Form ID

Publication date

Location of premises

Certificate

Intersection Modifications Regional Road 174/Jeanne d’Arc Boulevard Interchange Contract No. ETL00-6041

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Ottawa-Carleton
Address of Owner
Regional Clerk, Region of Ottawa-Carleton, 111 Lisgar Street
Name of Contractor
Beaver Road Builders Ltd.
Address of Contractor
3500 Rideau Road, Gloucester, ON K1G 3N4.
Name of Certifier
Brian Wadden
Address of Certifier
111 Lisgar Street, Ottawa, ON K2P 2L7

Identification of Premises

In the City of Gloucester: Lot 6, Concession1, Ottawa Front

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

Regional Clerk, Region of Ottawa-Carleton, 111 Lisgar Street, Ottawa, ON K2P 2L7