Form ID

Publication date

Location of premises

Certificate

Sidewalk Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
City Clerk's Office, 100 Queen Street West, 13th Floor, Toro
Name of Contractor
D. Martino Construction Limited
Address of Contractor
121 Dexter Road, Richmond Hill, ON L4C 5P4
Name of Certifier
Emily Chang, P. Eng., Project Engineer
Address of Certifier
City of Toronto, Technical Services, North York District, 51

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

City of Toronto, City Clerk's Office, 13th Floor, West Tower, City Hall, 100 Queen Street West, Toronto, Ontario M5H 2N2, Copy to the attention of