Form ID

Publication date

Location of premises

Certificate

Groff Mill Creek Realignment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cambridge
Address of Owner
City Hall, 50 Dickson Street, 4th Floor, Cambridge, ON N1R 8
Name of Contractor
R & M Construction
Address of Contractor
254 Main Street North, Acton, ON L7J 1W9
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, P.O. Box 220, Burlington, ON L7R 3Y

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

Owner Address as above