Form ID

Publication date

Location of premises

Certificate

2004 Watermain Replacement Program - Contract 4

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
300 Dufferin Ave., London, ON N6A 4L9
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Ave., London, ON N6B 1Z5

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

Addresses as above