Form ID

Publication date

Location of premises

Certificate

Replace AC Units, Profac Project # 2004-435003, Contract # 9256

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in right of Ontario as represented by the Chair of the Management Board of Cabinet
Address of Owner
Project Manager, SNC-LAVALIN PROFAC Inc., 304 The East Mall,
Name of Contractor
Antrim Mechanical Ltd.
Address of Contractor
8560 Torbram Rd., Unit # 36, Brampton, ON L6T 5C8
Name of Certifier
Eugene Franciosi
Address of Certifier
304 The East Mall, Suite 300, Etobicoke, ON M9B 6E2

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, Ontario M7A 1N3