Form ID

Publication date

Location of premises

Certificate

City Repair - Procurement No. FA.49.016-02

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga
Address of Owner
3185 Mavis Road Mississauga, ON L5C 1T7
Name of Contractor
Pacific Paving Limited
Address of Contractor
5845 Luke Road, Unit #204, Mississauga, ON L4W 2K5
Name of Certifier
Al Sousa P.Eng.
Address of Certifier
3185 Mavis Road, Mississauga, ON L5C 1T7

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, ON L5B 3C1