Form ID

Publication date

Location of premises

Certificate

Permanent Repairs to Utility Cuts (Ward No’s 16, 25, 26, 34)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto - North District
Address of Owner
Works & Emergency Services, Transportation Services 5100
Name of Contractor
A&F DiCarlo Construction Ltd.
Address of Contractor
3883 Hwy 7 West Suite 203, Woodbridge, ON L4L 6C1
Name of Certifier
Trevor Tenn, Manager, Road Operations, North District
Address of Certifier
5100 Yonge Street, North York, ON M2N 5V7

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

City Clerk Metro Hall, 55 John St., 7th Floor, Toronto, ON M5V 3C6