Form ID

Publication date

Location of premises

Certificate

Project No. G50208 Roof Upgrade Project 489 Algoma Street, Thunder Bay

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
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 Development Branch, Ontario Realty Co
Name of Contractor
Cardinal Roofing & Sheet Metal Inc.
Address of Contractor
1670 Rosslyn Road, Thunder Bay, ON P7C 4T9
Name of Certifier
Ken Schultz Cook Engineering
Address of Certifier
740 Syndicate Ave., Thunder Bay, ON P7E 1E9

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 2G3