Form ID

Publication date

Location of premises

Certificate

Replace Copper Piping - Profac Project #2003-430172 Contract #7071

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, SNC-LAVALIN PROFAC Inc., 304 The East Mall,
Name of Contractor
E & S Mechanical Ltd.
Address of Contractor
12151 Albion Vaughan Road, Klienburg, ON
Name of Certifier
Ron Phillips
Address of Certifier
304 The East Mall, Suite 300, Etobicoke, ON M9B 6B7

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3