Form ID

Publication date

Location of premises

Certificate

Town of The Blue Mountains County Road 19 Trunk Watermain and Water Booster Pump Station, Contract No. 100210

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of The Blue Mountains
Address of Owner
PO Box 310, 26 Bridge Street, Thornbury, ON N0H 2P0
Name of Contractor
Brantford Engineering & Construction Limited
Address of Contractor
54 Ewart Ave., R.R. #8, Brantford, ON N3T 5M1
Name of Certifier
Ainley and Associates Limited
Address of Certifier
280 Pretty River Parkway, Collingwood ON L9Y 4J5

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

Town of The Blue Mountains, PO Box 310, 26 Bridge Street, Thornbury, ON N0H 2P0 Attn