Form ID

Publication date

Location of premises

Certificate

Highway 11 Crossing for Westshore Water and Sewer Project, Contract No. 10-01159-C1C

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Severn
Address of Owner
P.O. Box 159, 1024 Hurlwood Lane, Orillia, ON L3V 6J3
Name of Contractor
LTL Contracting Limited
Address of Contractor
P.O. Box 194, 1186 Russell Street, Thunder Bay, ON P7C 4V5
Name of Certifier
Totten Sims Hubicki Associates (1997) Limited
Address of Certifier
10 High Street, Barrie, ON L4N 1W1

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

Township of Severn, Clerks Office, P.O. Box 159, 1024 Hurlwood Lane, Orillia, ON L3V 6J3