Form ID

Publication date

Location of premises

Certificate

Shoreline Area Water Distribution System - Contract No. 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Kincardine
Address of Owner
1475 Concession 5, R.R. 5, Kincardine, ON N2Z 2X6
Name of Contractor
Omega Contractors Inc.
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
B.M. Ross and Associates Limited
Address of Certifier
62 North Street, Goderich, ON N7A 2T4

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

Municipality of Kincardine, Municipal Office (address above)