Formulaire 10 – Certificat d’achèvement du contrat de sous-traitance

Form 10 Ecom

Under Subsection 33(1) of the Act – Construction Act

Required Fields *
This is to certify the completion of a subcontract for the supply of services or materials between:
Name of subcontractor*
Name of secondary party*
Date contract signed:*
DD dash MM dash YYYY
The subcontract provided for the supply of the following services or materials:*
to the following improvement:*
(short description of the improvement)
of premises at*
(street address, or if there is none, the location of premises)
Date of certification*
DD dash MM dash YYYY
Signatures*
- I verify and confirm that: (1) I have received, and can provide if requested, all the requisite signatures and authorizations to publish this certificate; (2) the form has been duly signed by either the payment certifier, or jointly signed by the owner(s) and contractor(s) where there is no payment certifier; (3) the information I am submitting is true, accurate, and correct; and (4) I understand and acknowledge that by submitting this information I am bound by the terms and conditions at https://canada.constructconnect.com/terms-of-use
Participants
Owner(s)*
Name of owner Address for service
Contractor(s)*
Name of contractor Address for service
Payment certifier
(where applicable)
Name of payment certifier Address
Use A or B, whichever is appropriate
A: Identification of premises for preservation of liens:*
If a lien attaches to the premises, a legal description of the premises, including all property identifier numbers and addresses for the premises.
B: Office to which claim for lien must be given to preserve lien:*
If the lien does not attach to the premises, the name and address of the person or body to whom the claim for lien must be given.
Job/PO Number
(only if applicable)
Certificate upload
Please upload the original certificate you wish to have published on our website
Accepted file types: pdf, doc, docx, jpg, jpeg, gif, png, tif, Max. file size: 15 MB.
Accepted file types: pdf, doc, docx, jpg, jpeg, gif, png, tif
Notify other parties
Provide the email addresses of any parties you wish to notify when your certificate/notice is published. Please ensure the addresses are correct and that the recipients wish to receive this notification.
Contact Email
Submitted by
First Name*
Last Name*
Email*
Company Name*
Company Type*
Special Instructions
Please provide any special instructions below. If your company is eligible for any affinity discount programs, you may request the discount here by providing details of eligibility, and we will apply it before finalizing your invoice.
Disclaimer:

Those placing certificates or notices are responsible for ensuring Daily Commercial News’ receipt, whether by fax or otherwise, of all necessary information and for reviewing Daily Commercial News upon publication for any errors or omissions and advising Daily Commercial News at once. Daily Commercial News will make good any errors or omissions attributable to it in the next available issue but will otherwise bear no liability whatsoever for any error or omission, including failure to publish any certificate or notice, however caused and even if arising from Daily Commercial News’ own negligence.

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Formulaire 10 – Certificat d’achèvement du contrat de sous-traitance

Form 10 Ecom

Participants

Use A or B, whichever is appropriate

Certificate upload

Notify other parties

Submitted by

Disclaimer:

Name of owner	Address for service

Name of contractor	Address for service

Name of payment certifier	Address

Contact Email