Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Ottawa-Carleton
Address of Owner
800 Green Creek Drive, Gloucester, ON K1J 1A6
Name of Contractor
Vanson Construction Ltd.
Address of Contractor
5545 Albion Rd., Gloucester, ON K1X 1A2
Name of Certifier
Conestoga-Rovers & Associates Limited
Address of Certifier
179 Colonnade Road, Suite 400, Nepean, ON K2E 7J4

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

Region of Ottawa-Carleton