Form ID

Publication date

Location of premises

Certificate

Contract No. 2010R00-172-01, Expanded Asphalt, Wilson Drive

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the County of Simcoe
Address of Owner
1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0
Name of Contractor
Municipal CIP Recycling Ltd.
Address of Contractor
1530 Albion Road, P.O. Box 47618, Rexdale, ON M9V 1B0
Name of Certifier
James E. Hunter, P. Eng., Director, Transportation Construction
Address of Certifier
1110 Highway 26, Administration Centre, Midhurst, ON L0L 1X0

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

County Clerk, The Corporation of the County of Simcoe, 1110 Highway 26, Administration Centre, Midhurst, Ontario L0L 1X0