Form ID

Publication date

Location of premises

Certificate

Project No. R52001 Office Renovations for Ministry of Health and Long Term Care

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
Kara Consultants Inc.
Address of Contractor
2691 Markham Road, Unit 20, Toronto, ON M1X 1L4
Name of Certifier
Infrastructure Interior Design Inc.
Address of Certifier
317 Adelaide Street West, Suite 1002, Toronto, ON M5V 1P9

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