Form ID

Publication date

Location of premises

Certificate

Upgrade Repair Foundation Drainage Project No.: T48016-21025 New Parking Guard and Exterior Insulation - Project No.: 475614-21024

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
Civil Underground & Excavation Company Limited
Address of Contractor
87 Thornmount Drive, Unit 22, Scarborough, ON M1B 5S5
Name of Certifier
Formworks Inc. Architects
Address of Certifier
61 Collier Street, Barrie, ON L4M 1G7

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

Chief Executive Officer, Ontario Realty Coproration, 77 Wellesley Street West, 10th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3