Form ID

Publication date

Location of premises

Certificate

Water Tower Exterior Overcoating & Safety Upgrades - Contract 2018-07

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of South Bruce
Address of Owner
21 Gordon Street East, Teeswater, ON N0G 2S0
Name of Contractor
Jacques Daoust Coating Management Inc.
Address of Contractor
32 McKenzie Street, Cambridge, ON N1R 4E1
Name of Certifier
Keith Turney, CET, President, MISCO-Mulders Inspection Services Co. Ltd.
Address of Certifier
3&3B CR 4, RR8, Picton, ON., Canada, K0K 2T0

Identification of Premises

22 Carroll Street, Mildmay, Ontario

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

21 Gordon Street East, Teeswater, Ontario, N0G 2S0