Form ID

Publication date

Location of premises

Certificate

Underground Storage Tank Replacement

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
Claybar Contracting Inc.
Address of Contractor
424 MacNab Street, Dundas, ON L9H 2L3
Name of Certifier
Bob Clermont
Address of Certifier
One Stone Road West, Guelph, ON N1G 4Y2

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