Form ID

Publication date

Location of premises

Certificate

Contract #: 2002-4027 Grading, drainage granular base and paving, Hwy. 401 WBL from 3.4 km west of Highway 49 (I/C #566) easterly to County Road #41 (I/C #579) and EBL from 4.9 km east of Desoronto Road (I/C #570) easterly for 0.25 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
Ministry of Transportation, Eastern Region Contracts Office,
Name of Contractor
Warren Paving Ltd.
Address of Contractor
P.O. Box 323,

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 M3M 1J8