DECLARATION

FROM : EMPLOYEE'S FIRST NAME AND GIVEN NAME Raynan Siapno

Chavas, EMPLOYEE'S ADDRESS223 Third St. West, Cornwall,
Ontario, (Québec) K6J 0B6POSTAL CODE;

(hereafter « the employee »);

WHEREAS throughout the pandemic caused by the coronavirus disease COVID-19

(hereafter « COVID-19 »), every person in Canada, including temporary foreign
workers, must comply with requirements set out in applicable laws, regulations and
orders in Council and with the Government of Canada and the Government of Québec
most recent directives;

WHEREAS every person who enters Canada, including temporary foreign workers,
must quarantine himself or isolate himself for fourteen (14) days (hereafter “initial
period of quarantine or isolation”);

WHEREAS the employee arrived in Canada on DATE March 17th, 2021 in order to
work for OLYMEL S.E.C., PLANT'S NAMECornwall, PLANT'S ADDRESS2330
Industrial Park Drive, Cornwall, (PROVINCEOntario,) POSTAL CODEK6H 7N1
(hereafter “the employer”);

THE EMPLOYEE RECOGNIZES THAT :

1. The employee commits to fulfill the following obligations :

a) read the information provided by the employer on the day of his arrival in
Canada regarding the COVID-19 and any other documentation on this topic
provided by the employer during his employment;

b) comply, at any time, with the obligations set out the applicable laws,
regulations and orders in Council and with the Government of Canada and
the Government of Québec most recent directives, including the initial
period of quarantine or isolation;

c) monitor, at any time, if he develops any symptom of COVID-19 which

include cough, fever and difficulty breathing;

d) immediately notify the employer and his co-tenants, if any, if he develops

symptoms of COVID-19 or believes he was exposed to someone suffering
from COVID-19;

e) follow the public health authorities’ instructions if he becomes ill;

f) during the initial period of quarantine or isolation, remain in his place of

residence or any other temporary accommodation and maintain physical
distancing of two (2) metres from his co-tenants, if any;
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g) continue to practice physical distancing after the initial period of quarantine

or isolation and consider the use of a mask or face covering when he
cannot maintain physical distancing of two (2) meters from others, based
on the public health authorities’ instructions.

2. The employee acknowledges that the employer provided him, on the day of his
arrival, the following documents :documents:

a) Self-Care Guide - COVID-19 by the Government of Québec;

b) Coronavirus disease (COVID-19) - Mandatory quarantine by the Public

Health Agency of Canada;

c) Coronavirus disease (COVID-19) – Mandatory isolation by the Public

Health Agency of Canada;

d) Help reduce the spread of COVID19 by the Public Health Agency of

Canada;

e) Preventing COVID-19 in the workplace: employers, employees and

essential service workers by the Government of Canada.

3. The employee acknowledges that the employer has informed him of the
following:

Wage

a) The employer will pay the employee, from the day of his arrival and during
the initial period of quarantine or isolation, a thirty (30) hours per week
wage at the hourly rate of HOURLY RATE MENTIONED IN THE
LMIA$15.50 $, minus the deduction required by law and those allowed in
the employment contract.

Initial period of quarantine or isolation

b) The employer cannot authorize the employee to work during the initial
period of quarantine or isolation, even if requested by the latter.

c)The employer will regularly monitor the health of the employee during and
after the initial period of quarantine or isolation.

4. The employee understands that :that:

a) he must comply with the Immigration and Refugee Protection Act, the
Quarantine Act, any other acts, orders in Council and regulations made under
these acts related to the COVID-19 pandemic, and, in case of violation, he
could be liable for a fine of up to $1,000,000, to imprisonment of up to three (3)
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years, to inadmissibility in Canada, to a removal order and to a temporary

travel ban to Canada;

b) the employer must report a violation to the Quarantine Act on the part of an
employee, which includes the non-compliance to the initial period of
quarantine or isolation;

c) the employer must contact local public health officials and Employment and
Social Development Canada if an employee becomes symptomatic at any
time.

Signed at __________________, on _________________ 2021

EMPLOYEE'S NAMERaynan
Siapno Chavas