Form ID

Publication date

Location of premises

Certificate

Road Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Urbandale Corporation
Address of Owner
2193 Arch Street, Ottawa, ON K1G 2H5
Name of Contractor
Tarcon Ltd.
Address of Contractor
5597 Power Road Gloucester, ON K1G 3N4
Name of Certifier
Dillon Consulting Limited
Address of Certifier
500-1900 City Park Drive, Gloucester, ON K1J 1A3

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

City of Ottawa, City Clerk, 110 Laurier Ave. W., Ottawa, ON K1P 1J1