Form ID

Publication date

Location of premises

Certificate

Contract No. O 01-03 for the construction of storm sewers, sanitary sewers, sanitary service connections, water service connections, catch basins and connections, granular base course, asphalt pavement, concrete curb & gutter and sodding at the following location: Wilson Road North (270 m to 530 m north of Kelly Avenue)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Pentad Construction Limited
Address of Contractor
80 Roysun Road, Unit 10, Woodbridge, ON L4L 8L8
Name of Certifier
M.J. Sims, P.Eng.
Address of Certifier
As above

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

Owner at above address