Form ID

Publication date

Location of premises

Certificate

Contract No. 23-2005 - Rehabilitation of Ferguson’s Falls Bridge

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
County of Lanark
Address of Owner
Engineering Building, P.O. Box 37, 99 Christie Lake Road, Pe
Name of Contractor
Underground Services (1983) Ltd.
Address of Contractor
135 Commercial Road, Bolton, ON L7E 1R6
Name of Certifier
G.D. Jewell Engineering Inc.
Address of Certifier
R.R. # 7, Hwy. 62, Box 7200, Belleville, ON K8N 4Z7

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

County of Lanark, Engineering Building, P.O. Box 37, 99 Christie Lake Road, Perth, ON K7H 3E2