Form ID

Publication date

Location of premises

Certificate

Installation of a new fuel oil distribution system, including installation of new above ground, self contained storage tank, new containment ring and related equipment, fencing, underground distribution piping, pumps, alarms, controls, new day tank and shed enclosure, as well and the decommissioning of existing exterior above ground storage tank, fuel transfer piping (including underground piping) and related equipment

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fort Albany First Nation
Address of Owner
PO Box 1, Fort Albany, ON P0L 1H0
Name of Contractor
M.J. Fraser Electric Ltd.
Address of Contractor
R.R. #16, Hazelwood Drive, Thunder Bay, ON P7B 6B3
Name of Certifier
Keewatin-Aski Ltd.
Address of Certifier
61 Queen Street, 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