Form ID

Publication date

Location of premises

Certificate

Project No. P40010 Various Valve Replacements

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
Antrim Mechanical Ltd.
Address of Contractor
8560 Torbram Road, Unit 36, Brampton, ON L6T 5C8
Name of Certifier
Nitsch & Assoc. Inc.
Address of Certifier
1290 Eglinton Ave. East, 2nd Floor, Suite #6, Mississauga, O

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley St. West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 1N3