Form ID

Publication date

Location of premises

Certificate

Contract #: T19-001 Road Rehabilitation Kirby Road, Crofters Area and McKenzie Street

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Vaughan
Address of Owner
City of Vaughan, 2141 Major Mackenzie Drive, Vaughan, ON L6A 1T1
Name of Contractor
Forest Contractors Ltd.
Address of Contractor
240 Chrislea Road, Vaughan, ON L4L 8V1
Name of Certifier
Mohammad Kashani, Project Manager, Infrastructure Delivery
Address of Certifier
City of Vaughan, 2141 Major Mackenzie Drive, Vaughan, ON L6A 1T1

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

City of Vaughan, Clerk's Department (Same address as above)