Form ID

Publication date

Location of premises

Certificate

Entrance Repairs to Grove Hall

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in the right of Ontario as represented by MBS c/o Ontario Realty Corporation 11th Floor, Ferguson
Address of Owner
Project Manager, Tempest Management Corp., 304 The East Mall
Name of Contractor
EC Restoration Holdings Limited
Address of Contractor
157 Ross Street, St. Thomas, ON N5R 3X9
Name of Certifier
Bob Clermont
Address of Certifier
1st Floor, One Stone Road W., Guelph, ON N1G 4Y2

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

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