Form ID

Publication date

Location of premises

Certificate

Advanced Fill Contract

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
P.O. Box 1607, 350 City Hall Square, Windsor, ON N9A 6S1
Name of Contractor
J. Lepera Contracting Inc.
Address of Contractor
6250 Morton Industrial Parkway, Suite 100, Windsor, ON N9J 3
Name of Certifier
HGS Limited
Address of Certifier
3100 Temple Dr., Suite 100, Windsor, ON N8W 5J6

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

City of Windsor, Attn