Form ID

Publication date

Location of premises

Certificate

Holding Cell Upgrade

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 Cor
Name of Contractor
1329435 Ontario Inc o/a CGV Builders
Address of Contractor
56 Connaught Avenue, Cochrane, ON P0L 1C0
Name of Certifier
Fennell Architect
Address of Certifier
25 Hellen Ave., South Porcupine, ON P0N 1H0

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, Queens Park, Toronto, ON M7A 1N3