Form ID

Publication date

Location of premises

Certificate

Life Safety Upgrade for Various Structures (W20135)

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
R & G Construction
Address of Contractor
15 Cliff Ave., Huntsville, ON P1H 1G1
Name of Certifier
Wilcox Architects Inc.
Address of Certifier
74 Lindsay Street South, Lindsay, ON K9V 2M2

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3