Form ID

Publication date

Location of premises

Certificate

Sump Pump Replacement

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 Civil Underground, 87 Thornmount Dr., Unit 2
Name of Contractor
Antrim Mechanical Ltd.
Address of Contractor
8560 Torbram Rd., Unit 36, Brampton, ON L6T 5L8
Name of Certifier
Rob Prosser
Address of Certifier
87 Thornmount Drive, Unit 22, Scarborough, ON M1B 5S5

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

The Chief Executive Officer Ontario Realty Corporation, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario, M7A 1N3