Form ID

Publication date

Location of premises

Certificate

Grey’s Creek municipal drain bridge replacement option (Section) A: Corrugate steel box culvert, Contract No. ISB05-7004

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
110 Laurier Avenue West, Ottawa, ON K1P 1J1
Name of Contractor
Goldie Mohr Ltd.
Address of Contractor
P.O. Box 29098, Nepean, ON K2J 4A9
Name of Certifier
Abdol Nouraeyan, P. Eng.
Address of Certifier
Same as owner

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

City Clerk, City of Ottawa 110 Laurier Avenue West, Ottawa, ON K1P 1J1