Form ID

Publication date

Location of premises

Certificate

Project #: Y60003 Pembroke-Garage Conversion, Alterations to MNR District Office Building, 31 Riverside Drive, Pembroke, Ontario

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
Power-Tek Capital Services Inc.
Address of Contractor
155 Iber Road, Stittsville, ON K2S 1E7
Name of Certifier
URS Architects & Engineers Canada Inc.
Address of Certifier
75 Commerce Valley Drive East, Markham, ON L3T 7N9

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, ON M7A 2G3