Form ID

Publication date

Location of premises

Certificate

Watermain, Sanitary Sewer, Storm Sewer and Road Construction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Woolwich
Address of Owner
69 Arthur St. S., PO Box 158, Elmira, ON N3B 2Z6
Name of Contractor
Terra Infrastructure Inc.
Address of Contractor
4-48 Front Street East, Strathroy, ON N7G 1Y6
Name of Certifier
T. Zavitsky, P.Eng.
Address of Certifier
Earth Tech Inc., 101 Frederick St., Ste. 502, Kitchener, ON

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

Township of Woolwich, Municipal Offices, 69 Arthur St., Elmira