Form ID

Publication date

Location of premises

Certificate

Road Resurfacing and Intersection Modifications

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
Works & Emergency Services, Technical Services, District
Name of Contractor
D. Crupi & Sons
Address of Contractor
85 Passmore Avenue, Agincourt, ON M1S 3B6
Name of Certifier
Ayub Vohra-Bangi, P. Eng.
Address of Certifier
5100 Yonge Street, 4th Floor, 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