Form ID

Publication date

Location of premises

Certificate

Project No. R50007, Office Fit-Out of the Ground, Second and Third Floors

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 Management Branch, Ontario Realty Co
Name of Contractor
Cloke Kirby Construction Ltd.
Address of Contractor
196 Nantucket Blvd., Scarborough, ON M1P 2N9
Name of Certifier
Helyar Ltd.
Address of Certifier
212 King St. West, 3rd Floor, Toronto, Ont M5H 1K5

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 10th Floor, Ferguson Block, Queens Park Toronto, Ontario M7A 1N3.