Form ID

Publication date

Location of premises

Certificate

Contract #: 2003-3008 Grading, Drainage, Granular Base, Hot Mix Paving, Structure Rehabilitation and Electrical on Hwy 89 from 1.5 km west of Wellington/Grey County Rd. 6 easterly to 0.31 km east of Wellington/Grey Road 14 at Conn and Culvert Replacement on Hwy 6, 6.65 km north of Mount Forest north limit, northerly 0.44 km

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, Southwestern Region Contracts Of
Name of Contractor
Cox Construction Limited
Address of Contractor
687 Eramosa Road 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