Form ID

Publication date

Location of premises

Certificate

Upgrade of Controls to DDC

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 Realy Cor
Name of Contractor
D & G General Contractors Inc.
Address of Contractor
974 Rambleberry Ave., Pickering, ON L1V 5Y4
Name of Certifier
Neil Davidson or Ralph Verre Mat 4Site Engineers
Address of Certifier
620 Wilson Avenue, Ste. 320, Toronto, ON M3K 1Z3

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

Chief Executive Officer, Ontario Realty Coproration, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queen's Park, Toronto, ON M7A 1N3