Form ID

Publication date

Location of premises

Certificate

Hot-In-Place Asphalt Surface Rehabilitation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay.
Address of Owner
Victoriaville Civic Centre, 111 Syndicate Ave. S., Thunder B
Name of Contractor
Hot In Place Recycling Equipment Inc.
Address of Contractor
85 Passmore Avenue, Agincourt, ON M1S 3B6
Name of Certifier
Rick Harms, P. Eng.
Address of Certifier
Victoriaville Civic Centre, 111 Syndicate Ave. S., Thunder B

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

Victoriaville Civic Centre, 111 Syndicate Ave. South, Thunder Bay, Ontario P7C 5K4.