contractor
9101 Brown Road, Niagara Falls, ON L2E 6S5
Name of Certifier
Doug Onishi, P. Eng., Project Manager
Address of Certifier
71 Main Street West, Suite 320, Hamilton, ON L8R 2K3

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

City Clerk's Department, 71 Main Street West, Hamilton, Ontario L8P 4Y5