Form ID

Publication date

Location of premises

Certificate

Contract No. 18-12831 Clearwell Expansion Merrickville Water Treatment Plant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Village of Merrickville-Wolford
Address of Owner
317 Brock Street West, PO Box 340, Merrickville, ON K0G 1N0
Name of Contractor
Cornerstone Builders Ltd.
Address of Contractor
195 Bellevue Drive, RR #5, Belleville, ON K8N 4Z5
Name of Certifier
Guy Laporte, P.Eng., Totten Sims Hubicki Associates
Address of Certifier
654 Norris Court, Kingston, ON K7P 2R9

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

Village Clerk, Village of Merrickville-Wolford, 317 Brock Street West, PO Box 340 Merrickville ON K0G 1N0