Form ID

Publication date

Location of premises

Certificate

Contract I : Earthworks-Site preparation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fulbrook Holdings Inc. c/o The Allen Group
Address of Owner
4211 Yonge Strret, Suite 212, North York, Ontario M2P 2A9
Name of Contractor
B. Gottardo Construction Ltd.
Address of Contractor
132 Ashbridge Circle, Woodbridge, ON L4L 3R5
Name of Certifier
Cosburn Patterson Mather Limited
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham Ontario L3R 4B9

Identification of Premises

65M-3461