Form ID

Publication date

Location of premises

Certificate

Cecil Facer - Reroofing/AC/BMS MNR District Office - Reroofing/Boilers

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
LaRo Construction Ltd.
Address of Contractor
1521 Fairburn Ave., Sudbury ON P3A 1N6
Name of Certifier
Castellan Luciw James Architects Inc.
Address of Certifier
289 Cedar Street, Sudbury, ON P3B 1M8

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