Form ID

Publication date

Location of premises

Certificate

Kenora Courthouse Site Works, Project No. G64254

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
United General Contracting Ltd.
Address of Contractor
1189 Carrick Street, Thunder Bay, ON P7B 6M3
Name of Certifier
Keewatin-Aski Ltd.
Address of Certifier
P.O. Box 510, 61 Queen Street, Sioux Lookout, ON P8T 1A8

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, Ontario M7A 2G3