Form ID

Publication date

Location of premises

Certificate

Contract # 2005-5626 GWP5368-04-00 OSS-072451 for Replacement of Guide Rail

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, Suite 420, 4th Floor, 70 Foster
Name of Contractor
M & G Fencing Inc.
Address of Contractor
P.O. Box 935, Azilda, ON P0M 1B0
Name of Certifier
Ministry of Transportation
Address of Certifier
Ministry of Transportation, Suite 420, 4th Floor, 70 Foster

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8