Form ID

Publication date

Location of premises

Certificate

Rehabilitation of the existing Addington Ave. Bridge Over Ravine (Contract 10FS-31S)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Attention: Mr. Mike Laidlaw P.Eng., Manager of Structures & Expressways
Address of Owner
Technical Services Station 1180, 20th Floor, 55 John Street,
Name of Contractor
Anscon Contracting Inc.
Address of Contractor
17 Oakland Ave., Toronto, ON M9M 2H9
Name of Certifier
Christopher Loader, P.Eng. c/o AECOM
Address of Certifier
105 Commerce Valley Drive West, Markham, ON L3T 7W3

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

As above