Form ID

Publication date

Location of premises

Certificate

Road Reconstruction and New Watermain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Kingsville
Address of Owner
2021 Division Road North, Kingsville, ON N9Y 2Y9
Name of Contractor
Amico Contracting and Engineering Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, ON N0R 1L0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8

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

Corporation of the Town of Kingsville, 2021 Division Road North, Kingsville, ON N9Y 2Y9