Form ID

Publication date

Location of premises

Certificate

Rebalance HVAC System

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, Profac Facilities Management Services Inc.,
Name of Contractor
Black & McDonald Limited
Address of Contractor
158 South Service Road, Stoney Creek, ON L8E 3H6
Name of Certifier
Stuart Macdonald
Address of Certifier
One Stone Road West, Guelph, ON N1G 4Y2

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, ON M7A 1N3