Form ID

Publication date

Location of premises

Certificate

Contract W-1737A-99 600 dia. watermain on Westoak Trails Boulevard from Fourth Line Road to Third Line Road in the Town of Oakville.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Halton.
Address of Owner
1151 Brone Road, Oakville, ON L6M 3L1.
Name of Contractor
Campus Construction Inc.
Address of Contractor
176 Rivermede Road, Unit #11, Concord, ON L4K 2H3.
Name of Certifier
D.K. Inouye, CET.
Address of Certifier
As owner.

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

Same as owner, Attention