Form ID

Publication date

Location of premises

Certificate

Municipal Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Kitchener
Address of Owner
200 King Street West, Kitchener, ON N2G 4G7
Name of Contractor
Sierra Construction Inc.
Address of Contractor
1401 Dundas Street E., Woodstock, ON N4S 8X8
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
105 Lexington Rd., Unit 17, Waterloo, ON N2J 4R7

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

City of Kitchener, 200 King Street West, 9th Floor, Kitchener, ON N2G 4G7