Form ID

Publication date

Location of premises

Certificate

Magill Drive Construction, Contract No. 03E-005

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Ajax
Address of Owner
75 Chambers Drive, Ajax, ON L1Z 1E1
Name of Contractor
Sam Rabito Construction Limited
Address of Contractor
10537 McCowan Road, Markham, ON L3P 3J3
Name of Certifier
Totten Sims Hubicki Associates, D. Timms,P.Eng.
Address of Certifier
300 Water Street, Whitby, ON L1N 9J2

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

Clerks Office, Town of Ajax, 75 Chambers Drive, Ajax, ON L1Z 1E1