Form ID

Publication date

Location of premises

Certificate

Project #: H63605 - Water System Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty the Queen in right of Ontario as represented by the
Address of Owner
Vice-President Project Management Branch, Ontario Realty Cor
Name of Contractor
Bay City Contractors (Thunder Bay) Inc.
Address of Contractor
1123 Russel St., Thunder Bay, ON P7B 5M6
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
200 South Syndicate Ave., Suite 301, Thunder Bay, ON P7E 1C9

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3