Form ID

Publication date

Location of premises

Certificate

HVAC Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in the right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, Profac Facilities Management Services Inc.,
Name of Contractor
E.S. Fox Limited
Address of Contractor
9127 Montrose Road, Niagara Falls, ON L2E 6S5
Name of Certifier
Stuart Macdonald
Address of Certifier
One Stone Road West, Guelph, ON N1G 4Y2

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3