Form ID

Publication date

Location of premises

Certificate

Cooling Tower Replacement

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
E.S. Fox Limited
Address of Contractor
9127 Montrose Road, Niagara Falls, ON
Name of Certifier
Duaine Bell
Address of Certifier
One Stone Road West, Guelph, ON

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