Form ID

Publication date

Location of premises

Certificate

Project No.: 05026 Municipal Infrastructure Servicing Phase II

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Muskrat Dam First Nation
Address of Owner
Muskrat Dam, Ontario
Name of Contractor
NDL Construction Ltd.
Address of Contractor
83 Symington Lane, Box 53, Group 612 SS6, Winnipeg, Manitoba
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
301-200 S. Syndicate Ave., Thunder Bay, ON P7E 1C9

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

Grant Thornton Limited, 979 Alloy Drive, Thunder Bay, ON P7B 5Z8 Att