Form ID

Publication date

Location of premises

Certificate

Project No. P10012 Repair/Retrofit at London Psychiatric Hopsital - Phase 2

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 Management Branch, Ontario Realty Co
Name of Contractor
CGC Enterprises Design Manage Construct Inc.
Address of Contractor
805 Richmond Street, London, ON N6A 3H6
Name of Certifier
Courtland Engineering Consultants Inc.
Address of Certifier
260 Courtland Ave. East, Kitchener, ON N2G 2V7

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3