Form ID

Publication date

Location of premises

Certificate

Prospect Street Reconstruction & Ivey Bridge Replacement & Structure Rehabilitation Norfolk County Contract No. PW-E-06-050

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Norfolk County
Address of Owner
50 Colborne Street, Simcoe, ON N3Y 4H3
Name of Contractor
Robert M. Simon Construction Ltd.
Address of Contractor
P.O. Box 973, RR #1, Waterford, ON N0E 1Y0
Name of Certifier
G. Douglas Vallee Limited
Address of Certifier
51 Park Road, R.R. #1, Simcoe, ON N3Y 4J9

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

50 Colborne Street, Simcoe, ON N3Y 4H3