Form ID

Publication date

Location of premises

Certificate

Construction of The Great-West Life Assurance Company - Office Build Out

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Great-West Life Assurance Company
Address of Owner
Corporate Properties, Dpt. 132, 100 Osborne Street North, Wi
Name of Contractor
RMG Contract Interiors Inc.
Address of Contractor
75 Fernstaff Court Unit 10, Vaughan, ON L4K 3P8
Name of Certifier
The Canada life Assurance Company
Address of Certifier
Corporate Properties, Dpt. 132, 100 Osborne Street North, Wi

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

Same as Owner Address Above