Form ID

Publication date

Location of premises

Certificate

Parkhill Road Dam Repairs and East Bank improvements on the Grand River

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand River Conservation Authority
Address of Owner
400 Clyde Rd., Cambridge ON N1R 5W6
Name of Contractor
MTM Group
Address of Contractor
842 Nipissing Road Unit 2, Milton, ON L9T 4Z9
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, Box 220, Burlington, ON L7R 3Y2

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

Owner - Address as above