Form ID

Publication date

Location of premises

Certificate

Hot Mix Paving and Granular Shouldering at Various Locations Throughout the Regional Municipality of Durham

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Durham
Address of Owner
Box 623, 605 Rossland Road East, Whitby, ON L1N 6A3
Name of Contractor
Harnden & King Construction Inc.
Address of Contractor
83 Orchard Road, Ajax, ON L1S 6K9
Name of Certifier
S. Siopis P.Eng. Works Director Regional Municipality of Durham
Address of Certifier
Box 623, 105 Consumers Dr., Whitby, ON L1N 6A3

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

Owner at above address