Form ID

Publication date

Location of premises

Certificate

Contract 10, 2010 - Darrell Avenue Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
500 Donald Street East, Thunder Bay, ON P7E 5V3
Name of Contractor
1204626 Ontario Inc. o/a Makkinga Contracting & Equipment Rentals
Address of Contractor
570 Squier Place, Thunder Bay, ON P7B 6M2
Name of Certifier
Rick Harms, P.Eng, Project Engineer
Address of Certifier
500 Donald Street East, Thunder Bay, ON P7E 5V3

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

500 Donald Street East, Thunder Bay, ON P7E 5V3, Attention