Form ID

Publication date

Location of premises

Certificate

Contract #: 2004-4310 Concrete repairs to bridge deck, Hwy. 401, CNR Overpass, Site 31-216 near Cornwall

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 PO Box 9530, Terminal 530 Trembla
Name of Contractor
Underground Services (1983) Ltd.
Address of Contractor
135 Commercial Rd., Bolton, ON L7E 1R6

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