Form ID

Publication date

Location of premises

Certificate

Balance Air Distribution in MacDonald Block Project No: P40045

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario represented by the Chair of Management Board Secretariat
Address of Owner
Jim Fraser, Project Manager, Facility Services GTA, Ontario
Name of Contractor
Ross Clair, Division of ROM Contractors Inc.
Address of Contractor
25 Curity Avenue, Unit 4, Toronto, ON M4B 3M2
Name of Certifier
John Cursio, Manager, Project & Construction Services
Address of Certifier
Project Mgmnt Branch, 77 Wellesley St. W., Ferguson Block 10

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, Ferguson Block, 11th Floor, Toronto, ON M7A 1N3.