Form ID

Publication date

Location of premises

Certificate

Supply and materials, labour and equipment for the construction of a two-cell baffied chlorine contact tank, standby backwash pump, filter-to-waste system, supernatant transfer system, forcemain, valves and piping, electrical and controls known as Contract No. 1, Project No. 2407

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Lakefront Utilities Services Inc.
Address of Owner
207 Division Street, Cobourg, ON K9A 4L3
Name of Contractor
HCL Engineering & Construction Ltd.
Address of Contractor
1757 Fairport Rd., Pickering, ON L1V 1T1
Name of Certifier
KMK Consultants Limited
Address of Certifier
1099 Kingston Road, Ste. 200, Pickering, ON L1V 1B5

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

Mr. Bruce Craig, Lakefront Utilities Services Inc., 207 Division Street, Cobourg, ON K9A 4L3