Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Hamilton
Address of Owner
77 James St. N., Suite 320, Hamilton, ON L8R 2K3
Name of Contractor
Wesroc Construction Ltd.
Address of Contractor
755 South Service Road, Unit #5, Stoney Creek, ON L8E 5Z2
Name of Certifier
Tim Evans, P. Eng. Project Manager
Address of Certifier
77 James St. N., Suite 320, Hamilton, ON L8R 2K3

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

City Clerk's Department, 71 Main Street West, Hamilton, Ontario L8P 4Y5