Form ID

Publication date

Location of premises

Certificate

Project Name: Ingersoll D.C.I Project Number: RWA-2003

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Thames Valley District School Board.
Address of Owner
1250 Dundas St., London, ON N5W 5P2.
Name of Contractor
Windspec Inc.
Address of Contractor
100 Spinnaker Way, Concord, ON L4K 2P6.
Name of Certifier
Randy R. Wilson, B.F.A., M.E.Des., M.R.A.I.C.
Address of Certifier
60 Victoria Street, London, ON N6A 2B3.

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

1250 Dundas Street, London, Ontario