Form ID

Publication date

Location of premises

Certificate

Water mains, gravity sewer mains, sewage forcemains, two sewage lift stations, service lines and road/drainage works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
North Caribou Lake First Nation Band
Address of Owner
General Delivery Weagamow Lake, ON P0V 2Y0
Name of Contractor
NDL Construction Ltd.
Address of Contractor
Box 53, Grp 612 SS6, 83 Symington Lane, Winnipeg, MB R2C 2Z3
Name of Certifier
Keewatin-Aski Ltd., Consulting Engineers
Address of Certifier
PO Box 510, Sioux Lookout, ON P8T 1A8

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

Keewatin-Aski Ltd., PO Box 510, Sioux Lookout, ON P8T 1A8