Form ID

Publication date

Location of premises

Certificate

Hixon Street Zone 2 Water Booster Pumping Station Project No. C431-0541

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Lincoln
Address of Owner
4800 South Service Road, Beamsville, ON L0R 1B1
Name of Contractor
2904578 Canada Limited o/a North American Construction Services
Address of Contractor
PO Box 86 720 King Street, Niagara-on-the-Lake, ON L0S 1J0
Name of Certifier
CH2M Hill Canada Limited
Address of Certifier
3550 Schmon Parkway, Thorold, ON L2V 4Y6

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

Town of Lincoln 4800 South Service Road, Beamsville, ON L0R 1B1