Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Parkbridge Lifestyle Communities
Address of Owner
690 River Road West, Wasaga Beach, ON L9Z 2P1
Name of Contractor
Birnam Excavating Ltd.
Address of Contractor
7046 Nauvoo Road, Warwick Township, ON N0N 1J4
Name of Certifier
Tatham Engineering Limited
Address of Certifier
115 Sandford Fleming Drive, Unit 200, Collingwood, ON L9Y 5A6

Identification of Premises

Part of Lot 3, West of Lake Road Concession, in the Western Division of the former Township of Colborne and Lot 3, Broken Front Concession, in the Western Division of the former Township of Colborne, all of which is designated as Part 1 on the reference Plan 22R-2238, in the Township of Ashfield-Colborne-Wawanosh, County of Huron

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

Owner