Form ID

Publication date

Location of premises

Certificate

Playground, Ball Diamond, Asphalt Pathways, Site Furnishings

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington
Address of Owner
City Hall, 426 Brant Street, P.O. Box 5013, Burlington, ON L7R 3Z6
Name of Contractor
Ciccarelli Contractors Inc.
Address of Contractor
807 Garner Road East, Ancaster, ON L9G 3K9
Name of Certifier
The MBTW Group
Address of Certifier
255 Wicksteed Ave., Unit 1A, Toronto, ON M4H 1G8

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

City Hall, 426 Brant Street, P.O. Box 5013, Burlington, ON., L7R 3Z6