Form ID

Publication date

Location of premises

Certificate

Contract No. TO9983WS Part A.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto.
Address of Owner
2700 Eglinton Ave. W., Toronto, ON M6M 1V1.
Name of Contractor
R. Galati Contracting Ltd.
Address of Contractor
955 Roselawn Ave., Toronto, ON M6B 1B6
Name of Certifier
Chi Ng, P.Eng. - Districts 1 & 2.
Address of Certifier
As owner.

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

City of Toronto.