Form ID

Publication date

Location of premises

Certificate

Contract No. O 06-11 for the construction/replacement of concrete sidewalks and concrete sidewalk ramps

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Oshawa
Address of Owner
50 Centre Street South, Oshawa, ON L1H 3Z7
Name of Contractor
Fernview Construction Limited
Address of Contractor
P.O. Box 33, Bolton, ON L7E 5T1
Name of Certifier
M.J. Sims, P. Eng.
Address of Certifier
As above

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

Owner at above address
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