Form ID

Publication date

Location of premises

Certificate

1999 Safety Improvement Programme, Contract No. ETL99-5013.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Ottawa-Carleton.
Address of Owner
Regional Clerk, Region of Ottawa-Carleton, 111 Lisgar Street
Name of Contractor
O'Leary's Limited.
Address of Contractor
3200 Rideau Road, Ottawa, Ont. K1G 3N4.
Name of Certifier
Jamal Toeg, P.Eng.
Address of Certifier
As owner.

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

Regional Clerk, Region of Ottawa-Carleton, 111 Lisgar Street, Ottawa, ON K2P 2L7.