Form ID

Publication date

Location of premises

Certificate

White Oak Road Drainage Remediation Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
PO Box 5035, 300 Dufferin Avenue, London, ON N6A 4L9
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Earth Tech Canada Inc.
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)