Form ID

Publication date

Location of premises

Certificate

Grinding and resurfacing of the asphalt roadway including necessary excavations, removal and replacing of deficient concrete curbs and sidewalks, road base repairs, utility cut repairs, intersection improvements, minor road widenings, replacement or cut back of concrete medians and traffic islands, catchbasins and connections, relocation or installation of pole bases, handwells and electrical ducts, tree planting and boulevard restorations with asphalt and sod

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Toronto, Technical Services, North York District
Address of Owner
5100 Yonge Street, 4th Floor, North York, ON M2N 5V7
Name of Contractor
Fermar Paving Limited
Address of Contractor
1921 Albion Road, Rexdale, ON M9W 5S8
Name of Certifier
Susan Samuel, P. Eng.
Address of Certifier
as owner

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

City Clerk City of Toronto, Toronto City Hall, 2nd Floor West, 100 Queen Street West, Toronto, Ontario M5H 2N2
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