Form ID

Publication date

Location of premises

Certificate

Site Grading and Additional Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Claridge Homes (Cooper Street)m Inc.
Address of Owner
210 Gladstone Avenue, Suite 2001, Ottawa, ONK2P 0Y6
Name of Contractor
Taggart Construction Ltd.
Address of Contractor
3187 Albion Road South, Ottawa, ON K1V 8Y3
Name of Certifier
Cumming Cockburn Limited
Address of Certifier
1770 Woodward Drive, Ottawa, ON K2C 0P8

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

Claridge Homes (Cooper Street) Inc., 210 Gladstone Avenue, Suite 2001, Ottawa, ON K2P 0Y6 Attention