Form ID

Publication date

Location of premises

Certificate

Project #: H13701 Office Alterations and New Storage Room

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
Quinan Construction Ltd.
Address of Contractor
65 Hawthorn Place, Orillia, ON L3V 6H2
Name of Certifier
Critchley Delean Trussler Evans & Bertrand Architects
Address of Certifier
528 Cassells Street North Bay, ON P1B 3Z7

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, Queens Park, Toronto, ON M7A 2G3