Form ID

Publication date

Location of premises

Certificate

Water Main Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
Metro Hall, 20th Floor, 55 John Street, Toronto, ON M5V 3C6
Name of Contractor
614128 Ontario Ltd. o/a Trisan Construction
Address of Contractor
Highway 27, Schomberg, ON L0G 1T0
Name of Certifier
Donald A. Hull, Senior Contract Administrator
Address of Certifier
R.V. Anderson Associates Limited, 2001 Sheppard Avenue East,

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

City of Toronto, Clerk's Office, Toronto City Hall, 10th Floor, West Tower,100 Queen Street West, Toronto, ON M5H 2N2