Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Orillia
Address of Owner
Orillia City Centre, 50 Andrew Street South, 3rd Floor, Orillia, ON L3V 7T5
Name of Contractor
Nationwide Paving Ltd.
Address of Contractor
119 Via Teodoro, Woodbridge, ON L4H 0X7
Name of Certifier
Jeff Hunter, BA, C.Tech Manager of Construction and Transit
Address of Certifier
Same as Owner

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

City of Orillia, Orillia City Centre, 50 Andrew Street South, Suite 300, Orillia, ON, L3V 7T5