Form ID

Publication date

Location of premises

Certificate

Road Modifications

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
Kretcon Construction Ltd.
Address of Contractor
400 Calderstone Crescent, Scarborough, ON M1C 3A2
Name of Certifier
Manzur Rahman, 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