Form ID

Publication date

Location of premises

Certificate

Downtown Waterfront Project Lakeshore Road and Gateway Construction Contract 04-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
426 Brant Street, Burlington, ON L7R 3Z6
Name of Contractor
King Paving & Materials Company
Address of Contractor
3385 Harvester Road, PO Box 699, Burlington, ON L7R 3Y5

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

as owner