Form ID

Publication date

Location of premises

Certificate

Intersection Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services Division
Address of Owner
399 The West Mall, Etobicoke, ON M9C 2Y2
Name of Contractor
Ferpac Paving Inc.
Address of Contractor
8631 Highway 50, Kleinburg, ON L0J 1C0
Name of Certifier
Richard A. Noehammer, P. Eng., Acting Manager, District Engineering, Etobicoke York District
Address of Certifier
City of Toronto, City Clerk’s Office, 10th Floor West T

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

City of Toronto, 10th Floor, West Tower, City Hall, 100 Queen St. West, Toronto, ON M5H 2N2