Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Hard-Co Construction Ltd.
Address of Contractor
625 Conlin Road, Whitby, ON L1R 2W8
Name of Certifier
Anthony Ambra, Director of Engineering Services
Address of Certifier
As above

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

Owner at above address