Form ID

Publication date

Location of premises

Certificate

Asphalt Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Project Manager, SNC-LAVALIN Profac Inc.,1119 Victoria Ave.
Name of Contractor
Bruno's Contracting (Thunder Bay) Limited
Address of Contractor
665 Hewitson St., Thunder Bay, ON P7B 5V5
Name of Certifier
KGS Group
Address of Certifier
1001 William St., Suite 301A, Thunder Bay, ON P7B 6M1

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario