Form ID

Publication date

Location of premises

Certificate

Contract No. O98-14 for the construction of storm sewers, sanitary sewers, sanitary service connections, watermains, water service connections, catchbasins and connections, granular base course, asphaltic concrete pavement, concrete sidewalks, concrete curb and gutter and sodding at the following location: Masson Street (south limits to Aberdeen Street).

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
Hollingworth Construction Company.
Address of Contractor
Box 424, 41 Cardico Drive, Gormley, Ont. L0H 1G0.
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.