Form ID

Publication date

Location of premises

Certificate

Contract No. T-02-101 The reconstruction of Moss Dr. from Boundary Rd. to 120 meter west of Boundary Rd. and the reconstruction of Third Ave. from Fischer Ave. to Stuart St. for a length of 170m

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Pembroke
Address of Owner
1 Pembroke Street East, Pembroke, ON K8A 6X3
Name of Contractor
R.G.T. Clouthier Construction Ltd.
Address of Contractor
59 Matthews Crescent, Pembroke, ON K8A 6W6
Name of Certifier
McIntosh Perry Consulting Engineers Ltd.
Address of Certifier
119 Walgreen Road, Carp, ON

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

City of Pembroke, 1 Pembroke Street East, Pembroke, ON K8A 6X3 Attention