Form ID

Publication date

Location of premises

Certificate

Remediation Site Improvements - Building Upgrades, Known as Contract No. 3, Project No. 05-0007

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of the Environment - West Central Regional Office
Address of Owner
Ellen Fairclough Building, 119 King Street W., 12th Floor, H
Name of Contractor
Abcott Construction Limited
Address of Contractor
124 Garden Avenue, Brantford, ON N3S 7W4
Name of Certifier
Geoff Burn, P. Eng.
Address of Certifier
Associated Engineering (Ont.) Limited, Suite 208 110A Hannov

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

Project Manager, Engineering Services, Ontario Clean Water Agency, One Yonge Street, Suite 1700, Toronto, ON M5E 1E5