Form ID

Publication date

Location of premises

Certificate

Contract T2016-101, Fountain Street and King Street Improvements - Shantz Hill Road to Eagle Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jason Lane
Address of Owner
Regional Municipality of Waterloo 150 Frederick Street, Kitchener, ON N2G 4J3
Name of Contractor
Amico Infrastructures (Oxford) Inc.
Address of Contractor
1111 Franklin Blvd., Unit 12C, Cambridge, ON N1R 8B5
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
100-300 Hagey Boulevard, Waterloo, ON N2L 0A4

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

Clerk's Office Regional Municipality of Waterloo 150 Frederick Street, Kitchener, ON N2G 4J3