Form ID

Publication date

Location of premises

Certificate

Asbestos Removal

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represted by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, PROFAC Facilities Management Services Inc.,
Name of Contractor
Wayne & Harold Smith Construction Limited
Address of Contractor
55 Birch Street Seaforth, ON
Name of Certifier
John Gammage
Address of Certifier
900 Highbury Avenue, London, ON N5Y 1A4

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

The Chief Executive Officer Ontario Realty Corporation, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3