Form ID

Publication date

Location of premises

Certificate

FORM 7
SUBSECTION 33
(1) OF THE ACT
––––––
This is to certify the completion of a subcontract for the supply of services or materials between
Active Excavating and Contracting (1985) Ltd. and EllisDon Corporation dated the 26th day of January 2005
The subcontract provided for the supply of the following services or materials Excavation and Backfill
To the following improvement:
Office Development 180 Queen Street West

Participants

Name of Owner
Great West Life Realty Advisors
Address of Owner
33 Yonge Street, Suite 830, Toronto, ON M5E 1G4
Name of Contractor
EllisDon Corporation
Address of Contractor
89 Queensway Ave. West, Suite 800, Mississauga, ON L5B 2V2
Name of Certifier
Chris Couse
Address of Certifier
Kamb Architects, 322 Kings Street West, Toronto, ON M5V 1J2

Identification of Premises

Part of Lots 4, 5, 6, 7 & 8 on the North Side of Queen Street part of Simcoe Street and part of Pullan Place, Registered Plan 1-49-55, Designated as parts 1 and 2 on reference plan 64R-15600 City of Toronto.