Form ID

Publication date

Location of premises

Certificate

All labour, materials, equipment and services necessary for the construction, completion and commissioning of the Fort Severn Watermain Extension 2003 Project

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fort Severn First Nation
Address of Owner
P.O. Box 149, Fort Severn, ON P0V 1W0
Name of Contractor
United General Contracting Ltd.
Address of Contractor
927 Alloy Drive, Thunder Bay, ON P7B 5Z8
Name of Certifier
Keewatin-Aski Ltd.
Address of Certifier
61 Queen St., P.O. Box 510, Sioux Lookout, ON P8T 1A8

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

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