Form ID

Publication date

Location of premises

Certificate

Upgrade Pool Mechanical

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, Tempest Management Corp., 304 The East Mall
Name of Contractor
Gall Construction o/a Acapulco Pools
Address of Contractor
1550 Victoria St. North, Kitchener, ON N2B 3E2
Name of Certifier
Howard Crummer
Address of Certifier
900 Highbury Avenue North, London, ON N5Y 1A4

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