Form ID

Publication date

Location of premises

Certificate

Domestic Water Upgrades Spalling Brick Repairs and Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty the Queen in right of Ontario as represented by the
Address of Owner
Vice President, Project Management Branch, Ontario Realty Co
Name of Contractor
D.J. Venasse Construction Limited
Address of Contractor
PO Box 1110, 1630 Cholette Street, North Bay, ON P1B 8K4
Name of Certifier
Leipciger Kaminker Mitelman & Partners
Address of Certifier
2140 Regent St. S., Suite 12A, Sudbury, ON

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 1N3