Form ID

Publication date

Location of premises

Certificate

Road Reconstruction and Storm Sewer Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto Works & Emergency Services, Technical Services, District 3
Address of Owner
5100 Yonge Street 4th Floor, Toronto, ON M2N 5V7
Name of Contractor
614128 Ontario Ltd. o/a Trisan Construction
Address of Contractor
9418 The Gore Rd., Schomberg, ON L0G 1T0
Name of Certifier
Mobushar Pannu M.Eng., P.Eng.
Address of Certifier
as owner

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

City Clerk, City of Toronto, Toronto City Hall, 2nd Floor West, 100 Queen Street West, Toronto, ON M5H 2N2