Form ID

Publication date

Location of premises

Certificate

East Brough’s Bridge Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London
Address of Owner
PO Box 5035, 300 Dufferin Ave., London, ON N6B 1Z2
Name of Contractor
Facca Incorporated.
Address of Contractor
5138 County Road 46, R.R. #3, Maidstone, ON N0R 1K0.
Name of Certifier
Earth Tech (Canada) Inc.
Address of Certifier
285 King Street, Suite 300, London, ON N6B 3M6

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

Corporation of the City of London (as above)