Form ID

Publication date

Location of premises

Certificate

Phase I Storm Sewer & Watermain Contract No. RN 99-20

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Regional Municipality of Niagara
Address of Owner
2201 St. David’s Road, Thorold, ON
Name of Contractor
V. Gibbons Contracting Ltd.
Address of Contractor
P.O. Box 40, Ridgeway, Ont. L0S 1S0.
Name of Certifier
V&S Engineering Group Ltd.
Address of Certifier
53 Scott Street West, St. Catharines, ON L2R 1E2

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

Regional Clerk, Regional Municipality of Niagara.