Form ID

Publication date

Location of premises

Certificate

Site Improvements (not including Paving and Boardwalk Works)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
North York Civic Centre, 5100 Yonge Street, 3rd Floor, Toron
Name of Contractor
Loc-Pave Construction
Address of Contractor
2816 Stouffville Road, Gormley, ON L0H 1G0
Name of Certifier
Ron Bernasch, OALA
Address of Certifier
20 Mural St., Unit 10, Richmond Hill, ON L4B 1K3

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

City of Toronto - Parks, Forestry & Recreation, North York Civic Centre, 5100 Yonge Street, 3rd Fl., Toronto, ON M2N 5V7