Form ID

Publication date

Location of premises

Certificate

Project #: R40024 Scanning, Repair and Replacement of High and Low Voltage Equipment

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
Phazer Electric
Address of Contractor
6625 Kitimat Road, Unit 54, Mississauga, ON L5N 6J1
Name of Certifier
Venneri Ltd.
Address of Certifier
1170 Sheppard Ave. West, Unit 1, Toronto, ON M3K 2A3

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