Form ID

Publication date

Location of premises

Certificate

Contract #4 Sewer and Watermain Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Thunder Bay
Address of Owner
111 Syndicate Avenue South
Name of Contractor
Nadin Contracting Ltd.
Address of Contractor
101 Fortune St., Thunder Bay, ON P7B 6R8
Name of Certifier
Brian Newman
Address of Certifier
City of Thunder Bay, 200 S. Syndicate Ave., Thunder Bay, ON

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

City of Thunder Bay, 200 S. Syndicate Ave., Thunder Bay, ON P7E 1C9