Form ID

Publication date

Location of premises

Certificate

Contract No. O 04-08 for the replacement of concrete sidewalk slabs and curbs & gutters and for the permanent repair of utility cuts at the following location: Various Locations (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 Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Aloia Bros. Concrete Contractors Limited
Address of Contractor
1844 Dufferin St., Toronto, ON M6E 3P6
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