Form ID

Publication date

Location of premises

Certificate

Earthworks and underground works excluding base asphalt and precast concrete curbs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
970 Mapleview Construction Inc. c/o Fernbrook Homes
Address of Owner
2220 Highway 7 West, Unit 5, Concord, ON L4K 1W7
Name of Contractor
Maacon Construction Corp.
Address of Contractor
45 Robillard Drive, Penetanguishene, ON L9M 1G9
Name of Certifier
Tom Hardy, R.J. Burnside & Associates Limited
Address of Certifier
128 Wellington Street West, Suite 301, Barrie, ON L4N 8J6

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

2220 Highway 7 West, Unit 5, Concord, ON L4K 1W7