Form ID

Publication date

Location of premises

Certificate

Resurfacing, Storm and Sanitary Sewers

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services, Etobicoke York District
Address of Owner
399 The West Mall, North Block, 3rd Floor, Etobicoke, ON M9C
Name of Contractor
Pave-Al Limited
Address of Contractor
1250 Shawson Drive, Mississauga, ON L4W 1C3
Name of Certifier
Ed Yathindra, P.Eng., Senior Project Engineer
Address of Certifier
as owner

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 Queens Street West, Toronto, ON M5H 2N2