Form ID

Publication date

Location of premises

Certificate

Project #: R42011 HVAC Upgrades and BAS Installation

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
Martin-Stewart Contracting Ltd.
Address of Contractor
126 Catharine Street South, Hamilton, ON L8N 2J4
Name of Certifier
Markjlevitz Architect
Address of Certifier
516 Huron Street, Stratford, ON N5A 5T7

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