Form ID

Publication date

Location of premises

Certificate

Contract #: 20-00-402 Traffic Signals, Intersection of Highway 6 and Regional Road 543 (Millgrove Sideroad)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, c/o Morrison Hershfield, C.A. 4
Name of Contractor
Utility Installation Ltd.
Address of Contractor
PO Box 564 211 Courtwright St., Fort Erie, ON L2A 5M6

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

Ministry of Transportation