Form ID

Publication date

Location of premises

Certificate

Contract: TE03-05, Watermain Replacement on Westwood Lane and Kerswell Drive

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Richmond Hill
Address of Owner
P.O. Box 300, 225 East Beaver Creek Road, Richmond Hill, ON
Name of Contractor
Hollingworth Construction Co.
Address of Contractor
41 Cardico Drive, Gormley, ON L0H 1G0
Name of Certifier
Darryl Clark, Manager of Contruction
Address of Certifier
P.O. Box 300, 225 East Beaver Creek Road, Richmond Hill, ON

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

P.O. Box 300, 225 East Beaver Creek Road, Richmond Hill, Ontario L4C 4Y5