Form ID

Publication date

Location of premises

Certificate

Contract 1 - Ridgewood Road Sanitary Sewer Outfall

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
J.V. Bantam & Associates
Address of Owner
222 Sheppard Avenue East, Willowdale, ON M2N 3A9
Name of Contractor
Goldmar Contracting Ltd.
Address of Contractor
1116 Midway Blvd, Unit 9, Mississauga, Ont. L5T 2H2.
Name of Certifier
David Schaeffer Engineering Ltd.
Address of Certifier
600 Alden Road, Suite 209, Markham, ON L3R 0E7.

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

Refer to Owner Information Above.