Form ID

Publication date

Location of premises

Certificate

Contract A: Underground Services and Roads to Base Asphalt for Romsey-Fiston Holdings Limited.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Romsey-Fiston Holdings Limited.
Address of Owner
7501 Keele Street, Ste. 100, Concord, Ont. L4K 1Y2.
Name of Contractor
Niran Construction Ltd.
Address of Contractor
333 Humberline Drive, Rexdale, ON M9W 5X3
Name of Certifier
Masongsong Associates Engineering Limited.
Address of Certifier
1151 Denison Street, Unit 15, Markham, Ont. L3R 3Y4.

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

7501 Keele Street, Suite 100, Concord, Ont. L4K 1Y2.