Form ID

Publication date

Location of premises

Certificate

Road Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
Works & Emergency Services, Technical Services, North Di
Name of Contractor
Ferma Road Construction Ltd.
Address of Contractor
2666 Rena Rd., Mississauga, ON L4T 3C8
Name of Certifier
Nono Supomo, P. Eng.
Address of Certifier
5100 Yonge Street, 4th Fl., North York, ON M2N 5V7

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

City Clerk, City of Toronto, Toronto City Hall, 2nd Floor West, 100 Queen St. W., Toronto ON M5H 2N2