Form ID

Publication date

Location of premises

Certificate

Road Reconstruction and Sanitary Sewer Replacement.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of London.
Address of Owner
P.O. Box 5035, London, Ont. N6A 4L9.
Name of Contractor
291 Construction Ltd.
Address of Contractor
4922 Marion Street, Dorchester, Ont. Ont. N0L 1G4.
Name of Certifier
Eng Plus Ltd.
Address of Certifier
101-750 Baseline Road East, London, Ont.

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

City of London.