Form ID

Publication date

Location of premises

Certificate

Installation of traffic calming measures

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
300 Dufferin Avenue, PO Box 5035, N6A 4L9
Name of Contractor
112349 Ontario Inc. / United Contracting
Address of Contractor
2940 Dingman Drive, London, ON N6N 1G4
Name of Certifier
Corporation of the City of London
Address of Certifier
300 Dufferin Avenue, PO Box 5035, N6A 4L9

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

Corporation of the City of London