Form ID

Publication date

Location of premises

Certificate

Rotary Centre Parking Lot Construction, Contract 03-12

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
City Hall, 426 Brant Street P.O. Box 5013, Burlington, ON L7
Name of Contractor
Associated Paving
Address of Contractor
R.R. #2, 7886 Winston Churchill Blvd., Mississauga, ON L5M 2
Name of Certifier
City of Burlington
Address of Certifier
City Hall, 426 Brant Street P.O. Box 5013, Burlington, ON L7

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

City Hall, 426 Brant Street P.O. Box 5013, Burlington, ON L7R 3Z6