Form ID

Publication date

Location of premises

Certificate

One storey new office building.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London Life Insurance Company.
Address of Owner
100 Osborne St. N., Winnipeg, Manitoba R3C 3A5.
Name of Contractor
Maple Engineering & Construction Canada Ltd.
Address of Contractor
260 Holiday Inn Dr., Suite 24, Cambridge, ON N3C 4E8.
Name of Certifier
The Great West Life Assurance Co.
Address of Certifier
100 Osborne St. N., Winnipeg, Manitoba R3C 3A5.

Identification of Premises

Part Lot No. 12, Plan No. 907, Suite #30.