Form ID

Publication date

Location of premises

Certificate

Line 1 Road (Penner Street) Watermain Replacement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Niagara-on-the-Lake.
Address of Owner
1593 Creek Road, P.O. Box 100, Virgil, Ont L0S 1T0.
Name of Contractor
Fine Grade Construction Ltd.
Address of Contractor
4376 Stanley Ave., Unit 2, Niagara Falls, ON L2E 4Z4
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
Corbloc Bldg., 80 King Street, 2nd Floor, St. Catharines, On

Identification of Premises

Line 1 Road (Penner Street), Watermain Replacement.

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

Town of Niagara-on-the-Lake, 1593 Creek Road, P.O. Box 100, Virgil, Ont. L0S 1T0. Attention