Form ID

Publication date

Location of premises

Certificate

Office Renovations to MMAH

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 Cor
Name of Contractor
939604 Ontario Inc. (Quality Contracting)
Address of Contractor
1-2616 Falconbridge Road, Garson, ON P3L 1K6
Name of Certifier
Perry + Perry Architects Inc.
Address of Certifier
174 Larch Street, Suite 201, Sudbury, ON P3E 1C6

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

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