Form ID

Publication date

Location of premises

Certificate

OELC New water Supply System

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen
Address of Owner
Project Manager, Facilities Management Services Inc. 304 The
Name of Contractor
Bertram Construction & Design Ltd.
Address of Contractor
25 George St., Barrie, ON L4N 2G5

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

The Chief Executive Officer, Ontario Realty Corporation 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N5