Form ID

Publication date

Location of premises

Certificate

Replace Roof Top Units

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
Antrim Mechanical Ltd.
Address of Contractor
8560 Torbram Rd., Unit 36, Brampton, ON L6T 5C8
Name of Certifier
MHPM Project Managers Carolina Salazzar
Address of Certifier
5255 Orbitor Drive, Suite 401, Mississauga, ON L4W 5M6

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3