Form ID

Publication date

Location of premises

Certificate

Contract No. O99-13 for the construction of concrete sidewalks and concrete sidewalk ramps, various locations within the City of Oshawa.

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
Bennett Paving & Materials Limited.
Address of Contractor
1255 Wilson Road North, Box 305, Oshawa, Ont. L1H 7L3.
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

Address as owner.