Form ID

Publication date

Location of premises

Certificate

Repalce Store Front Canopy

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Equitable Life Insurance Company of Canada
Address of Owner
10 Carson Court Suite 500
Name of Contractor
BFC Buildings
Address of Contractor
3660 Midland Ave. Toronto ON M1V 4V3
Name of Certifier
T.A. Clarke Associates Inc.
Address of Certifier
760 Pacific Road

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

Bentall Retail Services, 10 Carlson Court # 500 Etobicoke M9W 6L2