Form ID

Publication date

Location of premises

Certificate

North Parking Lot Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, Profac Facilities Management Services Inc.,
Name of Contractor
Cox Construction Limited
Address of Contractor
687 Eramosa Rd., PO Box 427, Guelph, ON N1H 6K5
Name of Certifier
Bob Clermont
Address of Certifier
1 Stone Road West, Guelph, ON N1G 4Y2 (First Floor)

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 1N3