Form ID

Publication date

Location of premises

Certificate

Contract No.: 2003-4019 Hwy. No.: 15 Location: From 1.0 km North of the Highway 401 (Interchange #623) Northernly for 11.0 km

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, Eastern Region Construction Offi
Name of Contractor
Dibblee Construction Limited
Address of Contractor
1600 Westbrook Road, Kingston, ON K7P 2Y7

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