Form ID

Publication date

Location of premises

Certificate

FORM 7
SUBSECTION 33
(1) OF THE ACT
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This is to certify the completion of a subcontract for the supply of services or materials between
Facca Incorporated and Huron Construction Ltd.
The subcontract provided for the supply of the following services and/or materials Item #7 - Concrete Curb and Gutter, Item #48 - Removal of Asphalt Pavement from Concrete Surfaces on Structures, Item #49 - Removal and Reinstallation of Steel Handrails, Item #50 - Concrete in Structure, Item #51- Concrete in Approach, Slabs, Item #52 - Dowels into Concrete Item #53 - Reinforcing Steel Bar, Item #54 - Coated Reinforcing Steel Bar, Item #56 - Concrete Removal - Partial Depth - Type A, Item #57 - Concrete Removal - Partial Depth - Type C, Item #58 - Concrete Removal - Full Depth, Item #59 - Concrete Patches - Unformed Surface Item #60 - Concrete Patches - Proprietary Products Item #61 - Deck Drain Exstensions, Item #62 - Removal of Asphalt from Concrete Surface on Structure Item #63 - Removal of Appurtenances
To the following improvement: 2001-3007 Grading, Drainage, Granular Base, Hot Mix Paving and 2 Structure Rehabilitation
Date of Certification:
November 2, 2002
Name of Owner:
Her Majesty the Queen in Right of Ontario as Represented by the Minister of Transportation
Address for Service:
656 Exeter Road, London, ON N6E 1L3
Name of Contractor: Facca Inc.
Address for Service: 747 County Road 31, RR #1, Ruscom, ON N0R 1R0
Office to which claim for lien and affidavit must be given to preserve lien:
Director, Legal Services Branch, 1st Floor West Tower, 1201 Wilson Ave., Downsview, ON M3M 1J8



Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as Represented by the Minister of Transportation
Address of Owner
656 Exeter Road, London, ON N6E 1L3
Name of Contractor
Facca Inc.
Address of Contractor
747 County Road 31, RR #1, Ruscom, ON N0R 1R0