Form ID

Publication date

Location of premises

Certificate

Contract No. 1999-14/Highbury Avenue and Ron McNeil Line Intersection Reconstruction.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the County of Elgin.
Address of Owner
450 Sunset Drive, St. Thomas, ON N5R 5V1.
Name of Contractor
TCG Asphalt and Construction Inc.
Address of Contractor
P.O. Box 189, 2200 Jet Stream Road, London, ON N6A 4V7.
Name of Certifier
Peter Dutchak, CET
Address of Certifier
As owner.

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

Mark G. McDonald, Chief Administrative Officer, County of Elgin, 450 Sunset Drive, St. Thomas, ON N5R 5V1.