Form ID

Publication date

Location of premises

Certificate

Azatika Bridge Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
United Counties of Prescott & Russell
Address of Owner
59 Court St., PO Box 304, L’Original, ON K0B 1K0
Name of Contractor
Dalcon Enterprises Ltd.
Address of Contractor
5630 Doncaster Road, Ottawa, ON K1G 3N4
Name of Certifier
Harmer Podolak Engineering Consultants Inc.
Address of Certifier
221-39 Robertson Road, Nepean, ON K2H 8R2

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

Owner.