Form ID

Publication date

Location of premises

Certificate

Contract #6, 2008 Sewer & Water Replacement Program, EW3785 / ES2411 / TS1443

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
Omega Contractors Inc.
Address of Contractor
4104 Breck Avenue, London, ON N6L 1B5
Name of Certifier
Archibald, Gray & McKay Engineering Ltd.
Address of Certifier
553 Southdale Road East, London, ON N6E 1A2

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

City of London, P.O. Box 5035, 300 Dufferin Ave., London, Ontario N6A 4L9