Form ID

Publication date

Location of premises

Certificate

Contract Number R-99-54. Asphalt Overlay on Line 15 North from approximately 30m north of Memorial Avenue to approximately 160m south of Old Barrie Road East and Harvie Settlement Road from approximately 650m north of Old Barrie Road East to approximately 780m south of Bass Lake Sideroad East all with appurtenant works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Orillia.
Address of Owner
50 Andrew Street South, 3rd Floor, Orillia, ON L3V 7T5.
Name of Contractor
K.J. Beamish Construction Co. Limited.
Address of Contractor
P.O. Box 2177, Orillia, ON L3V 6S1.
Name of Certifier
Stan Martinello, P.Eng.
Address of Certifier
As owner.

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

City of Orillia, 50 Andrew Street South, 3rd Floor, Orillia, ON L3V 7T5.