Form ID

Publication date

Location of premises

Certificate

Contract #: 2005-3353, CSP Culvert Replacement

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, Regional Operational Office, 659
Name of Contractor
Georgian Aggregates & Construction Inc.
Address of Contractor
P.O. Box 340, Collingwood ON L9Y 3Z7

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