Form ID

Publication date

Location of premises

Certificate

Final surface works up to and including placement of top asphalt

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Countrywide at Victoria Square Inc.
Address of Owner
1500 Highway #7, Concord, ON L4K 5Y4
Name of Contractor
CONDRAIN GROUP
Address of Contractor
30 Floral Parkway, Concord, ON L4K 4R1
Name of Certifier
Cole Engineering Group Ltd.
Address of Certifier
70 Valleywood Drive, Markham, ON L3R 4T5

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

Countrywide at Victoria Square Inc., 1500 Highway #7, Concord, ON L4K 5Y4