Form ID

Publication date

Location of premises

Certificate

Grading and Asphalt Paving at the MTO, Cloyne Patrol Yard on Hwy. 41, 3km north of County Rd. 506 - Contract No. 2005-4026

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
Postal Bag 4000, 1355 John Counter Blvd., Kingston, ON K7L 5
Name of Contractor
Kiley Paving Ltd.
Address of Contractor
892 Fairbanks Street, R.R. #3, Kingston, ON K7L 4V2
Name of Certifier
S. Haug, Technical Services Supervisor
Address of Certifier
Postal Bag 4000, 1355 John Counter Blvd., Kingston, ON K7L 5

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

Director, Legal Services Branch, Main Floor, East Building, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8