Form ID

Publication date

Location of premises

Certificate

Roof Replacement Project No: P40039

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario represented by the Chair of Management Board Secretariat
Address of Owner
Jim Fraser, Project Manager, Facility Services GTA, Ontario
Name of Contractor
Nortex Roofing Limited
Address of Contractor
66 Six Point Road, Toronto, ON M8Z 2X2
Name of Certifier
CGA Roofing Consultants Inc.
Address of Certifier
209 Randall Street, Oakville, ON L6J 1P5

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, Ferguson Block, 11th Floor, Toronto, ON M7A 1N3.