Form ID

Publication date

Location of premises

Certificate

Roof Replacement Tender 01-19-NB Project No. G10077

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
Program Manager Ontario Realty Corporation, 199 Larch St., S
Name of Contractor
J.G. Fitzgerald & Sons Ltd.
Address of Contractor
55 Exeter St., North Bay, ON P1B 8G5
Name of Certifier
Tim Billotte Property Manager
Address of Certifier
590 Chippewa St., North Bay, ON P1B 8G4

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

Director Legal Services Branch, Management Board Secretariat, Ferguson Block, 77 Wellesley Street West, Queens Park, Toronto, ON M7A 1N3