Form ID

Publication date

Location of premises

Certificate

Contract No. 20-99-420 Selective Resurfacing Hwy. 6, 403 & QEW

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
Regional Contracts Office, 7th Floor, Atrium Tower, 1201 Wil
Name of Contractor
Central Paving Inc.
Address of Contractor
PO Box 815, Guelph, ON N1H 6L8
Name of Certifier
Ron Hume
Address of Certifier
7th Floor, Atrium Tower, 1201 Wilson Ave., Downsview, Ont. M

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.