Form ID

Publication date

Location of premises

Certificate

Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Thunder Bay
Address of Owner
111 Syndicate Ave. S., PO Box 800, Thunder Bay, ON P7C 5K4
Name of Contractor
Potvin-Scott Contractors Ltd.
Address of Contractor
820 Montreal Street, Thunder Bay, ON P7E 6P8
Name of Certifier
Lynx North Engineering Inc.
Address of Certifier
200 Johnson Ave., Thunder Bay P7B 6C3

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

City of Thunder Bay Engineering, 111 Syndicate Ave. S., Box 800, Thunder Bay, ON P7C 5K4