Form ID

Publication date

Location of premises

Certificate

Chiller Replacement - Kitchener Courthouse

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
Dean-Lane Contractors Inc.
Address of Contractor
1773 Erb St. W., St. Agatha, ON
Name of Certifier
Callidus Engineering
Address of Certifier
4-1615 North Routledge Park, London, ON N6H 5L6

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, Queen's Park, Toronto, Ontario M7A 1N3