Form ID

Publication date

Location of premises

Certificate

Project No. W25033 - Upgrade Storm Sewers - Sir James Whitney School

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
Don Hart Construction Limited
Address of Contractor
RR #1, Napanee, ON
Name of Certifier
Fishburn / Sheridan & Associates Ltd.
Address of Certifier
PO Box 605, 195 Westbrook Rd., Stittsville, ON K2S 1A7

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, Ontario M7A 2G3
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