Form ID

Publication date

Location of premises

Certificate

Road Rehabilitation and Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services, Etobicoke York District
Address of Owner
399 The West Mall, North Block, 3rd Floor, Etobicoke, ON M9C
Name of Contractor
Sam Rabito Construction Ltd.
Address of Contractor
10537 McCowan Road, R.R. #2, Markham, ON L3P 3J3
Name of Certifier
Eric Leon, P. Eng., Senior Project Engineer
Address of Certifier
399 The West Mall, North Block, 3rd Floor, Etobicoke, ON M9C

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

City of Toronto, Clerk's Office, Toronto City Hall, 10th Floor, West Tower, 100 Queen Street West, Toronto, ON M5H 2N2