Form ID

Publication date

Location of premises

Certificate

Replacement of L5-NC-SF05 Fan

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
CBC
Address of Owner
250 Front St. W.
Name of Contractor
Plan Group Inc.
Address of Contractor
27 Vanley Crescent
Name of Certifier
Mat 4Site Engineering Ltd., Raffaele A. Verra, P.Eng.
Address of Certifier
620 Wilson Avenue, Suite 320, Toronto, ON M3K 1Z3

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

205 Wellington St. West, Toronto