Form ID

Publication date

Location of premises

Certificate

Sewage Pumping Stations Retrofit as set out in the contract drawings and specifications prepared by Keewatin-Aski Ltd., dated September 30, 2009

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fort Albany First Nation
Address of Owner
P.O. Box 1, Fort Albany First Nation, ON P0L 1H0
Name of Contractor
Christie Mechanical Contractors Ltd.
Address of Contractor
7415 Highway #9, Caledon, ON L7K 0H5
Name of Certifier
Keewatin-Aski Ltd., Consulting Engineers
Address of Certifier
P.O. Box 510, Sioux Lookout, ON P8T 1A8

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

KeewatinAski Ltd., P.O. Box 510, Sioux Lookout, Ontario P8T 1A8