Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Municipality of Lambton Shores
Address of Owner
7883 Amtelecom Parkway, Forest, ON N0N 1J0
Name of Contractor
All Season Excavating
Address of Contractor
8513 Churchill Line, Watford, ON N0M 2S0
Name of Certifier
GSS Engineering Consultants Ltd., Rakesh Sharma, P.Eng., M.A.Sc.
Address of Certifier
Unit 104D 1010, 9th Avenue West, Owen Sound, ON N4K 5R7

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

Municipality of Lambton Shores - 7883 Amtelecom Parkway, Forest, ON N0N 1J0