Form ID

Publication date

Location of premises

Certificate

Contract #2010-5003 Rehabilitation of Structure 42-178, Highway 11 Sedore Road Underpass, 12.2 km North of the Severn River

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, 447 McKeown Ave., North Bay, ON
Name of Contractor
Clearwater Structures Inc.
Address of Contractor
397 Frankcom Street, Ajax, ON L1S 1R4

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8