Form ID

Publication date

Location of premises

Certificate

Construction of Office Buildout

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
London Life Insurance Company
Address of Owner
Corporate Properties, 4C 100 Osborne Street North, Winnipeg,
Name of Contractor
Royalty General Construction Ltd.
Address of Contractor
386 Bering Ave., Toronto, ON M8Z 3A9
Name of Certifier
London Life Insurance Company
Address of Certifier
as above

Office to which claim for lien must be given to preserve lien

London Life Insurance Company, Corporate Properties, 4C 100 Osborne Street North, Winnipeg, MB R3C 3A5