Form ID

Publication date

Location of premises

Certificate

Remove & Replace Sanitary/Storm Sewers

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Profac Facilities Management Services Inc.
Address of Owner
900 Highbury Ave., LOndon ON N6A 4L6
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Stevenson Engineering Ltd.
Address of Certifier
1615 North Routledge Park, Unit 3, London ON N6H 5N5

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

Profac, 900 Highbury Ave., London ON N6A 4L6