Form ID

Publication date

Location of premises

Certificate

Contract No. 17 111 05100, 2005 Roadway Resurfacing - Phase II

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Mississauga
Address of Owner
3185 Mavis Rd., Mississauga, ON L5C 1T7
Name of Contractor
Furfari Construction Co. Ltd.
Address of Contractor
165 Greenbrooke Drive, Woodbridge, ON L4A 8L1
Name of Certifier
D. Breuer, P.Eng.
Address of Certifier
3185 Mavis Road, Mississauga, ON L5C 1T7

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

City of Mississauga - Clerks Department, 300 City Centre Drive, Mississauga, ON L5B 3C1