Form ID

Publication date

Location of premises

Certificate

Contract No. 2000-0216 The work of grading, drainage, granular base & paving on Hwy #527 from 72.4 km North of Hwy #11/17 N’ly for 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
615 S. James Street, Thunder Bay, ON P7E 6P6
Name of Contractor
Bruno's Contracting (Thunder Bay) Limited
Address of Contractor
665 Hewitson Street, Thunder Bay, ON P7B 5V5.
Name of Certifier
Engineering Northwest Ltd.
Address of Certifier
200 S. Syndicate Ave., Thunder Bay, ON P7E 1C9

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

Director, Legal Services Office, Main Fl., East Building, 1201 Wilson Ave., Downsview, ON M3M 1J8