Form ID

Publication date

Location of premises

Certificate

Contract No. PW 04-13 Roadway Rehabilitation, Cold In-Place Recycling, Hot Mix Paving, Milling, Pulverizing, Grading, and Associated Work, exclusive of works completed on King Street of Part C.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Quinte West
Address of Owner
P.O. Box 490, trenton ON K8V 5R6
Name of Contractor
Norway Asphalt Limited
Address of Contractor
R.R. 2, Lakefield, ON K0L 2H0

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

Mr C. Angelo, Manager of Public works and Engineering, City of Quinte West.