Form ID

Publication date

Location of premises

Certificate

Building Exterior Upgrade Ontario Realty Corp. 435 James St. S., Thunder Bay

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Management Board Secretariat
Address of Owner
Director Contract Management Branch, Management Board Secret
Name of Contractor
Sam Veltri Construction Ltd.
Address of Contractor
1189 Carrick St., Thunder Bay, ON P7B 6M3
Name of Certifier
James W. Woods
Address of Certifier
Suite 103, 421 James Street South, Thunder Bay, ON P7E 2V6

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

Director of Legal Services, Management Board Secretariat, Ferguson Block, Queens Park, Toronto, ON M7A 1N3