Form ID

Publication date

Location of premises

Certificate

Project # C2005-01, Watermain 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
Garson Pipe Contractors
Address of Contractor
1191 O’Neil Drive, Box 2130, Garson, ON P0M 1G0
Name of Certifier
Kevin Shaw, P. Eng.
Address of Certifier
same 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, Station A, Sudbury, ON P3A 5P3