Form ID

Publication date

Location of premises

Certificate

Project #: G54109 Exterior Waterproofing OGB

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 Cor
Name of Contractor
343315 Ontario Ltd. o/a LaRo Construction
Address of Contractor
1521 Fairburn Avenue, Sudbury, ON P3A 1N6
Name of Certifier
Leonard Alfred Wood Architect
Address of Certifier
Suite 110, 180 Park Avenue, Thunder Bay, ON P7B 6J4

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, Ontario M7A 2G3