Form ID

Publication date

Location of premises

Certificate

Chair & Material Lift

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Chief Executive Officer Ontario Realty Corporation
Address of Owner
77 Wellesley St. W., 11th Floor, Ferguson Block, Queen's Par
Name of Contractor
Coreplan Construction Inc.
Address of Contractor
111 Regina Road, Unit 18, Woodbridge, ON L4L 8N5
Name of Certifier
Base 3 Design Inc.
Address of Certifier
3100 Steeles Ave. W., Suite 406, Vaughan, ON L4K 3R1

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

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