Form ID

Publication date

Location of premises

Certificate

Sidewalk Installation and Road Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of LaSalle
Address of Owner
1900 Normandy Road, LaSalle, ON N9H 1P8
Name of Contractor
Amico Contracting & Engineering (1992) Inc.
Address of Contractor
2155 Fasan Drive, R.R. #1, Oldcastle, ON N0R 1L0
Name of Certifier
Flavio Forest, P.Eng., Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8

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

The Town of LaSalle, 1900 Normandy Road, LaSalle, ON N9H 1P8