Form ID

Publication date

Location of premises

Certificate

Contract No. O 00-01 for the placement of surface asphalt pavement concrete curb & gutter and sodding and for the in-place processing of asphalt pavement grading and paving and for the resurfacing of roads including concrete curb and gutter and concrete sidewalk at various streets (within the City of Oshawa

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre St. S., Oshawa, ON L1H 3Z7
Name of Contractor
Furfari Paving Company Limited
Address of Contractor
1159 Tapscott Rd., Scarborough, ON M1X 1S9
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