Form ID

Publication date

Location of premises

Certificate

Quotation No. 3919-01-5279

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - Scarborough District
Address of Owner
1530 Markham Road, 6th floor, Scarborough Ontario, M1B 3G4
Name of Contractor
Crownwood Construction Ltd.
Address of Contractor
10 Mowat Court, Brampton, Ont. L6Z 3E5.
Name of Certifier
S Mok P. Eng City of Toronto
Address of Certifier
Works & Emergencies, 1530 Markham Road, 6th floor, Scarb

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

City Clerk, City ofToronto, City Hall, West Tower, 5th Floor, 100 Queen Street west, Toronto, ON M5H 2N2