Form ID

Publication date

Location of premises

Certificate

Alterations to Crown Office

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
Project Manager, Profac Facilities Management Services Inc.,
Name of Contractor
Lancing Construction Limited
Address of Contractor
100 Lancing Drive, Unit 5, Hamilton, ON L8W 3L6
Name of Certifier
Duaine Bell
Address of Certifier
1 Stone Road West, Guelph, ON N1G 4Y2

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queens Park, Toronto, Ontario M7A 1N3