Form ID

Publication date

Location of premises

Certificate

Contract No. 4, 2002 Sidewalk Replacements & Traffic Signals

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of Thunder Bay
Address of Owner
111 Syndicate Ave. S., Thunder Bay, ON P7C 5K4
Name of Contractor
Makkinga Contracting & Equipment Rentals, 1204626 Ont. Inc.
Address of Contractor
570 Squier Place, Thunder Bay, ON P7B 6M6
Name of Certifier
Rick Harms, P. Eng.
Address of Certifier
City of Thunder Bay, 111 Syndicate Ave. S., Thunder Bay, ON

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

City of Thunder Bay, as above