Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Manager, Contract Administration Design Services Branch Onta
Name of Contractor
M. Tucci Construction Limited
Address of Contractor
PO Box 617, Parry Sound, ON
Name of Certifier
Sav Rocca
Address of Certifier
199 Larch St., Suite 603, Sudbury, ON P3E 5P9

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 12th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3