Form ID

Publication date

Location of premises

Certificate

Bridge Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Municipality of Chatham-Kent
Address of Owner
315 King Street West, PO Box 640, Chatham, ON K7M 5K8
Name of Contractor
Slim’s Bulldozing (A Division of BF Environmental Consulting Ltd.)
Address of Contractor
277 West Holt Line, Port Lambton, ON N0P 2B0
Name of Certifier
Dillon Consulting Limited
Address of Certifier
440 Park Avenue West, Chatham, ON N7M 1X2

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

Municipality of Chatham-Kent, 315 King Street West, PO Box 640, Chatham, ON K7M 5K8