Form ID

Publication date

Location of premises

Certificate

Project No. P40014 Replace Sanitary Air Compressor

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
T.B.R. Mechanical/Electrical Inc.
Address of Contractor
34 Seminole Ave. Scarborough ON M1J 1N1
Name of Certifier
John Cursio, Manager Project & Construction Services
Address of Certifier
Project Management Branch, Ontario Realty Corporation, 77 We

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

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