Form ID

Publication date

Location of premises

Certificate

Project No.: W30010 Brookside Youth Centre, 390 King Street East, Cobourg, Ontario Exterior Repairs Administration Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Vice-President Project Management Branch, Ontario Realty Cor
Name of Contractor
Jeffrey G. Wallans Construction Ltd.
Address of Contractor
PO Box 370 Brighton, ON K0K 1H0
Name of Certifier
Robertson Martin Architects Inc.
Address of Certifier
375 Waverly Street Ottawa, ON K2P 0W4

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

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