Form ID

Publication date

Location of premises

Certificate

Project No.: U-02-07 Concession Road 6 Road & Culvert Repair (0.7 km South of Leaksdale Road)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Uxbridge
Address of Owner
Town Hall, 51 Toronto Street South PO Box 190, Uxbridge, ON
Name of Contractor
Elirpa Construction & Materials Limited.
Address of Contractor
PO Box 187, 2890 Brock Road North, Pickering, ON L1V 2R4
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
105 Commerce Valley Drive W., 7th Floor, Markham, ON L3T 7W3

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

Township of Uxbridge, Town Hall, 51 Toronto Street South PO Box 190, Uxbridge, ON L9P 1T1