Form ID

Publication date

Location of premises

Certificate

3rd Concession Road Culvert Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Essex
Address of Owner
33 Talbot St S, Essex, ON N8M 1A8
Name of Contractor
South Shore Contracting of Essex County Inc.
Address of Contractor
144 Keown Street, Essex, ON N8M 1J3
Name of Certifier
N. J. Peralta Engineering Ltd.
Address of Certifier
45 Division Street North, Kingsville, ON K9Y 1E1

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

Corporation of the Town of Essex