Form ID

Publication date

Location of premises

Certificate

Contract #2008-3258 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
Bridge Excavating Ltd.
Address of Contractor
407 Lindsay Rd 5, R.R. 4, Lions Head, ON N0H 1W0

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

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