Form ID

Publication date

Location of premises

Certificate

Repair and renovation of storm drainage system, exterior masonry and flat roofing

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in the right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, Tempest Management Corp., 304 The East Mall
Name of Contractor
Lanca Contracting Limited.
Address of Contractor
10 Plant Farm Blvd., Brantford, ON N3S 7W3
Name of Certifier
Stuart Macdonald
Address of Certifier
1 Stone Road West (First Floor) Guelph, ON N1G 4Y2

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

Senior Vice President Operations, Tempest Management Corporation, 304 The East Mall, Suite 300, Etobicoke, ON M9B 6E2