Form ID

Publication date

Location of premises

Certificate

Contract No. 27-09, Officer's Quarters Bridge and Smith's Bay Bridge Rehabilitation (Contract Items #70 through #212 inclusive and Change Orders #6 through #9 inclusive)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The United Counties of Leeds and Grenville
Address of Owner
25 Central Avenue West, Suite 100, Brockville, ON K6V 4N6
Name of Contractor
H.R. Doornekamp Construction Ltd.
Address of Contractor
588 Scotland Road, R.R. #1, Odessa, ON K0H 2H0
Name of Certifier
GENIVAR
Address of Certifier
221-39 Robertson Road, Ottawa, ON K2H 8R2

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

The United Counties of Leeds and Grenville, 25 Central Avenue West, Suite 100, Brockville, ON K6V 4N6