Form ID

Publication date

Location of premises

Certificate

Watermain replacement and Patillo Road reconstruction except surface asphalt.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lakeshore.
Address of Owner
419 Notre Dame, Belle River, ON N0R 1A0.
Name of Contractor
Amico Contracting & Engineering (1992) Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, Ont. N0R 1L0.
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
3260 Devon Drive, Windsor, ON N8X 4L4.

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

Mr. Dan Perdu, Clerk, Town of Lakeshore, 419 Notre Dame, Belle River, ON N0R 1A0.