Form ID

Publication date

Location of premises

Certificate

Connecting Roadway Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kingston
Address of Owner
1425 Midland Avenue, Kingston, ON
Name of Contractor
Lafarge Paving & Construction (Eastern) Ltd.
Address of Contractor
1600 Westbrook Road, Kingston, ON
Name of Certifier
Totten Sims Hubicki Associates (1997) Ltd.
Address of Certifier
654 Norris Court, Kingston, ON K7P 2R9

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

216 Ontario Street, Kingston, ON K7L 2Z3