Form ID

Publication date

Location of premises

Certificate

Contract #2002-3007 Grading, Drainage, Granular Base and Hot Mix Paving

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, 659 Exeter Rd., London, ON N6E 1
Name of Contractor
Cox Construction
Address of Contractor
687 Eramosa Rd., Guelph, ON N1H 6K5

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