Form ID

Publication date

Location of premises

Certificate

Additions and Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
St. Joseph’s Health System
Address of Owner
PO Box 155, LCD1, Hamilton, ON L8L 7V7
Name of Contractor
PCL Constructors Canada Inc.
Address of Contractor
Suite 400, 2085 Hurontario Street,
Name of Certifier
Chris Fillingham OAA, RAIC, HONAIA
Address of Certifier
c/o Dunlop Architects Inc., 500-477 Mt Pleasant Rd., Toronto

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

PO Box 155, LCD1, Hamilton, ON L8L 7V7