Form ID

Publication date

Location of premises

Certificate

Concrete Curb & Sidewalk 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
Interpaving Limited.
Address of Contractor
76 Loach's Rd., Sudbury, Ont. P3E 2P7
Name of Certifier
Kevin Shaw, P. Eng
Address of Certifier
As Owner

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