Form ID

Publication date

Location of premises

Certificate

Project #: R42009 Boiler System Replacement Penetanguishene Mental Health Centre

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
Shertine Construction Ltd.
Address of Contractor
25 Sandford Fleming Drive, Unit 3, Collingwood, ON L9Y 5A6
Name of Certifier
Totten Sims Hubicki Associates (1997) Limited
Address of Certifier
300 Water Street, Whitby, ON L1N 9J2

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