Form ID

Publication date

Location of premises

Certificate

Contract # 40-00-014 Selective Patching on Hwy. 417, 3.0 km East of Highway 138, E/B Lanes for 1.7 km and Hwy. 417 East of Punvegan Rd. East & West Bound Lanes

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 Ontario
Address of Owner
530 Tremblay Rd., PO Box 9530 Terminal, Ottawa, ON K1G 0E4
Name of Contractor
Dibble Construction Ltd.
Address of Contractor
16773 Cornwall Centre Dr., PO Box 248, Cornwall, ON K6H 5R8
Name of Certifier
MTO
Address of Certifier
530 Tremblay Rd., Box 9530 Terminal, Ottawa, ON K1G 0E4

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON M3M 1J8