Form ID

Publication date

Location of premises

Certificate

Interior Design Drawings and Specifications

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 Cor
Name of Contractor
D.D. Design Inc. & Atkinson Design Group Inc. in Joint Venture
Address of Contractor
1394 Toulon St., Orleans, ON K1E 1J3
Name of Certifier
Steve Walsh, Ontario Realty Corporation
Address of Certifier
14 Gable Lane, South Cottage, Kingston, ON K7M 9A7

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

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3