Form ID

Publication date

Location of premises

Certificate

Contract No. O 03-01 for the placement of surface asphalt pavement, concrete curb & gutter and sodding and for the resurfacing of roads, including curb & gutter and sidewalk repair

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
Warren Bitulithic Limited
Address of Contractor
Box 305, 1255 Wilson Rd N., Oshawa, ON L1H 7L3
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