Form ID

Publication date

Location of premises

Certificate

Contract No. 24-1801 - Watermain Infrastructure Upgrades

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Deseronto
Address of Owner
PO Box 310, 331 Main Street, Deseronto ON K0K 1X0
Name of Contractor
Holsgrove Trucking & Excavating Ltd.
Address of Contractor
3429 Princess St, Kingston, ON K7P 3A5
Name of Certifier
G.D. Jewell Engineering inc.
Address of Certifier
R.R. #7, 5503 Hwy 62, Box 7200, Belleville ON K8N 4Z7

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

owner as above