Form ID

Publication date

Location of premises

Certificate

Upgrade of street lighting standards

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in right of Ontario as represented by the Minister of Public Infrastructure Renewal
Address of Owner
Project Manager, SNC-Lavalin Profac Inc., 2 Gibbs Road, Etob
Name of Contractor
E.S. Fox Limited
Address of Contractor
209 Dalton Avenue, Kingston, ON K7K 6C2
Name of Certifier
Don De Groot, D.D.D.G. Engineering Services
Address of Certifier
253 Hudson Point Road, Elizabethtown, ON K6V 7E3

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3