Form ID

Publication date

Location of premises

Certificate

Structure Rehabilitation.

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 Ontario.
Address of Owner
Postal Bag 4000, 355 Counter Street, Kingston, ON K7L 5A3.
Name of Contractor
Dufferin Construction Company.
Address of Contractor
2314 Carp Road, RR #3, Carp, Ont. K0A 1L0.
Name of Certifier
Peter Fitzsimmons, Head, Construction Admin.
Address of Certifier
Postal Bag 4000, 355 Counter Street, Kingston, ON K7L 5A3.

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8.