Form ID

Publication date

Location of premises

Certificate

Various Bridge and Culvert Replacements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Ingersoll
Address of Owner
130 Oxford St., 2nd Floor, Ingersoll, ON N5C 2V5
Name of Contractor
Xterra Construction Inc.
Address of Contractor
934 Guelph Street, Unit A, Kitchener, ON N2H 5Z6
Name of Certifier
R.J. Burnside & Associates Limited
Address of Certifier
332 Lorne Avenue, Stratford, ON N5A 6S4

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

Town of Ingersoll, 130 Oxford St., 2nd Floor, Ingersoll, ON N5C 2V5