Form ID

Publication date

Location of premises

Certificate

HL-8 binder asphalt, HL-3 surface asphalt and granular sub-base placement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sifton Properties Limited
Address of Owner
800-195 Dufferin Avenue, London, ON N6A 1K7
Name of Contractor
TCG Asphalt and Construction Inc.
Address of Contractor
PO Box 189 2200 Jetstream Road, London, ON N6A 4V7
Name of Certifier
Stantec Consulting Ltd./ Earth Tech Canada Inc.
Address of Certifier
171 Queens Avenue, 8th Floor, London, ON N6A 5J7/285 King St

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

Sifton Properties Limited, 800-195 Dufferin Avenue, London, ON N6A 1K7