Form ID

Publication date

Location of premises

Certificate

Project No. CW-2017-021-A, Tender - Hot Mix Asphalt and Shoulder Gravel (Supply and Place), Part B and C, Mill and Pave

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Wellington
Address of Owner
74 Woolwich Street, Guelph, ON N1H 3T9
Name of Contractor
Coco Paving Inc.
Address of Contractor
1990 Queen Street, Petersburg, Ontario N0B 2H0
Name of Certifier
Mark Eby, P. Eng., Construction Manager
Address of Certifier
Same as Owner

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

County of Wellington, Clerk's Office, 74 Woolwich Street, Guelph, ON, N1H 3T9