Form ID

Publication date

Location of premises

Certificate

Contract No. W2006-04 Dundas Street Bridge Repair

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Whitby
Address of Owner
575 Rossland Road East, Whitby, Ont. L1N 2M8, Attention: Mr.
Name of Contractor
Marbridge Construction Ltd.
Address of Contractor
2550 Argentia Road, Suite 119, Mississauga, ON L5N 5R1
Name of Certifier
T. Angelo, P. Eng., Totten Sims Hubicki Associates
Address of Certifier
300 Water Street, Whitby, ON L1N 9J2

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

The Corporation of the Town of Whitby, 575 Rossland Road East, Whitby, ON L1N 2M8
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