Form ID

Publication date

Location of premises

Certificate

Culvert Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The City of Greater Sudbury
Address of Owner
P.O. Box 5000, Station “A”, Sudbury, ON P3A 5P3
Name of Contractor
R.M. Belanger Construction Ltd.
Address of Contractor
Box 160 Radisson Avenue, Chelmsford, ON P0M 1L0
Name of Certifier
Kevin Shaw, P. Eng.
Address of Certifier
The City of Greater Sudbury

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

The Clerk, The City of Greater Sudbury, P.O. Box 5000, Stn A, Sudbury, ON P3A 5P3