Form ID

Publication date

Location of premises

Certificate

Contract No. 140.115-M1, Phase 1 Headworks Replacement - Woodward Ave. S.T.P.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Azurix north America
Address of Owner
100 Quuen St., W., Suite 2200 Hamilton
Name of Contractor
Glover Hill Inc. Mechanical
Address of Contractor
1 Station Street, P.O. Box 610, Thamesford, ON N0M 2M0
Name of Certifier
Azurix north America Engineering Corp.
Address of Certifier
100 Quuen St., W., Suite 2200 Hamilton, ON L8P 1A2

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

700 Woodward Ave. Hamilton ON L8H 6P4