Form ID

Publication date

Location of premises

Certificate

Contract 7-2018 Concrete Repairs Phase 2 (2019)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Sarnia
Address of Owner
255 N Christina Street, P.O. Box 3018, Sarnia, ON N7T 7N2
Name of Contractor
Autoform Contracting London Ltd.
Address of Contractor
611 Industrial Road, London, ON N5V 1V2
Name of Certifier
City of Sarnia
Address of Certifier
255 North Christina Street, Sarnia, ON N7T 7N2

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

Clerk's Office, Attention: Dianne Gould Brown, 255 N. Christina Street, Sarnia, Ontario, N7T 7N2