Form ID

Publication date

Location of premises

Certificate

Asphaltic Overlay on The Transitway System Contract No. ISD10-5008

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
Karson Konstruction
Address of Contractor
3725 Carp Rd., PO Box 264, Carp, ON K0A 1L0
Name of Certifier
Steven Forestell
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