Form ID

Publication date

Location of premises

Certificate

Contract No. O 00-08 for the construction of storm sewers, sanitary sewers, sanitay service connections, watermains, water service connections, catch basins and connections, granular base course, asphalt pavement, concrete curb and gutter, concrete sidewalk and sodding at the following location: Lorraine Street (Johnson Ave. to Hillside Ave.) Hillside Avenue (Lorraine St. to Cubert St.) Crerar Avenue (Windsor St. to Guelph St.)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre St. S., Oshawa, ON L1H 3Z7
Name of Contractor
B.N. Fenton Construction Limited
Address of Contractor
71 Cigas Road, Courtice, ON L1E 2T2
Name of Certifier
M.J. Sims, P.Eng.
Address of Certifier
As above

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

Owner at above address