Form ID

Publication date

Location of premises

Certificate

Repaving of Internal Roads

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represted by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, Profac Facilities Management Services Inc.,
Name of Contractor
Wyndale Paving Company Limited
Address of Contractor
9500 Highway 27, R.R. #3, Woodbridge, ON L4L 1A7
Name of Certifier
Sean Malby
Address of Certifier
916 The East Mall, Suite B, Etobicoke, ON M9B 6K1

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