Form ID

Publication date

Location of premises

Certificate

Contract No. ETL01-6032 Trim Road Carpool Lot

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Ottawa
Address of Owner
City Clerk, 110 Laurier Avenue West, Ottawa, ON K1P 1J1
Name of Contractor
Dibblee Paving & Materials Ltd
Address of Contractor
P.O. Box 11068, Ottawa, ON K2H 7T5
Name of Certifier
M.J. Richards, P.Eng.
Address of Certifier
As owner

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

City of Ottawa, City Clerk, 110 Laurier Ave. W., Ottawa, ON K1P 1J1