Form ID

Publication date

Location of premises

Certificate

Sanitary and Storm Sewers/Watermain/Irrigation/Field Lighting and Grading (2001 Contract Work)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
300 Dufferin Ave., PO Box 5035, London, ON N6A 4L9
Name of Contractor
Monte Vista Contracting Inc.
Address of Contractor
3803 Cheese Factory Road, London, ON N6N 1G2
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6

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

The Corporation of the City of London, 300 Dufferin Ave., PO Box 5035, London, ON N6A 4L9