Form ID

Publication date

Location of premises

Certificate

Fanshawe Dam Bridge - Bearing Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Upper Thames River Conservation Authority
Address of Owner
1424 Clarke Road, London, ON N5V 5B9
Name of Contractor
Intrepid General Limited
Address of Contractor
51 Sass Road, R.R. #4, Chatham, ON N7M 5J4
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6

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

Upper Thames River Conservation Authority, at above address