Form ID

Publication date

Location of premises

Certificate

Construction of Bridge Substructures at the following locations: Location 1 Barnum House Creek - Mile 258.20 Kingston Subdivision Location 2 Coverts Creek Mile 261.10 Kingston Subdivision Location 3 Brook Creek Mile 263.20 Kingston Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Canadian National Railways
Address of Owner
4 Welding Way off 1 Administration Road, Concord, ON L4K 1B9
Name of Contractor
Concreate USL Limited Partnership
Address of Contractor
2 Manchester Court, Bolton, ON L7E 2J3
Name of Certifier
Canadian National Railway
Address of Certifier
as owner

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

Canadian National Railway, 4 Welding Way off 1 Administration Road, Concord, ON L4K 1B9 Attention