Form ID

Publication date

Location of premises

Certificate

Contract No. R-00-55 Asphalt Crack Sealing - all with appurtenant works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Orillia
Address of Owner
50 Andrew St. South, Orillia, ON L3V 7T5
Name of Contractor
Roadmaster Road Construction & Sealing Limited
Address of Contractor
200 Pellatt Ave., Weston, ON M9N 2P6.
Name of Certifier
S. Martinello P.Eng.
Address of Certifier
As owner.

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

Corporation of the City of Orillia, 50 Andrew Street South, Orillia, ON L3V 7T5