Form ID

Publication date

Location of premises

Certificate

Project No. G65307 & H66001. Link to Municpal Services, MNR Fire Management Base, Kenora, Ontario

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
Project Management Branch, Ontario Realty Corporation, 421 S
Name of Contractor
A. K & Company (Kenora) Ltd.
Address of Contractor
P.O. Box 1830, Kenora, ON P9N 3X8
Name of Certifier
KGS Group Consulting Engineers and Project Managers
Address of Certifier
1001 William Street, Suite 301A, Thunder Bay, ON P7B 6M1

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, Ontario M7A 2G3