Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-3250 Rout and Seal Various Locations Highway’s 6, 7, 9, 10 and 21

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 Contracts Office, 7th F
Name of Contractor
788893 Ontario Ltd. o/a Niagara Crack Sealing
Address of Contractor
40 Stonebridge Drive, Loyalist Industrial Park, Port Colborn

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