Form ID

Publication date

Location of premises

Certificate

Culvert replacement under 13th Street including new Guide Rail with the exception of surface reinstatements Contract No. C3110311-3315-00

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lincoln
Address of Owner
4800 South Service Road, Beamsville, ON L0R 1B1
Name of Contractor
Peninsula Construction Inc.
Address of Contractor
2055 Kottmeier Rd. R.R. #1, Fonthill, ON L0S 1E6
Name of Certifier
Quartek Group Inc.
Address of Certifier
Unit C5, 360 York Rd., R.R. #4, Niagara on the Lake, ON L0S

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

Mr. David Graham, Manager, Technical Services, Town of Lincoln, 4800 S. Service Road, Beamsville, ON L0R 1B1