Form ID

Publication date

Location of premises

Certificate

Asphalt Repairs and Resurfacing at 110 Dunlop Drive under City of Guelph Contract #18-179

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Guelph
Address of Owner
1 Carden Street, Guelph, ON N1H 3A1
Name of Contractor
5 Star Paving Cambridge Inc.
Address of Contractor
1370 Main Street East, Cambridge, ON N1R 5S7
Name of Certifier
Joe de Koning P.Eng., Manager, Technical Services
Address of Certifier
1 Carden Street, Guelph, ON N1H 3A1

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

Stephen O'Brien, City Clerk, 1 Carden Street, Guelph, Ontario, N1H 3A1