Form ID

Publication date

Location of premises

Certificate

Repair Steps/Pavers

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Public Works and Government Services Canada
Address of Owner
4900 Yonge Street, Toronto, ON M2N 6A6
Name of Contractor
Jelco Construction Limited
Address of Contractor
1124 South Service Road W., Oakville, ON L6L 5T7
Name of Certifier
Brookfield Lepage Johnson Controls
Address of Certifier
4900 Yonge Street, Suite 320, Toronto, ON M2N 6Y4

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

Public Works and Government Services Canada, 4900 Yonge Street, Toronto, ON M2N 6A6