Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Pickering
Address of Owner
One The Esplanade, Pickering, ON L1V 6K7
Name of Contractor
Loc-Pave Construction Ltd.
Address of Contractor
1-2816 Stouffville Road, Stouffville, ON L4A 2J4
Name of Certifier
Richard Holborn, P. Eng. Director, Engineering Services
Address of Certifier
The Corporation of the City of Pickering, One The Esplanade, Pickering, ON L1V 6K7

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

City Clerk, The Corporation of the City of Pickering, One The Esplanade, Pickering, ON L1V 6K7