Form ID

Publication date

Location of premises

Certificate

Tender #201011, Annual Concrete Sidewalk, Curb and Gutter, Driveway Ramps and Repair Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Cambridge
Address of Owner
50 Dickson St., Cambridge, ON N1R 5W8
Name of Contractor
1123491 Ontario Inc. o/a United Contracting (London)
Address of Contractor
2940 Dingman Drive, London, ON N6N 1G4
Name of Certifier
Sean Isley, C.E.T., Concrete Inspector, City of Cambridge
Address of Certifier
50 Dickson St., Cambridge, ON N1R 5W8

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

Corporation of the City of Cambridge, 50 Dickson St, Cambridge, ON N1R 5W8