Form ID

Publication date

Location of premises

Certificate

Project #: R42029 Roof Replacement to police vehicle operations building, Ontario Police College

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
Keller Roofing & Sheet Metal Inc.
Address of Contractor
PO Box 430, 206 Victoria Street West, Exeter, ON N0M 1S6
Name of Certifier
URS Architects & Engineers Canada Inc.
Address of Certifier
75 Commerce Valley Drive East, Markham, ON L3T 7N9

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