Form ID

Publication date

Location of premises

Certificate

Highway No. 28/Telephone Road Intersection Improvements, Contract No. 18-05

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Northumberland
Address of Owner
860 William St. Cobourg ON K9A 3A9
Name of Contractor
Lafarge Paving and Construction Limited
Address of Contractor
2317 Television Road, Peterborough, ON K9J 7H5
Name of Certifier
Totten Sims Hubicki Associates (1997) Ltd.
Address of Certifier
513 Division Street, Cobourg, ON K9A 4W4

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

County of Northumberland, 860 William Street, Cobourg, ON K9A 3A9