Form ID

Publication date

Location of premises

Certificate

Harbourview Drive Watermain replacement, Contract No. L04-14117

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Midland
Address of Owner
575 Dominion Avenue, Midland ON L4R 1R2
Name of Contractor
Arnott Construction Ltd.
Address of Contractor
39 Paterson Rd., Orillia, ON L3V 6H1
Name of Certifier
D Baker, P. Eng.
Address of Certifier
Same as Owner

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

Town of Midland