Form ID

Publication date

Location of premises

Certificate

Reinstatement of Ceiling Lighting on 4th Floor

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Public Works Government Service Canada
Address of Owner
451 Talbot St., London, ON
Name of Contractor
Elgin Contracting and Restoration Ltd.
Address of Contractor
10 Barrie Boulevard, St. Thomas, ON
Name of Certifier
BOLD Engineering Inc. per: Herman Cheung
Address of Certifier
2770 Dufferin Street, Suite 230, Toronto, ON

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

BGIS - 4175, 14th Avenue, Markham, ON, L3R 0J2