Form ID

Publication date

Location of premises

Certificate

Project #: G14249

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
Con’s Electric Company Limited
Address of Contractor
887 College Street, Timmins, ON P4N 8G5
Name of Certifier
B.H. Martin Consultants Ltd.
Address of Certifier
834 Mountjoy Street South, P.O. Box 120, Timmins, ON P4N 7C5

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