Form ID

Publication date

Location of premises

Certificate

Completion of surface works and access road to top course asphalt including repairs to concrete curb and gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Georgian Bay Estates Ltd., Attention: Mr. Paul Colangelo
Address of Owner
115 Hurontario Street, Suite 201, Collingwood, ON L9Y 2L9
Name of Contractor
Coco Paving Inc.
Address of Contractor
701 Dunlop St. West, Barrie, On L4N 9W9
Name of Certifier
C.F. Crozier & Associates Inc.
Address of Certifier
110 Pine Street, Collingwood, ON L9Y 2N9

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

C.F. Crozier & Associates Inc.