Form ID

Publication date

Location of premises

Certificate

Watermain Replacements - Contract One

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London
Address of Owner
300 Dufferin Avenue, London, ON N6 4L9
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
Suite 203-350 Oxford St. West, London, ON N6H 1T3

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

City Hall, 300 Dufferin Avenue, PO Box 5035, London, ON N6 4L9