Form ID

Publication date

Location of premises

Certificate

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
Vanson Construction Limited
Address of Contractor
5545 Albion Rd., Ottawa ON K1X 1A2
Name of Certifier
Hugh MacDonald, Robinson Consultants Inc.
Address of Certifier
350 Palladium Drive, Kanata, ON K2V 1A8

Identification of Premises

City of Ottawa

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

110 Laurier Ave. West, Ottawa, ON K1P 1J1