Form ID

Publication date

Location of premises

Certificate

Road Rehab. II - Asphalt Paving & Curb Reconstruction - Tender No. 78-10

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Windsor
Address of Owner
1266 McDougall Street, Windsor, ON
Name of Contractor
Amico Infrastructures Inc.
Address of Contractor
2199 Blackacre Drive, R.R. #1, Oldcastle, ON N0R 1L0
Name of Certifier
Michael Palanacki, P. Eng.
Address of Certifier
1266 McDougall Street, Windsor, ON

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

The Corporation of the City of Windsor, Attention