Form ID

Publication date

Location of premises

Certificate

Holland Avenue Reconstruction Project Contract No. ISB03-5082

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
Ottawa Greenbelt Construction Co. Ltd.
Address of Contractor
2615 Delzotto Ave., Ottawa ON K1T 3V6
Name of Certifier
Richard Holder
Address of Certifier
as above

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