Form ID

Publication date

Location of premises

Certificate

Sarnia Road Watermain Replacement C of L Project No. EW3782 / Tender No. 05-20

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
P.O. Box 5035, 300 Dufferin Ave., London, ON N6A 4L9
Name of Contractor
Pachecos Contractors Ltd.
Address of Contractor
4192 Perkins Rd., London ON N6L 1C2
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above