Form ID

Publication date

Location of premises

Certificate

Intersection Modifications

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Works & Emergency Services, Technical Services
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2
Name of Contractor
Vaughan Paving Limited
Address of Contractor
220 Basaltic Rd., Concord, ON L4K 1G6
Name of Certifier
Tom Ellerbusch, P.Eng., Manager, District Engineering, West District
Address of Certifier
City of Toronto

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

City Clerk, Metro Hall, 55 John Street, Toronto, ON M5V 3C6