Form ID

Publication date

Location of premises

Certificate

Grassroots - Civil Concrete Work - Contract No. 971C-40-5-102-Y-007

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Suncor
Address of Owner
Sarnia Refinery, Sarnia, ON
Name of Contractor
Cope Construction & Contracting Inc.
Address of Contractor
P.O. Box 430, Sarnia, ON N7T 7J2
Name of Certifier
Bantrel Co.
Address of Certifier
5925 Airport Rd., Mississauga, ON L4V 1W1

Identification of Premises

Suncor Energy Products Inc., Sarnia Refinery, 1900 River Road, P.O. Box 307, Sarnia, Ontario N7T 7J3

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

Suncor Energy Products Inc., Sarnia Refinery, 1900 River Road, P.O. Box 307, Sarnia, Ontario N7T 7J3