Form ID

Publication date

Location of premises

Certificate

Project #: P40024 Mechanical renovations in the Michael Staff Building

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
Maracon Construction Limited
Address of Contractor
3546 Bathurst Street, Suite 201, Toronto, ON M6A 2C6
Name of Certifier
Sypher:Mueller/Queen’s Quay Architects
Address of Certifier
207 Queen’s Quay West, Suite 320, PO Box 139, Toronto,

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