Form ID

Publication date

Location of premises

Certificate

Contract No. ISD17-7069 - Emergency Culvert Replacement of Anderson Road (SN 228410)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Avenue West, Ottawa,
Name of Contractor
Goldie Mohr Ltd.
Address of Contractor
3862 Moodie Drive, Nepean, ON K2H 7V2
Name of Certifier
Lei Gong, PhD, P.Eng.
Address of Certifier
Same as Owner

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

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