Form ID

Publication date

Location of premises

Certificate

Project No. G67057 Boiler and Controls Upgrade

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
Project Management Branch, Ontario Realty Corporation, 421 S
Name of Contractor
E.S. Fox Limited
Address of Contractor
905 Commerce Street, Thunder Bay, ON P7E 6E8
Name of Certifier
Profor Engineering Services Ltd.
Address of Certifier
#502-200 S. Syndicate Ave., Thunder Bay, ON P7E 1C9

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, Queen's Park, Toronto, Ontario M7A 2G3