Form ID

Publication date

Location of premises

Certificate

Underground Servicing and Parking Lot

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Torgan Group
Address of Owner
4950 Yonge Street, Suite 1103, Toronto, ON M2N 6K1
Name of Contractor
New Alliance
Address of Contractor
54 Shaft Road, Toronto, ON M9W 4M2
Name of Certifier
Philips Engineering Ltd.
Address of Certifier
3215 North Service Road, P.O. Box 220, Burlington, ON L7R 3Y

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

Owner - Address as above