Form ID

Publication date

Location of premises

Certificate

Annual New Sidewalk Program - Contract No. RFT19-62

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, London, ON N6A 4L9
Name of Contractor
Autoform Contracting London Limited
Address of Contractor
611 Industrial Rd, London, ON N5V 1V2
Name of Certifier
Peter Kavcic, P. Eng.
Address of Certifier
300 Dufferin Avenue, PO Box 5035, London, ON N6A 4L9

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

Clerk's Office, The Corporation of the City of London, 300 Dufferin Avenue, PO Box 5035, London, Ontario, N6A 4L9