Form ID

Publication date

Location of premises

Certificate

Millbank Drive Watermain - Contract No. 4

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of London
Address of Owner
300 Dufferin Ave., PO Box 5035, London, ON N6A 4L9
Name of Contractor
Omega Contractors.
Address of Contractor
4104 Breck Ave., London, Ont. N6L 1B5.
Name of Certifier
Delcan Corporation
Address of Certifier
1069 Wellington Road South, #214, London, ON N6E 2H6.

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

300 Dufferin Ave., PO Box 5035, London, ON N6A 4L9