Form ID

Publication date

Location of premises

Certificate

Curb and gutter and HL-8 binder asphalt repairs, HL-3 surface asphalt placement, sewer/manhole/catchbasin flushing and cleaning and miscellaneous topsoil and sod/hydroseed

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
300 Dufferin Ave., London, ON N6A 4L9
Name of Contractor
TCG Asphalt and Construction Inc.
Address of Contractor
2200 Jetstream Road, London, ON N5V 3P5
Name of Certifier
AECOM
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6

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

City of London, 300 Dufferin Avenue, London, ON N6A 4L9