Form ID

Publication date

Location of premises

Certificate

Contract #2010-5618 Culvert Extensions Hwy 11, 3.17 km South of Highway 573

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, 500 Rockley Road, P.O. Box 1390,
Name of Contractor
Pedersen Construction Inc.
Address of Contractor
PO Box 2409, Hwy 11 & 65 West, New Liskeard, ON P0J 1P0

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8