Form ID

Publication date

Location of premises

Certificate

Contract Number SWM-00-53 Champlain Business Park Land Preparation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Orillia.
Address of Owner
50 Andrew Street South, 3rd Floor, Orillia, ON L3V 7T5.
Name of Contractor
Darpak (Division of 1146321 Ont.)
Address of Contractor
PO Box 941, 212 Industrial Road, Stayner, ON L0M 1S0
Name of Certifier
Scott Jutzi, P.Eng.
Address of Certifier
As owner.

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

City of Orillia, 50 Andrew Street South, 3rd Floor, Orillia, ON L3V 7T5.