Form ID

Publication date

Location of premises

Certificate

Brick, Window and Downspout Renewal

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Infrastructure Ontario
Address of Owner
1 Dundas Street West, Suite 2000, Toronto, ON M5G 2L5
Name of Contractor
K & L Construction (Ontario) Ltd.
Address of Contractor
27-1615 North Routledge Park, London, ON N6H 5N5
Name of Certifier
TELSTORM Corp.
Address of Certifier
406-3100 Steeles Avenue West, Vaughan, ON L4K 3R1

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

President & CEO, Infrastructure Ontario, 1 Dundas Street West, Suite 2000, Toronto, Ontario, M5G 2L5