Form ID

Publication date

Location of premises

Certificate

Civil works for Phase 2 of the Woodbridge Estates Subdivision

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Roscon Investment Inc.
Address of Owner
6555 Malden Road, LaSalle, ON N9H 1T5
Name of Contractor
Amico Infrastructures Inc.
Address of Contractor
2199 Blackacre Drive, Oldcastle, ON N0R 1L0
Name of Certifier
AECOM Canada Ltd.
Address of Certifier
350 Cabana Road East, Unit 4, Windsor, ON N9G 1A3

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

Office of Owner