Form ID

Publication date

Location of premises

Certificate

Construction of New Buildings

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Great West Life Realty Advisors
Address of Owner
2821 Bristol Circle, Oakville, ON
Name of Contractor
Urbacon Limited
Address of Contractor
5 Lower Sherbourne Street, # 200, Toronto, ON M5A 2P3
Name of Certifier
Great West Life Realty Advisors
Address of Certifier
33 Yonge Street, Suite 830, Toronto, ON

Identification of Premises

2821 Bristol Circle, Oakville, ON

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

33 Yonge Street, Suite 830, Toronto, Ontario