Form ID

Publication date

Location of premises

Certificate

Office Addition (base building only - no interior layouts)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Prodomax Automation Inc.
Address of Owner
455 Welham Rd., Barrie, ON L4N 8Z6
Name of Contractor
Bertram Construction & Design Ltd.
Address of Contractor
25 George St., Barrie, ON L4M 2G5
Name of Certifier
Gerrits Engineering
Address of Certifier
231 Bayview Dr., Suite 303, Barrie, ON L4N 4Y5

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

Owner, address as above