Form ID

Publication date

Location of premises

Certificate

The construction of the new Fort Severn First Nation Temporary School, all as defined in the stipulated price contract of the project

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Fort Severn First Nation
Address of Owner
General Delivery, Fort Severn, ON P0V 1W0
Name of Contractor
NDL Construction Ltd.
Address of Contractor
83 Symington Lane, Box 53, Group 612 SS6, Winnipeg, Manitoba
Name of Certifier
Keewatin-Aski Ltd.
Address of Certifier
P.O. Box 510, Sioux Lookout, ON P8T 1A8

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

Keewatin-Aski Ltd., P.O. Box 510, Sioux Lookout, Ontario P8T 1A8
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