Form ID

Publication date

Location of premises

Certificate

Asphalt Paving Upgrade Project Number: ORC 1001629 Contract Number 179576-OS-90711

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Minister of Public Infrastructure Renewal
Address of Owner
Nehit Mankad, Project Manager, SNC-LAVALIN O&M Inc., 234 Con
Name of Contractor
Al Langman Construction (1998) Inc.
Address of Contractor
3 Progress Dr., Unit 5, Orillia, ON L3V 6H1
Name of Certifier
The Thompson Rosemount Group a Division of GENIVAR
Address of Certifier
201-780 Midpark Dr., Kingston, ON K7M 7P6

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3