Form ID

Publication date

Location of premises

Certificate

All TOW120 Contract Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Port Mark Investments Ltd.
Address of Owner
1 Bradwick Dr., Suite 1 & 2, Concord, ON L4K 2T4
Name of Contractor
Lomco Limited
Address of Contractor
P.O. Box 2 Station Main, 16388 Kennedy Road, Newmarket, ON L
Name of Certifier
The MBTW Group
Address of Certifier
255 Wicksteed Avenue, Unit 1A, Toronto, ON M4H 1G8

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

1 Bradwick Dr., Suite 1 & 2, Concord, ON L4K 2T4