Form ID

Publication date

Location of premises

Certificate

Culvert Replacements - Structure No’s. 8750 & 1833 Contract No. ISB03-7008

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
Willis Kerr Contracting Ltd.
Address of Contractor
R.R. #2, Mountain, ON K0E 1S0
Name of Certifier
Wojciech A. Gryz, P.Eng.
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