Form ID

Publication date

Location of premises

Certificate

Retaining Wall, Roadworks, Watermain and Streetscaping

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Peel
Address of Owner
10 Peel Centre Drive, Brampton, ON L6T 4B9
Name of Contractor
Dagmar Construction Inc.
Address of Contractor
PO Box 510, 7350 Markham Road, Markham, ON L3P 3R1
Name of Certifier
Scott Davis P.Eng., Totten Sims Hubicki Associates Ltd.
Address of Certifier
72 Victoria St. S., Suite 202, Kitchener, ON N2G 4Y9

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

Clerks Department, Region of Peel, 10 Peel Centre Drive, Brampton, ON L6T 4B9