Form ID

Publication date

Location of premises

Certificate

Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services Division
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2
Name of Contractor
Sam Rabito Construction Ltd.
Address of Contractor
10537 McCowan Rd., R.R. #2, Markham, ON L3P 3J3
Name of Certifier
Richard A. Noehammer, P. Eng., Manager, Design & Construction, Etobicoke York District
Address of Certifier
City of Toronto, City Clerk’s Office, 10th Floor West T

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

City of Toronto, City Clerks Office, 10th Floor West Tower, City Hall, 100 Queen Street West, Toronto, ON M5H 2N2