Form ID

Publication date

Location of premises

Certificate

Burbrook Trunk Storm Sewer, Phase 1.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London.
Address of Owner
P.O. Box 5035, 300 Dufferin Avenue, London, ON N6A 4L9.
Name of Contractor
Omega Contractors.
Address of Contractor
4104 Breck Ave., London, Ont. N6L 1B5.
Name of Certifier
Earth Tech (Canada) Inc., formerly Proctor & Redfern Limited.
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6.

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

Corporation of the City of London (as above).