Form ID

Publication date

Location of premises

Certificate

Renovation, Landlord's work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Riocan Holdings (White Shield) Inc.
Address of Owner
2300 Yonge Street, Unit 500, Toronto, ON M4P 1E4
Name of Contractor
On-Site Solutions General Contractors
Address of Contractor
89 Galaxy Blvd., Suite 3, Etobicoke, ON M9W 6A4
Name of Certifier
Paul Marques Architect Inc.
Address of Certifier
2610 Weston Road, Suite 207, Toronto, ON M9N 2B1

Identification of Premises

4841 Yonge Street, Suite 802, ON

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

89 Galaxy Blvd. Unit 3