Form ID

Publication date

Location of premises

Certificate

watermain, sanitary sewer, storm sewer, asphalt paving, sidewalk, curb & gutter, landscaping, pavement marking and traffic signs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Cambridge
Address of Owner
50 Dickson Street, P.O. Box 669, Cambridge, ON N1R 5W8
Name of Contractor
410754 Ontario Limited o/a Sousa Concrete
Address of Contractor
1430 Branchton Road, Branchton, ON N0B 1L0
Name of Certifier
Steven Huang
Address of Certifier
50 Dickson Street, P.O. Box 669, Cambridge, ON N1R 5W8

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

The Corporation of the City of Cambridge, 50 Dickson Street, P.O. Box 669, Cambridge, ON, N1R 5W8