Form ID

Publication date

Location of premises

Certificate

Part 1 - Reconstruction of Sligo Road (Main to Church); Part 2 - Reconstruct a portion of Byeland Drive; Part 3 - 400 mm dia. Well #5, watermain connection; Part 4 - New watermain on Main Street (Mount Forest Drive to Industrial Drive)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Wellington North
Address of Owner
7480 Sideroad 7, Kenilworth, Ontario N0G 2E0
Name of Contractor
Moorefield Excavating Ltd.
Address of Contractor
R.R. #1, Palmerston, ON N0G 2P0
Name of Certifier
Frank Vanderloo, P.Eng., B.M. Ross and Associates Limited
Address of Certifier
P.O. Box 1179, 206 Industrial Drive, Mount Forest, Ontario N

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

Township of Wellington North