Form ID

Publication date

Location of premises

Certificate

PCB Ballast Collection, Transportation and Disposal Project No.: F23036

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario represented by the Chair of Management Board Secretariat
Address of Owner
Jim Fraser Facility Services GTA, Ontario Realty Corporation
Name of Contractor
Green - Port Environmental Managers Ltd.
Address of Contractor
16 Melaine Drive, Brampton, ON L6T 4K9
Name of Certifier
Jim Fraser Project Manager, GTA Facility Services, Ontario Realty Corporation
Address of Certifier
10th Floor, Ferguson Block, 77 Wellesley Street W., Toronto,

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, Ferguson Block, 11th Floor, Toronto, ON M7A 1N3.