Form ID

Publication date

Location of premises

Certificate

Project #: G55250 - Comprehensive Site Evaluation

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 Development Branch, Ontario Realty C
Name of Contractor
UMA Engineering Ltd.
Address of Contractor
91 Cumberland Street South, Thunder Bay, ON P7B 6A7
Name of Certifier
Ontario Realty Corporation
Address of Certifier
421 S. James Street, Suite 103, Thunder Bay, ON P7E 2V6

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

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