Form ID

Publication date

Location of premises

Certificate

Completion of underground works and road construction to base course asphalt including concrete curb and gutter

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
FRAM/Slokker Collingwood Developments Ltd., Attention: Mr. Fred Serrafero
Address of Owner
141 Lakeshore Road East, Top Floor, Mississauga, ON L5G 1E8
Name of Contractor
C.D.C. Contracting, Attention: Mr. Bobby Pillitteri
Address of Contractor
10 Bradwick Drive, Concord, ON L4K 2T3
Name of Certifier
R.J. Burnside & Associates Ltd. & C.F. Crozier & Associates Inc.
Address of Certifier
Georgian Bay Office, 3 Ronell Crescent, Concord, ON L9Y 4J6

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

C.F. Crozier & Associates Inc.