Form ID

Publication date

Location of premises

Certificate

Contract #: 2002-4286 SSB-035508 Highway 7: Hot Mix Patching HL1 and Granular A Shouldering

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 50 Monck Street, Box 300, Bancrof
Name of Contractor
Cruickshank Construction Limited
Address of Contractor
55 Rigney Street, Kingston, ON K7K 6Z3
Name of Certifier
Robert Robinson
Address of Certifier
50 Monck Street, Box 300, Bancroft, ON K0L 1C0

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