Form ID

Publication date

Location of premises

Certificate

Watermain Installation

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
Dagmar Construction Inc.
Address of Contractor
7350 Highway 48, PO Box 510, Markham, ON L3P 3R1
Name of Certifier
T. Ellerbusch, P.Eng. Manager, Construction & Design, District 2
Address of Certifier
As owner

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

City Clerk, Metro Hall, 55 John Street, Toronto, ON M5V 3C6