Form ID

Publication date

Location of premises

Certificate

Pavement Reconstruction

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Works & Emergency Services, Technical Services
Address of Owner
399 The West Mall Etobicoke, ON M9C 2Y2
Name of Contractor
Ferma Road Construction Ltd.
Address of Contractor
2666 Rena Rd., Mississauga, ON L4T 3C8
Name of Certifier
Tom Ellerbusch, P.Eng., Manager, District Services, West District
Address of Certifier
as owner

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

City Clerk, Metro Hall, 55 John Street, Toronto, ON M5V 3C6