Form ID

Publication date

Location of premises

Certificate

Project #: R50030 Ministry of Health Long Term Care - Staff Washroom Addition

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 Ltd.
Address of Contractor
3546 Bathurst St., Suite 201, Toronto, ON M6A 2C6
Name of Certifier
Intercede Facility Management Ltd.
Address of Certifier
550 Queen Street East, Suite 200, Toronto, ON M5A 1V2

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