Form ID

Publication date

Location of premises

Certificate

Project #: H54707 Roof Repair, Science and Technology Centre

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 Co
Name of Contractor
Holmes Roofing and Sheet Metal
Address of Contractor
404 N. Algoma St., Thunder Bay, ON P7A 5B6
Name of Certifier
Kuch Stephenson Gibson Malo
Address of Certifier
131 Court St. N., Thunder Bay, ON P7A 4V1

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3