Form ID

Publication date

Location of premises

Certificate

Project No. P40012 Installation of domestic Hot Water and Heating Boiler, Heat Recovery System

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
849060 Ontario Inc. o/a Air Con Systems
Address of Contractor
10 Sunray Street, Unit 202, Whitby ON L1N 9B5
Name of Certifier
Habib Khawja-Adee Consultants Ltd.
Address of Certifier
3383 Layalist Drive Mississauga ON L5L 4Y4

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

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