Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
100 Constellation Drive, Ottawa, ON K2G 6J8
Name of Contractor
Coco Paving Inc.
Address of Contractor
994 Moodie Drive, Ottawa, ON K2R 1H3
Name of Certifier
McIntosh Perry Consulting Engineers
Address of Certifier
115 Walgreen Road R. R. 3, Carp, ON K0A 1L0

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

City Clerk and Solicitor Department, City of Ottawa, 110 Laurier Ave. West, Ottawa, ON K1P 1J1