Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
407 ETR Concession Company Limited
Address of Owner
6300 Steeles Avenue West, Woodbridge, ON L4H 1J1
Name of Contractor
Clearwater Structures Inc.
Address of Contractor
397 Frankcom Street, Ajax, ON L1S 1R4
Name of Certifier
Tony J. Angelo, P. Eng.
Address of Certifier
Same as Owner

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

6300 Steeles Avenue West, Woodbridge, Ontario L4H 1J1