Form ID

Publication date

Location of premises

Certificate

South Valley Academic Building Project Number: RWA 0206

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The University of Western Ontario
Address of Owner
1150 Richmond Street
Name of Contractor
Southside Construction Ltd.
Address of Contractor
358 Horton Street, London, ON N6B 1L7
Name of Certifier
Randy R. Wilson B.F.A. M.E.Des., M.R.A.I.C.
Address of Certifier
60 Victoria Street London, ON N6A 2B3

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

University of Western Ontario, 1151 Richmond St., Physical Plant Building - Office of the Associate Vice-President