Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Nepean
Address of Owner
101 Centrepointe Drive Nepean, ON K2G 5K7
Name of Contractor
Waterdon Construction Ltd.
Address of Contractor
21 Antares Drive, Unit 116, Nepean, Ont. K2E 7T8
Name of Certifier
Peter Darwish Architect
Address of Certifier
10 Castlethorpe cres., NEpean, ON K2G 5P5

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

City of Nepean, 101 Centrepointe Drive Nepean, ON K2G 5K7