Form ID

Publication date

Location of premises

Certificate

Contract No. U04-01, Concession 3 Bridge Rehabilitation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Township of Uxbridge
Address of Owner
PO Box 190, Toronto St. South, Uxbridge, ON L9P 1T1
Name of Contractor
Todd Brothers Contracting Limited
Address of Contractor
76 Raeview Drive Stouffville, ON L4A 7X4
Name of Certifier
Chisholm Fleming and Associates
Address of Certifier
317 Renfrew Drive, Suite 301, Markham, ON L3R 9S8

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

Mr. Walter E. Taylor, Clerk, Township of Uxbridge, PO Box 190, Toronto St. South, Uxbridge, ON L9P 1T1