Form ID

Publication date

Location of premises

Certificate

Contract No. EB9901WS Services Installation and miscellaneous works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto
Address of Owner
York Civic Centre, 2700 Eglinton Ave. West, Toronto, ON M6M
Name of Contractor
Co-X-Co Construction Limited
Address of Contractor
1014 Martingrove Road, Etobicoke, ON M9W 4V8
Name of Certifier
Chi Ng, P.Eng.
Address of Certifier
as owner

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

City of Toronto