Form ID

Publication date

Location of premises

Certificate

Design Build for a Multi-Use Recreational Site - New building portion only

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of West Lincoln
Address of Owner
318 Canborough Street, Box 400, Smithville, ON L0R 2A0
Name of Contractor
Ball Construction Ltd.
Address of Contractor
5 Shirley Avenue, P.O. Box 1202, Kitchener, ON N2G 4G8
Name of Certifier
Kalos Engineering Inc.
Address of Certifier
300 York Boulevard, Hamilton, ON L8R 3K6

Identification of Premises

318 Canborough Street, Box 400, Smithville, Ontario L0R 2A0

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

Owner - Address as Above