Form ID

Publication date

Location of premises

Certificate

Contract No. T00-015 Storm and sanitary sewers, watermain, curb and gutter, sidewalk and asphalt pavement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King Street West, Kitchener, ON N2G 4G7
Name of Contractor
Elgin Construction
Address of Contractor
140 Burwell Road, St. Thomas, ON N5P 3R8
Name of Certifier
Hans N. Gross, P.Eng.
Address of Certifier
As owner

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

City of Kitchener