Form ID

Publication date

Location of premises

Certificate

ONR Water Crossing at Trout Lake Road and Lakeside Drive Intersection KMK Project No. 2625

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of North Bay
Address of Owner
200 McIntyre St. East, P.O. Box 360, North Bay, ON P1B 8H8
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
Hwy 11 & 65 West, P.O. Box 2409, New Liskeard, ON P0J 1P
Name of Certifier
KMK Consultants Limited
Address of Certifier
1 Station Rd., Unit 2, Cobalt, ON P0J 1C0

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

Office of the City Clerk - Corporation of the City of North Bay, 200 McIntyre St. East, P.O. Box 360, North Bay, ON P1B 8H8