Form ID

Publication date

Location of premises

Certificate

Tender No. 18-10: 2018 Paving Tender

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The County of Northumberland
Address of Owner
555 Courthouse Road, Cobourg, ON K9A 5J6
Name of Contractor
Norway Asphalt Limited
Address of Contractor
RR#2, Lakefield, ON K0L 2H0
Name of Certifier
Scott Reynolds, Sr. Engineering Technician
Address of Certifier
555 Courthouse Rd, Cobourg, ON K9A 5J6

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

Same as Owner