Form ID

Publication date

Location of premises

Certificate

Newport Street Extension Project No. 2001-111

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Brantford.
Address of Owner
100 Wellington Square, Brantford, ON N3T 5R7
Name of Contractor
Sierra Construction
Address of Contractor
Box 20053, 1401 Dundas Street, Woodstock, ON N4S 8X8
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Rd., Box 220, Burlington, ON L7R 3Y2

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

Owner Address as above