Form ID

Publication date

Location of premises

Certificate

Contract No: 99-1014 Grading, Drainage, Granular Base, Double Surface Treatment & Culvert Replacement at Hwy. 520, 21.0 km W of Jct. Hwy. 124 W’ly 1.0 km & 22.3 km W of Jct. Hwy. 124 W’ly 3.0 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
207 Main Street West, Huntsville, ON P1H 1Z9.
Name of Contractor
Pioneer Construction.
Address of Contractor
PO Box 2370, Sta. A, Sudbury, ON P3A 4S8.
Name of Certifier
W.H. Woodruff.
Address of Certifier
207 Main Street West, Huntsville, ON P1H 1Z9.

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, Ontario M3N 1J8.