Form ID

Publication date

Location of premises

Certificate

Swan Lake Drain Bridge Rehabilitation and Old Woman’s River Bridge Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Northern Bruce Peninsula
Address of Owner
56 Lindsay Road 5, Lion’s Head, ON N0H 1W0
Name of Contractor
W.G. Kelly Construction Ltd.
Address of Contractor
P.O. Box 640, R.R, #1, Mitchell, ON N0K 1N0
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
871 Victoria Street North, Kitchener, ON N2B 3S4

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

Clerk Administrator Municipality of Northern Bruce Peninsula, 56 Lindsay Road 5, Lions Head, ON N0H 1W0