Form ID

Publication date

Location of premises

Certificate

Accommodation Alterations Project No. W73025

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario represented by the Chair of Management Board Secretariat
Address of Owner
Manager of Project and Construction Services, Project Develo
Name of Contractor
Ross Clair, A division of ROM Contractors Inc.
Address of Contractor
25 Curity Avenue, Unit #4, East York, ON M4B 3M2
Name of Certifier
John Cursio, Mgr. Project & Construction Services, Project Development Branch, Ontario Realty Corporation
Address of Certifier
77 Wellesley Street W., Ferguson Block, 10th Floor, Toronto,

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

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