Form ID

Publication date

Location of premises

Certificate

Neil Way Sewer Storage Tank. Contract No. 10906-91381-T04

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
Black & McDonald
Address of Contractor
2460 Don Reid Dr., Ottawa ON K1H 8P5
Name of Certifier
Dave Darch, P. Eng.
Address of Certifier
Same 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