Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Windsor
Address of Owner
350 City Hall Square, Windsor, ON N9A 6S1
Name of Contractor
Coco Paving (1990) Inc.
Address of Contractor
6725 South Service Road, R.R. #2, Tecumseh, ON N8N 2M1
Name of Certifier
Earth Tech Canada Inc.
Address of Certifier
4510 Rhodes Drive Suite 520, Windsor, ON N8W 5K5

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

350 City Hall Square, Windsor, ON N9A 6S1