Form ID

Publication date

Location of premises

Certificate

Watermain Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Windsor Utilities Commission
Address of Owner
4545 Rhodes Drive, Windsor, ON N9A 5T7
Name of Contractor
Coco Paving Inc.
Address of Contractor
485 Little Baseline Road, Tecumseh, ON N8N 2L9
Name of Certifier
Christopher Manzon, P. Eng.
Address of Certifier
Windsor Utilities Commission (same address as owner)

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

Windsor Utilities Commission (same as owner)