Form ID

Publication date

Location of premises

Certificate

Bridge Deck Waterproofing and Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
300 Dufferin Ave., P O Box 5035, London, ON N6A 4L9
Name of Contractor
TCG Asphalt & Construction
Address of Contractor
P.O. Box 189, London, ON N6A 4V7
Name of Certifier
Earth Tech Canada Inc. doing business as AECOM
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6

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

The Corportion of the City of London, at address noted above