Form ID

Publication date

Location of premises

Certificate

Upgrade HVAC System.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation.
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
Continental Insulation.
Address of Contractor
94 Mumford Drive, Lively, ON P3V 1L2.
Name of Certifier
Mr. Connie Bouffard.
Address of Certifier
Ontario Realty Corporation, 3767 Hwy. 69 S., Suite #2, Sudbu

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

Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 12th Floor, Ferguson Block, Queen's Park, Toronto, Ontario, M7A 1N3.