Form ID

Publication date

Location of premises

Certificate

Contract #: 20-01-615 Disposal of Waste Materials

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 Central Region Operations 7th Flo
Name of Contractor
Dufferin Construction Co.
Address of Contractor
690 Dorval Dr., Suite 200, Oakville, ON L6K 3W7

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

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