Form ID

Publication date

Location of premises

Certificate

Combermere Bridge Rehabilitation, Contract No. 2001-16

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Renfrew
Address of Owner
9 International Dr. Pembroke Ontario, K8A 6W5
Name of Contractor
McPherson-Andrews Contracting Limited.
Address of Contractor
4 Landfair Cres., Toronto, ON M1J 3A7
Name of Certifier
Harmer Poddolak Engineering Consultants Inc.
Address of Certifier
221-39 Robertson Road, nepean ON K2H 8R2

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

As above