Form ID

Publication date

Location of premises

Certificate

Administration Center and Public Works/Fire Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Township of Georgian Bay
Address of Owner
99 Lone Pine Road, Port Severn, ON L0K 1S0
Name of Contractor
Kiwi-Newton Construction Ltd.
Address of Contractor
351 Silvercreek Parkway N., Guelph, ON N1H 1E6
Name of Certifier
Design Connection International Inc.
Address of Certifier
5177 3rd Line, Erin, ON L7J 2CE

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

99 Lone Pine Road, Port Severn, Ontario L0K 1S0