Form ID

Publication date

Location of premises

Certificate

New Fascia and Roof.

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
Director, Contract Management Branch, Management Board Secre
Name of Contractor
Icorr Construction Inc.
Address of Contractor
101-955 Huron Street, London, ON.
Name of Certifier
L. Featherstone
Address of Certifier
1 Stone Road West, 4th Floor, Guelph, ON N1G 4Y2.

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

Director of Legal Services, Management Board Secretariat, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3.