Form ID

Publication date

Location of premises

Certificate

Oxford Street, East Widening (At Elliot Street) Project TS 1243’ Tender 04-60

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
P.O. Box 5035, 300 Dufferin Avenue, London, ON N6A 4L9
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
PO Box 189 2200 Jetstream Road, London, ON N6A 4V7
Name of Certifier
Justin Lawrence P.Eng., Construction Administration
Address of Certifier
PO Box 5035, 267 Dundas Street, London, ON N6A 4L9

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

City Clerks Department c/o Corporation of the City of London, P.O. Box 5035, 300 Dufferin Avenue, London, ON N6A 4L9