Form ID

Publication date

Location of premises

Certificate

Road Corridor Reconstruction including undergrounds and surface works.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Wilmot.
Address of Owner
60 Snyder’s Road West, Baden, Ont. N0B 1G0.
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Tim J. Zavitsky, P. Eng., Assistant Regional Manager.
Address of Certifier
Earth Tech Canada Inc., 502-101 Frederick St., Kitchener, On

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

Township of Wilmot Municipal Offices.