Form ID

Publication date

Location of premises

Certificate

Contract RN 02-37 The Signalized Intersections at Wal-Mart Entrance and Garrison Road and at

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Niagara
Address of Owner
Public Works Department, 2201 St. David’s Rd., PO Box 1
Name of Contractor
The Hardrock Group
Address of Contractor
PO Box 220, 198 Welland Street, Port Colborne, ON L3K 5V8
Name of Certifier
Delcan Corporation
Address of Certifier
4056 Dorchester Road, Niagara Falls, ON L2E 6M9

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

The Regional Municipality of Niagara, Clerks Department, 2201 St. Davids Road, Thorold, ON L2V 4T7