Form ID

Publication date

Location of premises

Certificate

Ministry of Health Psychiatric Hospital Kingston, Ontario Roof Replacement Project No.: X72444

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
Covertite Kingston Ltd.
Address of Contractor
192 Hagerman Ave., Kingston, ON K7K 5B8
Name of Certifier
Mr. Ron Wettlaufer
Address of Certifier
14 Gable Lane, South Cottage Kingston ON K7M 9A7

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley West, 12th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3