Form ID

Publication date

Location of premises

Certificate

Project #: H53632 MOH CACC Relocation

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 Development Branch, Ontario Realty C
Name of Contractor
Len Cole Ltd.
Address of Contractor
859 Field Street, Thunder Bay, ON P7B 6B6
Name of Certifier
Altus Helyar Cost Consulting
Address of Certifier
212 King Street West, 3rd Floor, Toronto, ON M5H 1K5

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, Ontario M7A 2G3