Form ID

F10-31003

Publication date

Certificate

This is to certify the completion of a subcontract for the supply of services or materials between
Elite Building Group Inc.
and
Clarence H. Graham Design & Construction Ltd.
dated
December 9, 2020
The subcontract provided the supply of the following services or materials:
Supply and Install ICF Block
To the following improvement:
Southbridge Owen Sound Long Term Care Home
Of the premises at:
1300 16th Ave, Owen Sound, Ontario
Date of certification:
August 28, 2021
Name of owner:
CVH (No 3) LP
Address for service:
766 Hespeler Road Suite 301, Cambridge ON
Name of contractor:
Clarence H. Graham Design & Construction Ltd.
Address for service:
1260 2nd Ave. E. Unit 2 Owen Sound, ON N4K 2J3
Name of payment certifier:
G.M. Diemert Architect Inc.
Address:
957 Fourth Ave East, Owen Sound, ON N4K 2N9
Identification of premises for preservation of liens:
1300 16th Avenue East, Owen Sound, ON
Office to which claim for lien must be given to preserve lien:
Clarence H. Graham Design & Construction Ltd., 1260 2nd Ave. E. Unit 2 Owen Sound, ON N4K 2J3

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