Form ID

Publication date

Location of premises

Certificate

Contract #2010-5145 Frost Heave Repair on Hwy 11, between Novar Rd. and Rattray Rd. (NBL/SBL)

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, 447 McKeown Avenue, Suite 301, N
Name of Contractor
Fowler Construction Company Limited
Address of Contractor
1206 Rosewarne Drive, PO Box 630, Bracebridge, ON P1L 1T9

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