Form ID

Publication date

Location of premises

Certificate

Roof Replacement Project JDE # 2002-470097

Date substantially performed:

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, PROFAC Facilities Management Services Inc.,
Name of Contractor
Semple-Gooder Roofing Ltd.
Address of Contractor
1365 Martingrove Road, Toronto, ON M9W 4X7
Name of Certifier
Douglas Nicholls
Address of Certifier
777 Memorial Avenue, Orillia, ON L3V 7V3

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