Form ID

Publication date

Location of premises

Certificate

X25244 - Roof Replacement, South Ward

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
Project Management Branch, Ontario Realty Corporation, 14 Ga
Name of Contractor
Amherst Roofing & Sheet Metal Ltd.
Address of Contractor
PO Box 176, Kingston, ON K7L 4V8
Name of Certifier
CSA Consulting Group Ltd.
Address of Certifier
1559 Laperriere Ave., Ottawa, ON K1Z 7T1

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3