Form ID

Publication date

Location of premises

Certificate

Contract #: 2002-2261 Selective Resurfacing

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 Construction 2nd
Name of Contractor
Brennan Paving & Construction Ltd.
Address of Contractor
505 Miller Ave., Markham, ON L3R 6G7

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, ON M3N 1J8