Form ID

Publication date

Location of premises

Certificate

Structural and Brick Repairs Phase 2

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
Elgin Contracting/Restoration Ltd.
Address of Contractor
157 Ross Street, St. Thomas, ON N5R 3X9
Name of Certifier
Howard Crummer
Address of Certifier
Profac Facilities Management Services Inc., 900 Highbury Ave

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

Director of Legal Services, Ontario Realty Corporation, Ferguson Block, Queens Park, Toronto, Ontario M7A 1N3