Form ID

Publication date

Location of premises

Certificate

Rehabilitation of Lakeshore Boulevard, Over Outfall Outfall Conduit, West of Coxwell Avenue (Contract 03FS-23S) including: Partial and full depth removal of deteriorated concrete, concrete patch repairs and reconstruction, construction of new parapet walls, concrete overlay, waterproofing and asphalt paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto Attention: Mr. John Bryson P.Eng.
Address of Owner
Works and Emergency Services, Station 1180, 20th Floor, 55 J
Name of Contractor
Grascan Construction Ltd.
Address of Contractor
3300 Hwy. #7, Suite 803, Vaughan, Ont. L4K 4M3
Name of Certifier
Mr. JP Danko c/o ELLIS Engineering Inc.
Address of Certifier
44 Portmaster Drive, St. Catharines, ON L2N 7A6

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

As above