Form ID

Publication date

Location of premises

Certificate

Monteith Correctional Complex Water Remediation Project, Project #: G33220

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 Cor
Name of Contractor
Pederson Construction Inc.
Address of Contractor
P.O. Box 2409, Hwy. 11 and 65 West, New Liskeard, ON P0J 1P0
Name of Certifier
Conestoga-Rovers & Associates Ltd.
Address of Certifier
651 Colby Drive, Waterloo, ON N2V 1C2

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3