Form ID

Publication date

Location of premises

Certificate

renovations to relocate existing building services within

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
Facilities, Design and Construction, 663 Bathurst Street, Lo
Name of Contractor
ICORR Construction
Address of Contractor
101-955 Huron St., London, ON N5Y 4V6
Name of Certifier
Tim Wellhauser
Address of Certifier
663 Bathurst St., London, ON N5Z 1P8

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

City of London, Facilities, Design and Construction, 663 Bathurst Street, London, ON N5Z 1P