Form ID

Publication date

Location of premises

Certificate

Fruit Ridge Line Watermain Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Municipality of Central Elgin
Address of Owner
450 Sunset Drive, 1st Floor, St. Thomas, ON N5R 3R8
Name of Contractor
Birnam Excavating Ltd.
Address of Contractor
7046 Nauvoo Road, R.R. #6, Forest, ON N0N 1J0.
Name of Certifier
Dillon Consulting Limited per Harry Grund
Address of Certifier
PO Box 426, London, ON N8A 4W7

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

The Corporation of the Municipality of Central Elgin