Form ID

Publication date

Location of premises

Certificate

First Derivatives - Part 2nd floor - Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
First Derivatives
Address of Owner
31 Lakeshore Road, 2nd Floor, Mississauga, ON L5G 4V5
Name of Contractor
EllisDon Corp.
Address of Contractor
42 Port Street East, Mississauga, ON L5G 1C1
Name of Certifier
Perkins + Will Canada Inc.
Address of Certifier
672 Dupont St #500, Toronto, ON M6G 1Z6

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

31 Lakeshore Road, 2nd Floor, Mississauga, Ontario, L5G 4V5