Form ID

Publication date

Location of premises

Certificate

Culvert Replacement - Thirteen Locations Contract No. ISB06-7018

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa,
Name of Contractor
Goldie Mohr Ltd.
Address of Contractor
P.O. Box 29098, Nepean, ON K2J 4A9
Name of Certifier
Wojciech A. Gryz, P. Eng.
Address of Certifier
as owner

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

City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1