Form ID

Publication date

Location of premises

Certificate

Partial removal and replacement of existing concrete culvert, concrete repair of existing culvert, installation of new topping, waterproofing, erosion protection works and asphalt pavement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipality of Chatham--Kent.
Address of Owner
315 King St. W., P.O. Box 640, Chatham, Ont. N7M 5K8.
Name of Contractor
Henry Heyink Construction Ltd.
Address of Contractor
275 Colborne St., PO Box 1341, Chatham, Ont. N7M 5R9.
Name of Certifier
Stantec Consulting Ltd
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4

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

Municipality of Chatham-Kent, 315 King St., P.O. Box 640, Chatham, Ont. N7M 5K8.