Form ID

Publication date

Location of premises

Certificate

Contract No. O 06-09 for the construction of granular base course, hot mix asphalt, concrete curb & gutter, concrete sidewalk and sodding

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
Sartor and Susin (1990) Limited
Address of Contractor
67 Rodinea Road, Unit 1A, Maple, ON L6A 1R3
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