Form ID

Publication date

Location of premises

Certificate

Contract No. 99-222 Grading, Drainage, Granular Base, Hot Mix Paving and Illumination

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, Northwestern Regional Office, 61
Name of Contractor
Bruno's Contracting Ltd.
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

Ministry of Transportation, Northwestern Regional Office, 615 South James Street, Thunder Bay, ON P7E 6P6