Form ID

Publication date

Location of premises

Certificate

Sandwich South Employment Lands, Phase 4A, Banwell Road, Trunk Sanitary Sewer

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
350 City Hall Square West, Windsor, ON N9A 6S1
Name of Contractor
Coco Paving Inc.
Address of Contractor
6725 South Service Road, Windsor, ON N8N 2M1
Name of Certifier
A. Boscariol, M.A. Sc., P.Eng. for A. A. Boscariol and Associates Limited
Address of Certifier
2825 Lauzon Parkway, Unit #214, Windsor, ON N8T 3H5

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

Attn