Form ID

Publication date

Location of premises

Certificate

Contract #3: Replacement of Sidewalks, Curb & Gutter and Hot Mix Asphalt / Tender #RFT18-20

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
Coco Paving Inc.
Address of Contractor
1865 Clarke Road, London, ON N5X 3Z6
Name of Certifier
Paul Choma
Address of Certifier
P.O. Box 5035, London, ON N6A 4L9

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

City Clerk's Department, c/o Corporation of The City of London