Form ID

Publication date

Location of premises

Certificate

Contract No. 17 111 14142 Cooksville Stormwater Management Facility #3702 (Excluding Asphalt Pathway)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga
Address of Owner
201 City Centre Drive, Suite 800, Mississauga, ON L5B 2T4
Name of Contractor
EBC Inc.
Address of Contractor
5945 Airport Road, Suite 195, Mississauga, ON L4V 1R9
Name of Certifier
Wayne Song, P. Eng.,
Address of Certifier
201 City Centre Drive, Suite 800, Mississauga, ON L5B 2T4

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

City of Mississauga Clerk's Department, 300 City Centre Drive, Mississauga, ON L5B 3C1