Form ID

Publication date

Location of premises

Certificate

Contract No: BC-06-002 Repair and Improvements to the A & B Concession Road Drain

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipality of Leamington
Address of Owner
38 Erie Street North, Leamington, ON N8H 2Z3
Name of Contractor
Shepley Excavating and Road Maintenance Ltd.
Address of Contractor
2964 County Road 12, Essex, ON N8M 2X6
Name of Certifier
Bruce D. Crozier Engineering Inc.
Address of Certifier
99 Queens Avenue, Suite 1, Leamington, ON N8H 3H1

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

38 Erie Street North, Leamington, Ontario N8H 2Z3