Form ID

Publication date

Location of premises

Certificate

Underground Servicing and Granular B Subbase

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Jackson Summerside Land Corp. and City of London
Address of Owner
1135 Adelaide Street N., London, ON N5Y 2N4 and 300 Dufferin
Name of Contractor
Blue-Con Inc.
Address of Contractor
1915 Crumlin Side Road, London, ON N5V 3B8
Name of Certifier
Development Engineering (London) Limited
Address of Certifier
361 Dufferin Avenue, London, ON N6B 1Z5

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

Addresses as above