Form ID

Publication date

Location of premises

Certificate

Contract No. 1999505 Adams Boulevard Extension Road, Sewer and Watermain Construction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brantford.
Address of Owner
PO Box 818, City Hall, 100 Wellington Square, Brantford, ON
Name of Contractor
Cosway Excavation & Construction Limited.
Address of Contractor
28 Cherry Hill Lane, Brantford, ON N3T 6H4
Name of Certifier
V. Bohdanow, P.Eng.
Address of Certifier
As owner.

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

Corporation of the City of Brantford, PO Box 818, City Hall, 100 Wellington Square, Brantford, ON N3T 2M3.