Form ID

Publication date

Location of premises

Certificate

Expanded Asphalt/Asphalt Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
P.O. Box 5000, Station “A”, Sudbury, ON P3A 5P3
Name of Contractor
K.J. Beamish Construction Co. Ltd.
Address of Contractor
5625 Notre Dame Ave. Box 310, Hanmer, ON P3P 1T2
Name of Certifier
Kevin Shaw, P. Eng.
Address of Certifier
As owner

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

The Clerk, The City of Greater Sudbury, P.O. Box 5000, Stn A Sudbury, ON P3A 5P3