Form ID

Publication date

Location of premises

Certificate

Site Servicing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Bellagio Development Corporation
Address of Owner
85 Scarsdale Road, Suite 200, Don Mills, ON M3B 2R2
Name of Contractor
Tacc Construction Ltd.
Address of Contractor
270 Chrislea Road, Woodbridge, ON L4L 8A8
Name of Certifier
Cosburn Patterson Mather Limited
Address of Certifier
7270 Woodbine Avenue, Suite 300, Markham, ON L3R 4B1

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

Bellagio Development Corporation, 85 Scarsdale Road, Suite 200, Don Mills, Ontario