Form ID

Publication date

Location of premises

Certificate

Contract T01-003 Storm and sanitary sewers, watermain, curb and gutter, sidewalk and asphalt pavement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King Street West, Kitchener, ON N2G 2G7
Name of Contractor
Sierra Construction Ltd.
Address of Contractor
1401 Dundas Street East, PO Box 20053 Woodstock, ON N4S 8X8.
Name of Certifier
Hans N. Gross P.Eng.
Address of Certifier
As owner

Identification of Premises

Manison Street/Locust Street/Gordon Avenue Reconstruction

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

City Clerks Division, 200 King Street West, 2nd Floor, Kitchener, ON N2G 2G7