Form ID

Publication date

Location of premises

Certificate

Project #: R52033 Middle Durham Dam, Toe Drainage System Replacement

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
MTM Hugo Services Corp.
Address of Contractor
842 Nipissing Rd., Unit 2, Milton, ON L9T 4Z9
Name of Certifier
Shaheen & Peaker Limited
Address of Certifier
90 Nolan Court, Unit 36, Markham, ON L3R 4L9

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