Form ID

Publication date

Location of premises

Certificate

ORC Project No. G53102 Watermain Replacement at 615 S. James Street

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
LTL Contracting Ltd.
Address of Contractor
1186 Russell Street, Thunder Bay, ON P7B 5N2
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
200 S. Syndicate Ave., Suite 301, Thunder Bay, ON P7E 1C9

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