Form ID

Publication date

Location of premises

Certificate

King Street Rehabilitation, Project Numbers ES 3095 and EW 3650, 1999 Works.

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
Dufferin Construction Company.
Address of Contractor
690 Dorval Drive, Suite 200, Oakville, Ont. L6K 3W7.
Name of Certifier
Tom Copeland, P.Eng., CH2M Gore & Storrie Limited.
Address of Certifier
254 Pall Mall St., Suite 102, London, ON N6A 5P6.

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

Corporation of the City of London, P.O. Box 5035, 300 Dufferin Avenue, London,ON N6A 4L9.