Form ID

Publication date

Location of premises

Certificate

Watermain and sewer construction for Contract PW-04-04 part B

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the Town of Carleton Place
Address of Owner
175 Bridge St., Carleton Place, ON K7C 2V8
Name of Contractor
Ottawa Greenbelt Construction Co. Ltd.
Address of Contractor
2615 Delzotto Ave., Ottawa ON K1T 3V6
Name of Certifier
Totten Sims Hubicki Associates Limited
Address of Certifier
1150 Morrison Dr., Suite 302, Ottawa, ON K2H 8S9

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

Corporation of the Town of Carleton Place, 175 Bridge St., Carleton Place, ON K7C 2V8