Form ID

Publication date

Location of premises

Certificate

Culvert Replacement on Farmer’s Way Road, Structure No. 2790 & 2798, Contract No. ISB02-7011

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, City of Ottawa, 110 Laurier Ave. West, Ottawa, O
Name of Contractor
Dalcon Enterprises Limited
Address of Contractor
5630 Doncaster Road, Ottawa, ON K1G 3N4
Name of Certifier
Wojciech Gryz, 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 Ave. West, Ottawa, ON K1P 1J1