Form ID

Publication date

Location of premises

Certificate

Rehabilitation of the existing Highway 27 Bridge over Humber River, south of Finch Avenue West, including: deck repair, approach slab replacement, partial ballast wall replacement, parapet wall and sidewalk replacement elimination of expansion joints between sidewalks and asphalt resurfacing (Contract 03FS-08S)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto Attention: Mr. Allan Ma, P. Eng., Project Engineer
Address of Owner
Works and Emergency Services, Station 1180, 20th Floor, 55 J
Name of Contractor
Belor Construction Ltd.
Address of Contractor
6625 Kitimat Road, Unit 46, Mississauga, ON L5N 6J1
Name of Certifier
Mr. Dave Smith, r.c.c.a. c/o Morrison Hershfield Ltd.
Address of Certifier
235 Yorkland Blvd., Suite 600, Toronto, ON M2J 1T1

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

as above