Form ID

Publication date

Location of premises

Certificate

Project No. ISD16-3019

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
In-Depth Contracting; 1457478 Ontario Inc.
Address of Contractor
137 Willowlea Road, Carp, ON K0A 1L0
Name of Certifier
Ian Izzard, P. Eng.
Address of Certifier
as owner

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

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