Form ID

Publication date

Location of premises

Certificate

Contract#: 2002-3398 Location #1, Hwy. 401, Culloden IC#216 to Putnam IC#208 WBL only Location #2, Hwy. 6, Guelph-Wellington, Hwy 401 (IC#295) north to Clair Rd. Location #3, Hwy. 7, Guelph-Wellington, Guelph east limits (Weston Rd.) to Rockwood. Location #4, Hwy. 7/86, Highway 8 to Victoria Rd. Interchange. Location #5, Hwy. 3, East of Simcoe to Renton. Location #6, Hwy. 7/8, Shakepeare to Stratford. Location #7, Hwy. 7/8, Reg. Rd. 51 easterly 15 km, EBL only. Location #8, Hwy. 3, Carter Rd. to Tillsonburg Rout, clean and seal cracks in asphalt pavement.

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
Minstry of Transportation P659 Exeter Rd., London, ON N6E 1L
Name of Contractor
Roadlast 2000 Inc.
Address of Contractor
2644 Leitrim Rd., Ottawa, ON K1T 3V3

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

Director, Legal Services Branch, 1st. Flr., west Tower, 1201 Wilson Ave. Downsview ON M3M 1J8