Form ID

Publication date

Location of premises

Certificate

Road Rehabilitation City of Ottawa - Project 01C-3418

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The
Name of Contractor
Ottawa Greenbelt Construction Co. Ltd.
Address of Contractor
2615 Del Zotto Ave., Ottawa ON K1T 3V6
Name of Certifier
Jamie MacDonald
Address of Certifier
The Corporation of the City of Ottawa, 6th Floor, 560 Roches

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

Same as above