Form ID

Publication date

Location of premises

Certificate

Exterior Insulation & Cladding System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Urbandale Corporation
Address of Owner
2193 Arch Street, Ottawa, ON K1G 2H5
Name of Contractor
Platston 2000 Ltd.
Address of Contractor
83-5460 Canotek Road, Ottawa, ON K1J 9G8
Name of Certifier
Roger Tuttle, Construction Manager
Address of Certifier
2193 Arch Stret, Ottawa, ON K1G 2H5

Identification of Premises

2231 and 2247 Walkley Road, Ottawa, ON

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

Urbandale Corporation, 2193 Arch Street, Ottawa, ON K1G 2H5