Form ID

Publication date

Location of premises

Certificate

Replacement of Sidewalk & Curb and Gutters (Contract 00-02)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London
Address of Owner
P.O. Box 5035, London, ON N6A 4L9
Name of Contractor
N. Piccoli Construction Ltd.
Address of Contractor
55 Lynngate Grove, London, ON N6K 3S7
Name of Certifier
Ivan Andersen
Address of Certifier
P.O. Box 5035, London, ON N6A 4L9

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

City Clerks Department c/o Corporation of the City of London