Form ID

Publication date

Location of premises

Certificate

Roofing replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Infrastructure and Lands Corporation agent on behalf of Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Vice President, Project Management Branch, Ontario Infrastructure and Lands Corporation, 1 Dundas Street West, Suite 2000, Toronto, ON M5G 2L5
Name of Contractor
George Stone & Sons Inc
Address of Contractor
1111 Great Northern Road, Sault Ste. Marie, ON P6B 0B9
Name of Certifier
Fennell Architect
Address of Certifier
25 Hellen Avenue, South Porcupine, ON P0N 1H0

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

Chief Executive Officer, Ontario Infrastructure and Lands Corporation, 1 Dundas Street West, Suite 2000, Toronto, Ontario, M5G 2L5