Form ID

Publication date

Location of premises

Certificate

Excavate/Haul Contaminated Soil

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Transportation - Ontario
Address of Owner
615 James St. South, Thunder Bay, ON
Name of Contractor
Sigfusson Northern Ltd.
Address of Contractor
Box 51, Lundar MB R0C 1Y0
Name of Certifier
Paul T. Himanen
Address of Certifier
1060 Gorham St., Thunder Bay, ON P7B 5X5

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Ave., Downsview, ON M3M 1J8