Form ID

Publication date

Location of premises

Certificate

Construction of traffic calming intersections

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
300 Dufferin Ave., London, ON N6A 4L9
Name of Contractor
TCG Asphalt & Construction Inc.
Address of Contractor
PO Box 189, London, ON N6A 4V7
Name of Certifier
Stantec Consulting Ltd.
Address of Certifier
171 Queens Avenue, 8th Floor, London, ON N6A 5J7

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

Corporation of the City of London, 300 Dufferin Ave., London, ON N6A 4L9