Form ID

Publication date

Location of premises

Certificate

Roof Replacement Wing F

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation
Address of Owner
Manager, Contract Administration Design Services Branch, Ont
Name of Contractor
Racco Industrial Roofing
Address of Contractor
710 Carrick Street, Thunder Bay, ON P7C 4T8
Name of Certifier
Len Cristoforo
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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 12th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3