Form ID

Publication date

Location of premises

Certificate

Watermain CIPP Relining on Various City Streets Contract #05-T42

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Cornwall
Address of Owner
PO Box 877, 1225 Ontario St., Cornwall, ON K6H 5T9
Name of Contractor
Clean Water Works Inc.
Address of Contractor
1362 Barfield St., Ottawa, ON K4P 1A1
Name of Certifier
City of Cornwall
Address of Certifier
As owner

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

City of Cornwall