Form ID

Publication date

Location of premises

Certificate

Supply and Place Storm & Sanitary Sewers, Watermains, House Services, Roads to Base Course Asphalt. Basement Excavations & Grading

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Sandpiper Limited
Address of Owner
50 Oasis Private, Ottawa, ON K1K 4X4
Name of Contractor
H. Ken Brown Excavation
Address of Contractor
38 Cleopatra Drive, Ottawa, ON K2G 0B3
Name of Certifier
IBI Group
Address of Certifier
333 Preston Street, Suite 400, Ottawa, ON K1S 5N4

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

Sandpiper Limited, 50 Oasis Private, Ottawa, ON K1K 4X4 Attention