Form ID

Publication date

Location of premises

Certificate

Project No. P40006 Life Safety Retrofit

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
Ross Clair
Address of Contractor
25 Curity Street, Unit 4, Toronto, ON M4B 3M2
Name of Certifier
Firm Associates Inc.
Address of Certifier
21 Hedgewood Road, Toronto, ON M2L 1L4

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