Form ID

Publication date

Location of premises

Certificate

Project No. H10207 Additional Mobile File Units and HVAC Revisions to Ministry of Community Family and Children’s Services

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
Harvest Builders
Address of Contractor
R.R. #1, Box 120 390 Hillcrest Road, Astroville, ON P0H 1B0
Name of Certifier
Frank Broomhead Jr. Osburn Associates Architect Inc.
Address of Certifier
1275 Main Street West, North Bay, ON P1B 2W7

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, Queens Park, Toronto, ON M7A1N3