Form ID

Publication date

Location of premises

Certificate

Contract #: 2003-4373

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
Postal Bag 4000, 355 Counter Street, Kingston, ON K7L 5A3
Name of Contractor
788893 Ontario Limited o/a Niagara Crack Sealing
Address of Contractor
40 Stonebridge Drive, Port Colborne, ON L3K 5V4

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

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