Form ID

Publication date

Location of premises

Certificate

Boiler replacement and heating alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Niagara Health System
Address of Owner
Welland General Hospital Site, 65 Third Street, Welland, ON
Name of Contractor
Lincoln Mechanical Contractors
Address of Contractor
P.O. Box 1177, St. Catharines, ON L2R 7A7
Name of Certifier
Peninsula Engineering Inc.
Address of Certifier
45 Hanover Drive, U#2, St. Catharines, ON L2W 1A3

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

Niagara Health Systems, Welland General Hospital Site, 65 Third Street, Welland, ON L3B 4W6