Form ID

Publication date

Location of premises

Certificate

Bongard Crescent Road Reconstruction Project in the City of Belleville known as Contract 10-01

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Belleville
Address of Owner
169 Front Street, Belleville, ON K8N 2Y8
Name of Contractor
North Key Construction
Address of Contractor
24 Advance Avenue, Napanee, ON K7R 3Y6
Name of Certifier
Jack Bouwman
Address of Certifier
Same as Owner

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

Clerks Department, Corporate Services Department, 169 Front Street, Belleville, Ontario K8N 2Y8