Form ID

Publication date

Location of premises

Certificate

Painting and refinishing of woodwork due to water damage

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in right of Ontario as represented by the Minister of Public Infrastructure Renewal
Address of Owner
Project Manager, SNC-LAVALIN PROFAC Inc., 304 The East Mall,
Name of Contractor
Lancing Construction
Address of Contractor
100 Lancing Drive, Unit #5, Hamilton, ON L8W 3L6
Name of Certifier
Stuart Macdonald
Address of Certifier
1 Stone Rd. West, First Floor, Guelph, ON N1G 4Y2

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
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