Form ID

Publication date

Location of premises

Certificate

Contract #: 2003-6000 a Contract for bridge deck replacement on Hwy 567, 7.4 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, 615 South James Street, Thunder
Name of Contractor
Looby Construction Ltd.
Address of Contractor
3992 Matilda St., Dublin, ON N0K 1E0

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