Form ID

Publication date

Location of premises

Certificate

Contract # 18-PW-014 Trenchless Cured in Place Program 2018

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Smiths Falls
Address of Owner
Box 695, 77 Beckwith Street North, Smiths Falls, ON K7A 4T6
Name of Contractor
Insituform Technologies' Limited
Address of Contractor
3 Burford Road, Hamilton, ON L8E 3C6
Name of Certifier
Vanessa Bligdon-Bernicky, A. Sc.T., rcca, Public Works, Town of Smiths Falls
Address of Certifier
Same as Owner

Identification of Premises

Sanitary Sewer Lining; Maitland Street, Pine Street and Market Street

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

Box 695, 77 Beckwith Street North, Smiths Falls, ON K7A 4T6