Form ID

Publication date

Location of premises

Certificate

Contract No. ETL00-3060 Carlsbad Springs Water Supply Extension Farmer’s Way from 8th Line to 9th Line Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
110 Laurier Ave. W., Ottawa, ON K1P 1J1
Name of Contractor
Louis W. Bray Construction Limited
Address of Contractor
St. Andrews West, ON K0C 2A0
Name of Certifier
Mark E. J. Surtees P.Eng. (Project Manager)
Address of Certifier
1 River St., Lemieux Island WPP Ottawa, ON K1Y 2C4

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

City of Ottawa, 110 Laurier Avenue West, Ottawa, ON K1P 1J1