Form ID

Publication date

Location of premises

Certificate

Renovations & Alterations

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, SNC-Lavalin Profac Inc., 304 The East Mall,
Name of Contractor
T.R. Hinan Contractors Inc.
Address of Contractor
31 Church St., St. Catharines, ON L2R 3B7
Name of Certifier
Jonathan Rose
Address of Certifier
One Stone Road West, Guelph, ON N1G 4Y2

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 Fax No. 416 327 1920