Form ID

Publication date

Location of premises

Certificate

Project #: R50016

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
Vipond Inc.
Address of Contractor
6380 Vipond Drive, Mississauga, ON L5T 1A1
Name of Certifier
URS Architects and Engineers Canada Inc.
Address of Certifier
75 Commerce Valley Drive East, Markham, ON L3T 7N9

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, ON M7A 2G3