Form ID

Publication date

Location of premises

Certificate

FORM 7
SUBSECTION 33
(1) OF THE ACT
–â¶Ä“â¶Ä“â¶Ä“â¶Ä“â¶Ä“
This is to certify the completion of a subcontract for the supply of services or materials between
1. R & B Construction Services Inc., 13845 27th Side Road, Terra Cotta, ON L7C 1N8
2. Ciro Excavating & Grading Limited, 20 Hanlan Rd., Unit 22, Woodbridge, ON L4L 3P6
3. Columbia Drain & Concrete Contractors, 125 Wendell Avenue, Toronto, ON M9N 3K9
4. Beautiful Trees Inc., 25 William Avenue, Gormley, ON L0H 1G0
5. Kin - Lock Construction Ltd., 85 Brookside Avenue, Toronto, ON M6S 4G8
6. Authentic Windows & Doors, 20 Estate Drive, Scarborough, ON M1H 2Z1
7. Luton Construction, 4 Hawthorne Road, Toronto, ON M9R 1P1
8. Mur-Wall Concrete Forming, 50 Pippin Road, Unit 61, Concord, ON L4K 4M4
9. 16368210 Ontario Limited, 11960 Yonge Street, Richmond Hill, ON
10. Advanced Coating Inc., P.O. Box 670, Midland, ON L4R 4P4
11. Velcan Forest Products, 1181 Thornton Road South, Oshawa, ON L1J 8P4
12. 17³Ô¹ÏÍø Building Materials Company, 55 Industrial Street, Toronto, ON M4G 3W9
13. Urbacon Custom Homes, 5 Lower Sherbourne Street, #200, Toronto, ON M5A 2P3
and Urbacon Custom Homes Limited dated the 30th day of September 2006
The subcontract provided for the supply of the following services or materials to the following improvement:

1. Installation of Electrical Duct from property line to house
2. Excavation and backfill
3. Concrete finishing and u/g drainage
4. Clearing of all trees & shrubs
5. Rough carpentry & framing
6. Supply of Doors & Windows
7. Rough Carpentry
8. Foundations & concrete forms
9. Rough Carpentry
10. Thermal & moisture protection Water protection
11. Supply of lumber
12. Supply of concrete
13. Supply of labour and building materials

Participants

Name of Owner
Mr. Lewis Steinberg
Address of Owner
94 Forest Heights Blvd., Toronto, ON
Name of Contractor
Urbacon Custom Homes Limited
Address of Contractor
5 Lower Sherbourne Street, #200, Toronto, ON M5A 2P3
Name of Certifier
Wayne Swadron Architects
Address of Certifier
355 Eglinton Avenue West, Toronto, ON

Identification of Premises

Lots 1 - 5 Country Lanes, Toronto, Ontario

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

94 Forest Heights Blvd., Toronto, Ontario
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