Form ID

Publication date

Location of premises

Certificate

Contract No. O 04-12 for the construction of concrete sidewalks, ramps and bus pads at the following location: Harmony Road North (Beatrice St. E. to Grand Ridge Dr.) Pentland Street (0 to 65m west of Ritson Rd N) Adelaide Avenue East (Blue Heron Dr. to Fleetwood Dr.) various ramp and bus pad locations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Warren Bitulithic Limited
Address of Contractor
1255 Wilson Rd N.,
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