Form ID

Publication date

Location of premises

Certificate

Placement of HL-3 asphalt, construction of top curbs and sidewalk

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
: Brookvalley Holdings Ltd.
Address of Owner
137 Bowes Road Concord, ON L4K 8H3
Name of Contractor
Carillion Construction Canada
Address of Contractor
80 North Queen Street, Toronto, ON M8Z 5Z6
Name of Certifier
Sabourin Kimble & Associates Ltd.
Address of Certifier
110 Old Kingston Road, Pickering Village, Ajax, ON L1T 2Z9

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

40M-1966