Form ID

Publication date

Location of premises

Certificate

Pavement and Asphalt Resurfacing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brookfield Global Integrated Solutions
Address of Owner
4175 14th Avenue, Suite 300, Markham, ON L3R 0J2
Name of Contractor
Elgin Contracting and Restoration Ltd.
Address of Contractor
10 Barrie Blvd, St. Thomas, ON N5P 4B9
Name of Certifier
Moon-Matz Ltd.
Address of Certifier
2902 South Sheridan Way, Suite 300, Oakville, ON L6J 7L6

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

4175 14th Avenue, Suite 300, Markham, ON, L3R 0J2