Form ID

Publication date

Location of premises

Certificate

T05-002 Road and Surface Construction Asphalt pavements including ancillary work as specified in the contract documents

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King St. West, Kitchener, ON N2G 4G7
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
Eric Saunderson, C.E.T.
Address of Certifier
as owner

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

City Clerks Division, 200 King Street West, 2nd Floor, Kitchener, ON N2G 4G7