Form ID

Publication date

Location of premises

Certificate

Replace Flooring

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in right of Ontario as represented by the Minister of Public Infrastructure Renewal
Address of Owner
Project Manager, Steven Burgess Architects, 40 St. Clair Ave
Name of Contractor
Stracor Inc.
Address of Contractor
#1 - 6800 Kitimat Rd., Mississauga, ON L5N 5M1
Name of Certifier
Pawan Mehdiratta
Address of Certifier
#300-304 The East Mall, Etobicoke, ON M9B 6E2

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

The Chief Executive Officer, Ontario Realty Corporation, 11th Floor, Ferguson Block, Queen's Park, Toronto, Ontario M7A 1N3