Form ID

Publication date

Location of premises

Certificate

Staff Locker Room (AHU-4)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Niagara Health System
Address of Owner
5546 Portage Road, Niagara Falls, ON L2E 6X2
Name of Contractor
Superior Boiler Works & Welding Ltd
Address of Contractor
375 McNeilly Road, Stoney Creek, ON L8E 5H4
Name of Certifier
ARC Engineering Inc.
Address of Certifier
1100 South Service Road, Unit 417, Stoney Creek, ON L8E 0C5

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

Alain Boucher - 1200 Fourth Ave. St. Catharines, ON L2S 0A9