Form ID

Publication date

Location of premises

Certificate

Road Rehabilitation, cold-in-place asphalt recycling and grind and asphalt overlay, Q-19-99.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Works & Emergency Services, Technical Services, District 2.
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2.
Name of Contractor
Osler Paving Limited.
Address of Contractor
340 Bowes Road, Concord, ON L4K 1K1.
Name of Certifier
Tom Ellerbusch, Manager, Technical Services, District 2.
Address of Certifier
399 The West Mall, Etobicoke, ON M9C 2Y2.

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

Supervisor of Contract Administration, Co-ordination and Approvals, Works and Emergency Services, Technical Services, District 2, Etobicoke Civic Centre, 399 The West Mall, Etobicoke, ON M9C 2Y2.