Form ID

Publication date

Location of premises

Certificate

to provide all labour, materials, tools, equipment and supervision required to complete interior alterations.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Bank of Nova Scotia.
Address of Owner
44 King Street West, Toronto, ON M5H 1H1.
Name of Contractor
HN Construction Limited.
Address of Contractor
1270 Finch Avenue West, Unit #11, Toronto, ON M3J 2E4.
Name of Certifier
Tangram Architect Inc.
Address of Certifier
60 Truman Rd., North York, ON M2L 2L6.

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

The Bank of Nova Scotia, 44 King Street West, Toronto, ON M5H 1H1.