Form ID

Publication date

Location of premises

Certificate

Project #: Interior Repairs W20146 Exterior Repairs W20142 Ontario Health Laboratory

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
Wemp and Smith Construction Limited
Address of Contractor
1056 Gardiners Road, Kingston, ON
Name of Certifier
NORR Limited, Architects and Engineers
Address of Certifier
PO Box 111, 20 Gore Street, Kingston, ON K7L 4V6

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