Form ID

Publication date

Location of premises

Certificate

Alterations for Office

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
Twin Contracting
Address of Contractor
85 Newkirk Rd. N., Richmond Hill, ON L4C 3G4
Name of Certifier
Eugene Franciosi
Address of Certifier
304 The East Mall, Suite 900, Etobicoke, ON M9B 6E2

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, Ontario M7A 1N3
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